CACI facials are a form of microcurrent treatment. They claim to tighten muscles and lift the face. The real problem is that muscles don't necessarily lengthen as we age, so "tightening" them isn't the answer to an aging face. If so, we as facial plastic surgeons would be tightening these muscles surgically. The only muscle we ever "tighten" is the platysma muscle, and we only do that to create a sling that lifts the neck. A CACI facial isn't going to give any long term improvement. There are other technologies (like Ultherapy or a Halo laser) that will give you visible improvements that last.Andrew Campbell, M.D. Facial Plastic Specialist Quintessa Aesthetic Centers