Lasers for facial rejuvenation are used mostly to resurface skin rather to cut like a scalpel. For most surgeons this just involves the initial skin incision, most will use special scissors and other instruments for the rest.Here is some more useful information. You age in 3 ways redundant skin and underlying supporting structure laxity,volume shifts (loss of volume in the cheeks, gain in the jowls and submental), and skin surface aging - wrinkles, large pores, age spots). It is important to understand that facelifts are meant to remove major folds and wrinkles, not fine wrinkles. A facelift which removed every line and fold would be too aggressive and would result in an unnatural result. The goal of our surgeons is to make your facelift look as natural as possible. Face lifts do not change the quality of the skin and volume issues are best managed by fillers or fat transfer. Skin aging is accelerated by smoking .Fine lines and wrinkles are better addressed by skin treatments such as chemical peels or microdermabrasion, which we also offer at our office. Many of our facelift patients enhance their surgical result with these nonsurgical procedures.