Fractional laser skin resurfacing can improve wrinkles, improve skin texture, and remove pigment. Very deep treatments combining ablative and non-ablative fractional treatments can provide very slight superficial firming of skin around the mouth, but certainly not enough to lift your skin.
LuxIR Deep, Thermage, Titan, and Refirme are specific skin tightening treatments that can achieve about 20% of the tightening of a surgical lift, but most patients have to be shown before and after pictures to actually see and appreciate the tightening.
If you need a lift, a surgical mini lift will give you the best result. If you absolutely do not want to have a surgical lift then have one of the skin tightening treatments that are most effective (ie. luxIR Deep, Thermage, Titan, or Refirme).
See the befoire and after pictures of fractional laser resurfacing below-this shows the best skin tightening you can achieve with this technique (April photo # 14). notice the main improvement is in skin texture and wrinkle removal.
A surgical lift is the best result you can get.See before and after pictures of facelift.
