Best non-surgical treatment to lift skin and build collagen?

The best way to lift, tighten, and firm skin is Thermage. This is a non-invasive tissue tightening procedure. Thermage uses radio frequency technology to heat deep under the skin which in turn helps you produce more collagen. It helps fill in lines and gives you that youthful defined jawline. The procedure takes about an hour and you can return to work immediately following the procedure. It is great for patients who want to achieve the results of a face lift, without the scalpel.

Ultimately the best available treatment is a facelift. Understandably not everyone is prepared to go under the knife for a variety of reasons. Recent advances in minimally invasive cosmetic procedures have brought about a number of other choices. In fact, it makes sense to explore these other less invasive modalities to 'postpone' a facelift for a number of years. In your specific case, I'd suggest a consultation with a few physicians as a starting point. Knowledge gained here and elsewhere on the web will not replace a one on one consultation with a physician but will certainly help you find a comfort level. If the wrinkles you describe are not deep, ablative fractional resurfacing would improve their appearance. Note that it has to be 'ablative'. It is quite apparent from reading elsewhere on the web that 'fractional resurfacing' has not been adequately explained to the consumer. non-ablative fractional resurfacing would not give dramatic results to the appearance of wrinkles, sun damage and general skin texture. Ablative resurfacing on the other hand would. The ablative modalities of resurfacing currently in clinical use are CO2 and Erbium lasers. In good hands either one will give excellent results. That said, your results will be even better if you have this procedure done to the whole face and not targeting the wrinkles only. The sagging at the jowls (where facial sagging seems to be most apparent), can be improved with a combination of therapies. No single therapy alone will solve facial sagging short of a facelift. A a filler (Parlane, Juvederm, Radiesse) injected right at the jaw line to fill in dimpling and more filler into the area of the cheek bone to help lift up the sagging skin. Some Botox shots carefully placed aroung the face will help too. An additional step would be skin tightening. There are different technologies out there for skin tightening. Infrared light (Titan, SkinTyte) seem to work well. Incidentally, as a single procedure laser lipolysis (Smartlipo etc) to the chin and jowls can improve facial skin sagging quite remarkably. As for creams, it seems all the advertisements you see are about creams that mask fine wrinkles for the day and not truly try to eliminate them. If there ever was snake oil in cosmetics this may be it.

There are several options for lifting and tightening saggnig skin.  One would be with Laser Skin Tightening.  We use the Cutera 3D Skin Rejuvenation System to tighten loose and sagging skin, soften any fines lines and wrinkles you may have, as well as address any solar damage present.  The Titan uses a safe infrared light to heat the dermis well below the skin's surface.  During the procedure, the skin's top surface (epidermis) is protected through continuous cooling with the Titan Handpiece.  Immediately following the treatment you may notice some improvement, but the real benefit comes over time as the collagen is rebuilt naturally by your body.  Generally 2-3 treatments are recommended. A more immediate fix would be Cosmetic Dermal Fillers.  We use a combination of several fillers to lift and rebuild sagging cheek bones and fill in the sunken area under the eyes.  We also smooth out the lines around your nose and mouth with these fillers.  They generally last between 8-15 months depnding on which filler is used and where it is injected.  These fillers can also plump up lips that have lost volume over time.