What is the best way to get rid of excess facial skin?

Without seeing your pictures or examining you in my
office, it is difficult to say what is contributing to your problem. Sagging in the lower cheek area can be caused
by structural changes and volume loss with age.
You may be a candidate for a facelift with re-volumization (e.g., fat
transfer or dermal filler). A facelift
addresses the lower 1/3 of your face by re-suspending and tightening your underlying
muscle layer. Fat transfer or dermal filler to your midface area can restore
volume to help lift your cheeks and define your jaw line. I recommend that you consult with your local board
certified facial plastic surgeon so that they may customize a treatment plan to
best meet your individual needs.

   A lower face and neck lift may be appropriate, but pictures or an exam would be necessary to assess this.Kenneth Hughes, MDLos Angeles, CA

It depends on your anatomy and facial shape. If you are young with a good facial tone, ultherapy may be a non-surgical option; if your aging process is more advanced, surgical repositioning of the sagging tissue is an alternative procedure.