Wondering if the Fotona 4d laser facelifting is worth it. Are there good results with reducing the marionette lines and nasolabi

Laser resurfacing is designed to remove wrinkling in sun damage with in the skin. Unfortunately the marionette lines and nasolabial folds are depressions along anatomic borders and not related to necessarily problems within the skin. Nonsurgical options which included fillers. The marionette line is very responsive to surgery. The nasolabial fold is generated by facial expression and reemerges.

While there are many technologies claiming to give comparable results, there really is no comparison to a traditional facelift.  A facelift can address the underlying muscle, tissue, fat and skin and can provide results lasting 10-15 years.  While laser does address skin laxity, texture and tone, the results may not be as significant nor as long lasting as a facelift however, you may see visible improvements.  Another option is Facetite which uses bipolar radio frequency to tighten the skin, melt the fat beneath the skin, improving the contour of the jawline, neck and lower face, which are often the concerns of people in their early 40's with mild to moderate signs of aging.Dr. Philip Solomon, Solomon Facial PlasticToronto, Canada

There are many non-surgical devices that purport to treat facial aging.  None of them create any significant facial rejuvenation result.  Before undergoing any treatment ask the doctor to see before and after photos of at least 5 consecutive patients that the doctor has treated on that device. Lasers and other devices can have some effect, but usually you have to look hard to see that result.  In my practice I routinely see patients present for facelift surgery that have had these non-surgical treatments elsewhere, and routinely they have been disappointed with the results.  

It is important to realize that any laser treatment is only going to make mild improvements in aging changes caused by laxity and tissue descent. It is not going to lift and pull like a facelift would. Lasers are great for ironing out the finer wrinkles, and in some cases, depending on the laser, can tighten the skin and off for a very slight lift. However, your provider must be honest about how much of an effect a given laser can provide. In general, lasers or better for texture and quality of skin, rather than actual lifting of structures. Post some pictures and we can better advise you.Best of luck!Dr. SubbioBoard-Certified Plastic SurgeonNewtown Square/Philadelphia, PA

Patients with only lines on their face can be improved markedly with chemical or laser peels. Skin tightening will be minimal so if you have excess skin sagging you need a facelift. See a very experienced facelift surgeon to discuss the advantages and disadvantages of both treatments.