What to Do with Neck Laxity when General Anesthesia Isn't an Option?

Thank you for your question.

A Neck Lift can e done under local anesthesia if that is what you need and want.

The laser resurfacing methods you mention will not tighten neck skin.

Thermage, Ulthera, Titan, and Lux IR Deep are non surgical skin tightening methods for the neck but only achieve at best a 20% result.

I understand your frustration. If after seeing 7 surgeons you are undecided and unsure the best option is to do nothing and re assess in a year. Good luck.

Face and necklifting can very, very safely be performed with local anesthesia. Most often I will use sedation with the local anesthetic, but I have had patients request no sedation, and they do very well with a procedure like a necklift. 
You will find many more modernly trained surgeons steering away from unnecessary general anesthesia. It falls in the same minimally invasive direction that all of medicine is headed.To ensure you are receiving the highest level of care, seek out a modernly trained, new-school dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these "core four" cosmetic specialties. Membership in organizations like the American Academy of Facial Plastic and Reconstructive Surgery help to identify a highly trained surgeon.
Cameron Chesnut
#realself500 Physician

Without photos, it's difficult to make suggestions based on your concern. There are many options; both surgical and non. However, the best option for you depends on the level of #laxity. It's best to begin consulting with an board certified plastic surgeon in-person. He or she will evaluate both your anatomical features and aesthetic goals to determine which neck lift procedure best suits your individual needs. Factors which are considered during your consultation to determine if you are a #candidate for #rejuvenating the neck include: •Visibility and amount of excess fat below the chin and along the neckline.•The presence of banding down the front of the #neck.•The amount of #excess skin and condition of your skin.•Chin Deficiency.•Presence of Prominent Digastric Muscles (a.k.a. submandibular gland fullness).
During the examination the chin will be evaluated along with the neck and jawline.  A weak #chin means there is not adequate chin support for the skin along the neck line. In younger individuals a chin implant alone is usually all that is needed to improve the appearance of the neck. Subsequently, it will also improve the overall balance of the face and can create the illusion of a smaller nose. As a stand-alone procedure, chin augmentation can be performed in the office under local #anesthesia. For individuals with signs of aging in the neck, a chin implant added to one of the recommended procedures above, will provide optimal results.
If you are not a candidate at the time of your #consultation, your board certified plastic surgeon can recommend non-surgical #alternatives to address your concern. Consulting with a board-certified plastic surgeon who specializes in #neck lift procedures is important to ensure you are receiving the best advice, care, and surgical experience possible.