Facial skin tightening options?

I'm open to a face lift or facial plastic surgery but wanted more opinions on a variety of skin tightening options to tighten jowls and skin laxity in the face in general.

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37 answers to “Facial skin tightening options?”

A: Non Surgical Skin Tightening Has It's Limitations

James H. Schmidt, MD

If your skin is in relatively good condition with good support you may be able to have some some non-surgical procedures.  These include various forms of laser resurfacing, and fillers.  Assess your particular situation carefully. If you have a noticeable amount of loose skin and it seems like the... more

A: Skin tightening

H. Eliot Y. Ghatan, MD

There are a number of laser treatments available that can tighten jowels, and other loose skin on face, neck or other parts of body. There is no need for ansthesia, there is no down time, and the results are immediate and amazing.

A: Face Lifts are the gold standard for facial skin tightening

Sanjay Grover, MD

There are some patients who will definitely benefit from a surgical facelift to address lax tissues and skin that accompanies aging. However, some patients with mild signs of aging and good skin elasticity may benefit from laser 'skin tightening' treatments alone, such as with ReFirme treatments of Titan... more

A: Facial Skin Tightening

Daniel Reichner, MD

Ms Anne The gold standard treatment for jowls and skin laxity was the face-lift.  Now there are several other treatments that can give very good rejuvenative results with less invasive procedures, such as:  Micro-liposuction of jowl fat Skin tightening with laser resurfacing ... more

A: Sometimes surgery isn't the answer

Jordana S. Gilman, MD

As we age, we need to address both the quality of the skin (thinning, looseness) and the loss of volume in the face that causes the skin and face (especially the cheeks and jowls) to droop.  Is isn't that there is one best treatment, it's really a multi-pronged approach.  It's usually a good idea... more

A: Limited alternatives to surgery, if surgery is indicated

Scott E. Kasden, MD

I use the "onion" as a good analagy of how we are put together anatomically. The skin is the outer layer, followed by a layer of fat, and then, a strength layer, fat pads, and neres/muscles/blood supply. Procedures like chemial peels, laser, coblation, are great for tightening the skin, and reversing... more

A: Take a look at the Realself "Was it worth it?" survey

Otto Joseph Placik, MD

We are all interested in the least invasive methods of improving ourselves. Unfortunately there are many options which are confusing but it really depends on what you want to achieve. I like analogies and so I will explain. If you have an old house, putting on a new coat of paint and maybe resurfacing the... more

A: Surgically Lift the Deeper Layers for Support, Then Resurface the Skin 6 weeks later

Anurag Agarwal, MD

Prominent jowls, sagging cheek fat pads, and neck muscle bands, often accompany significant skin laxity.  I would suggest surgically lifting these various layers, and supporting each layer with sutures.  This can be done through a combination of endoscopic and open facelift techniques, depending... more

A: Skin tightening: The real question is reliability

John P. Di Saia, MD

Hello, Lasers tighten but that tightening varies and will not approach that of a properly performed facelift. Then again some patients either do not want the facelift surgery as it is "real surgery" or are too young to benefit maximally by a real facelift. Tightening without a facelift operation is... more

A: The best way to look good is to treat the tissues below the skin.

Robert M. Freund, MD

Although the skin is sagging and the jowls look unsightly, the best way to correct these problems is to tighten the underlying structures. These structures include fat, muscle and fascia (strong connective tissue that holds it all together) in a structure called the SMAS (submusculoaponeurotic system). There... more

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