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Thank you for your pictures. Your final options will depend on an examination; they range from noninvasive options such as Ultherapy, to liposuction to a neck lift. This all depends on the extent of looseness and the quality of your skin.
The delicate skin on the neck is one of the first places where aging shows up. How much skin sagging and fat deposits you get in this area is partly determined by your genetics. Also, weight gain can permanently stretch the skin and, if followed by weight loss, may result in sags in the chin and neck.A neck lift is less invasive than a facelift, and is the only other surgical procedure that can dramatically reverse turkey neck. (See my Before and After Photos below) The incisions are smaller and the recovery time less. Plus, the rest of the face is untouched. After surgery, you would be given recommendations to improve skin tone to keep the good results as long as possible. A consultation with a board-certified facial plastic surgeon will give you the answers you need to rectify this area of concern for you.
In my own practice, I have seen a large increase in patients with your configuration wanting neck lifts after having tried other options. The reason is structural. If you look closely at your photos, you will see that your chin is weak, and does not line up well with your nose and upper lip. There is also excess skin of your neck that some call "turkey neck." In my opinion, your best result would come from a neck lift and possible chin implant to give you the definition you desire. I suggest you find a board certified plastic surgeon for an in-person consultation to discuss this option. (Many will do over-the-phone consultaitons.) The choice is always yours in terms of which option to take; however, it might save you time and money to circumvent the treatments that don't give you a "wow" result.
Hi thanks to share your photograph to address the sagging in the lower neck you can opt for a lower face and neck lift to get a better cosmetic outcome. However before the surgical intervention you can go for non surgical neck contouring and tightening with exilis procedure done in periodic sessions to define your chin and neck.A thread lift procedure can also be tried to address your concern please.do consult a board certified surgeon before the procedure.good luck.
Thank you for your question. An examination will determine the ideal treatment method but a neck lift is the gold standard method to improve laxity and aging in the neck.Dr. Leonard Lu