Tightening the skin of the face
Most of the non invasive techniques will work some of the time and to a certain degree. Usually about 25% may get some improvement. I would recommend some fillers which could hold things over till you are ready for a tightening procedure again along with some skin care, peels which will increase the thickness of the skin and have a tightening effect. You could add non ablative lasers if you also wanted to. Most facelifts last 8-10 years.
Facelift for aging neck, sagging skin and jowls
A comprehensive lower face and neck lift addresses more than just skin tightening. The aging process involves development of inelasticity of the skin in the face and neck, fatty deposits develop in the neck above and below the platysma muscle and the platysma muscle itself shortens, fibrosis and contracts and creates bands due to the aging process. A properly performed lower face/neck lift will involve tightening up facial and neck muscles, tightening up facial and neck inelastic skin, and removal of fatty deposits in the neck. For many examples, please see the link below.
Nonsurgical Lower Face Rejuvenation Is A Viable Alternative To Surgery For Mild To Moderate Sagging & Jowls
Unfortunately, the aesthetic results of lasers (including fraxel lasers), radiofrequency treatments, infrared light, and ultrasound devices have proved more device manufacturer backed marketing hype than hard science, and I would agree with the advice that they are not worth the time, the money or the attendant discomfort and downtime.
Without a photo, I can only comment in general terms. But for someone wishing to avoid the pain, healing and expense of lower face and necklift surgery, several,completely nonsurgical options are available for treating jowls, sagging, neck cords and crepeyness of the neck. Each of these nonsurgical procedures can be performed in about ten minutes, typically evoke an immediate "Wow!" response, and engender little or no downtime.
For straightening a jowly jawline and secondarily improving the upper neck, a nonsurgical jawline augmentation with a volumizing filler would be in order. This might be accompanied, when necessary, with a nonsurgical chin augmentation and, if further jaw straightening is deemed necessary, supplemented by a "Nefertiti Lift" using a neuromodulator, such as Botox.
If the neck still requires further improvement for cords, laxity and creypeyness, The Nonsurgical 3D Vectoring Necklift can be added.
Precisely which volumizers and fillers may be needed for each task is best determined at the time of initial consultation. The individual treatments may be performed at separate sessions, although many of my patients, to save time, opt to have all done in the same treatment session.
For more detailed discussions of each of the techniques mentioned above, check out the archives of Realself.com. And, of course, for an optimal outcome, be sure to consult a board certified aesthetic core physician with experience and expertise in performing all of the above.
The so called "laser facelift" is not worth the expense or time. There is no evidence that heating the subdermal layers will shrink the skin or lift the face. If you were happy with your facelift, and now few years later the aging process is catching up, then another facelift is your best well proven method