A harness can be an option, but it's not always a comfortable position with every sax and every harness. I had it for a while, still use it with baritone, but for tenor I now use such a flexible Neotech-strap. It feels more comfortable, and I have less troubles with my neck.
For the rest : play as you're comfortable, as long as the mouthpiece is right in front of you (meaning you can blow straight in it).
For the rest : play as you're comfortable, as long as the mouthpiece is right in front of you (meaning you can blow straight in it).