You are comparing 2 modalities of treatment that target two different problems.
The Facelift, in my opinion, will give you the best result that you need for your problems. Surgical procedures will always give better results in rejuvenating the aging face.
The Phototherapy with the Pearl will improve better on the skin surface sun damage, but the percentage of skin tightening is very unpredictable with this technique. At best you can obtain 15-20 % improvement on skin tightening and 60-70% in sun damage.
I hope this helps your decision. Good luck.



