Thank you for your question. It is difficult to answer without seeing your photo, both a frontal view and a side view in a neutral position. Typically NeckTite works very well depending on the degree of looseness present and the amount of tightening desired. (NeckTite is the upgraded version of ThermiRF aka ThermiTight and uses bipolar injectable radio frequency energy to tighten the skin.) Some people do not like to look too tight all of a sudden as would be the case with surgery, nor do they want to have the prolonged downtime associated with surgery. However surgery is truly the gold standard. It would be best for you to have an in-person consultation with a Facial Plastic/ Plastic Surgeon who is well versed with both methods to learn all the details of each method and together determine which option would be best for you. There are also several other non-invasive methods to consider as well such as ThermiSmooth and Fractora / Forma. Best of luck in your quest ! Sincerely, Dr. Anna Petropoulos Board Certified Facial Plastic Surgeon North Shore Boston