Recommendations welcome on what will give me a natural aesthetic appearance (Photo)(

I would recommend a facelift/necklift. This would be the most reasonable plan to provide a long-term stable result.

A neck lift that tightens your platysma on each side and removes excess skin with no tension on the skin should correct these neck lines and still be safe considering you have EDS.

Hello, hope you are well. Thank you for providing the photos and background information. The physical exam is really important in this situation to give you best advice, but based on the appearance of visibly hanging skin with platysmal (muscle) banding a surgical neck lift is most likely the best option. Good luck!

Best,
Dr. Tower

At 57 years of age with Ehlers Danlos syndrome, you're going to require a lower face and neck lift procedure to accomplish tightening loose facial and neck skin, tightening loose facial and neck muscles, which includes a platysma-plasty in the neck to tighten the two platysma muscle cords in the neck, and lifting the jowls. Choose your surgeon wisely based on extensive experience producing natural results.

Based on your night nicely posted photos, and your medical history I would recommend a mini necklace with treatment in combination. Fee $10,000. Best of virtual consult with.