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

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.