Fermentation is less efficient at using the energy from glucose: only 2 ATP are produced per glucose, compared to the 38 ATP per glucose nominally produced by aerobic respiration. This is because the waste products of fermentation still contain chemical potential energy that can be released by oxidation.
If you use the Neckline Slimmer daily, you will see results. In my personal experience, I believe the Neckline Slimmer to be a great way to obtain a non surgical face lift. The Neckline Slimmer really does work.
It is very difficult to tell exactly what would work for you from one picture. If the wattle is mostly fat with the skin pushed out, then liposuction could give you significant improvement with little invasion.. For anything else, the only way to improve the area is a full face/neck lift. Nothing else will reduce the excess skin with a reasonable scar.