What would be the best treatment for saggy skin on neck and horizontal lines in my case? (Photos)

I like to be aggressive with those nasty neck creases so I do 1 aggressive high energy treatment under local rather than 3 whimpy sessions with the fabulous Morpheus8 RF. Ultherapy and thermage etc... are worthless compared to Morpheus8.

Hello, thank you for your question.You may benefit from necktite, any areas on the face and neck with saggy skin can be treated with FaceTite. This includes the double chin, the neck, the jowls, the jawline and mandible, and marionette lines as well as other areas with deep lines and loose skin.
Patients who opt for Facetite are seeking a more youthful look but do not want to deal with an invasive surgery, the scars of a face lift, or the recovery time. Results of a face lift typically last about 10 years depending upon the level of undermining, level of support of deeper tissues, and amount of skin removed along with patient dependent factors; Facetite, about five, but it can be combined with Fractora to provide improved results over time.

Based on these photos you are good candidate fro anterior neck lift. This is needed to address muscle bands and mild fat collection in mostly anterior portion of the neck. Injection of neck lines with nano-fat grafts (stem cells) have shown best results  between different modalities we have tried in the past. In person evaluation is recommended.

lines on the neck are treated with fillers, threads and lasers.  however, sagging needs lifting surgically or alternatively morpheus and halo every 2-4 months, and facetite.
With significant neck sagging you would need a neck/face lift with muscle tightening (platysmaplasty). at the same time lasers (fraxel,  co2 or erbium( or microneedling RF (fractora, intensif) can be . performed to improve the crepe skin or wrinkles.  You need a formal consultation, as the neck can be treated with a combination approach:
1. micro needling and lasers for texture
2. botox, disport or xeomin to help platysmal bands
3. intensif or fractora RF microneedling for crepe skin and lifting
4. fillers like belotero, restylane silk, juvederm volbella to improve lines and folds
5. neck/face lifting if sagging is prominent or early starting +/- platysmaplasty (muscle tightening)
6. J plasma/Renuvion, thermiRF, inmode facetite for internal tightening
7. ultherapy and thermage for external tightening
8. regular Venus legacy, exilis ultra, or inmode forma treatments with facials to maintain tightness
9. PDO novathreads or silhouette instalift cone threads for lifting and long-term collagen production
see an expert for a full evaluation and treatment plan based on your individual situation and goals.
Best, Dr. Emer.

Options at treatment include dermal fillers, microneedling, Botox and chemical peels.  Be sure to seek out a specialist in consultation to discuss the best option once your goals are discussed.