Would Fractora work for tightening and lifting my neck? I'm 53 years young. (photos)

Given that you are not inclined to consider surgery, Fractora will help smooth out just the surface of your skin with some mild tightening. However, ancillary technologies like Ultherapy can augment results by targeting and tightening deeper tissues. None of these replace surgery but are the best options for non invasive improvements. 

There is no noninvasive or minimally invasive technology that is as good as surgery. There are many reasons for this. However the most obvious one is that skin excess is skin excess and there is only so much shrinkage that can be accomplished without physically removing that excess. 
If your expectations for something non-invasive or minimally invasive or realistic, there are certainly technologies that can lead to mild to moderate improvement. 
You only show a picture of yourself from the front, however the most helpful picture would be one from the side. That being said, Fractora does work on the neck in certain people. However I find that it works really well  as a non-surgical lift when done at the same time as FaceTite.

I believe Fractora RF can help you.  I have used it on many different skin types and areas of looseness all over the body.

I have been using the Fractora treatment  and it has given very nice results.  I would certainly recommend the treatment.  A face lift would not work to correct the damage or the wrinkling.  I would also recommend using medical grade skin care such as Skin Medica - which does a really nice job of making the skin healthier and look glowing and smoother.  Also medical grade sunscreen such as Elta or Skin Medica is a must - please avoid further damage by limiting sun exposure.  You might want to consider using  sun blocking hats - Tilley or Coolibar or Sun Precautions clothing as well.  If you smoke, please stop - smoking contributes significantly to skin damage as well as overall health.  
Thank you for the question and hope that helps.  

Hi kpope and thank you for your question.
Thank you for sharing your photos. Fractora works by placing needles through the skin and 'injecting' radiofrequency energy just below or into the skin surface to help produce wrinkle ablation and skin tightening. However, this treatment will not address the underlying muscle or fat. It appears in your photos that you have some banding in the under-chin area. In order to address platysmal bands, the underlying connections ought to be freed and the muscle tightened to eliminate these. This is called a corset platysmaplasty and is an excellent treatment for banding in the under-chin area. This treatment can be combined with another minimally invasive procedure which helps tighten the deeper layers under the skin called FaceTite. The FaceTite treatment is performed by placing a wand equipped with a radiofrequency tip under the skin to apply energy to the deeper connective tissues and provide neck skin tightening. Performing this at the same time as a platysmaplasty can offer a powerful rejuvenation of the neck without undergoing a full facelift.
I would recommend consultation with a physician who is familiar with these technologies and can help provide you with the various options available for treating your face and neck area.
Good luck!

The thing to understand about all of these treatments is that they are designed to do a specific thing.  The anatomy of the face and neck is arranged very much like an onion, in that there are distinct layers.  Each layer ages in its own way, and there is very little overlap between them.  We just add them all up in our minds when we see someone with signs of aging and say "That looks like an older person."  This concept becomes important though when we start looking for ways to rejuvenate someone, or truly make them look younger.  There is also very little overlap between the strategies to rejuvenate the different layers of the face and neck, too, and if we only do a treatment that applies to one layer or the other we may not get the best rejuvenation, or worse, we may create an unnatural appearance; something that looks out of balance, or obviously "done."  Thus, to get the best, most natural results, we doctors must think this way, and patients have to be educated about what it will really take to make their individual faces and necks look better, with respect to what's going on with the anatomy and the tissue quality.  Sometimes we have multiple layers involved, and that may demand a multi-level approach, or even a staged approach over different treatment sessions, to get the best results.  If there is damage to the surface of the skin from sun exposure or smoking, I can tell you that no facelift in the world will make that look better, at least with a natural appearance.  You will have to do something that is designed to directly affect the skin and improve its thickness, tone, texture, and pigment to address those things.  And similarly, if there is laxity and sagging of the deeper tissues, like the fat of the jowls or neck, or the platysma muscle on the neck, a face and/or neck lift is required to address those problems, and will do that well, but the quality of the skin on the surface - wrinkles, texture, tone, and pigment - will not be addressed by that procedure.  I think your experience with Thermage as a "waste of time" is a good example of this.   Not only is Thermage a generally ineffective treatment, in my opinion, even for the skin itself, but it will have no effect on the issues of laxity of your neck, jowl, and lower face.  The one other thing to appreciate in this discussion is that often for the best results, our plan should address more than one isolated issue.  That doesn't mean that we have to do surgery necessarily, but it also means that if we have to both drive in a nail and screw in a screw, we're gonna need both a hammer and screwdriver to complete the entire job.
I totally understand that you aren't ready for surgery just yet.  However, we also can't avoid the simple truth that our expectations have to be realistic for the procedure we intend to perform.  The corollary of this is that we have to understand the causes of the things we want to correct and properly define our goals with respect to those causes - the changes in our anatomy and tissues.  Only then can we truly be satisfied, whether that is creating a dramatic comprehensive rejuvenation of the face that "knocks it outta the park" so to speak, or a more modest, scaled down improvement in specific issues with the trade-off of a less aggressive approach.  You can't have it both ways, unfortunately.
Having said that, and based solely on your images, I would like to talk to you about surgery combined with some other treatments first.  Yet, I get that you aren't ready for that particular, so I personally would still be very happy to talk to you, or someone with your needs and goals; we would just have a different conversation.  We would discuss strategies to improve your appearance without needing surgery, or at least more invasive incision-making surgery.  Again, we would understand and accept the limitations of this approach right from the start.  To cut to the short answer to your question, yes, I definitely think there is a role for Fractora in treating your skin.  Not just your face, but also your neck, your chest, and maybe even your hands if you wished.  Fractora is safer than laser on some of those areas, so that gives it an advantage there too.  But, again, Fractora will only help the surface tone and texture of your skin.  Remember our onion?  You have a number of layers involved, and so you would benefit from treatments for several layers.  To address the layer under the skin, mainly the fatty support layer, I would suggest a radiofrequency tightening device made by the same people that make Fractora, called FaceTite/NeckTite.  It requires small punctures under your earlobes, your chin, and maybe in the corners of your mouth, to insert a small electric probe and use it to tighten the deeper layer under the skin.  Again, it won't tighten that muscle on you neck and improve the separation and laxity of the bands, but it will help shrink the jowls up and give a better jawline, as well as tighten the skin and fat of the neck to some degree.  Combined with the Fractora, it will be a much more comprehensive treatment for your skin than any other single device or treatment could provide.  Lastly, I would encourage you to consider some means of replacing volume in several key areas of your face, like your brows, temples, cheeks, base of the nose, and lips.  This is not to make those areas look huge and puffy, but to replace the volume that has been lost there with aging.  This is an underappreciated aspect of facial rejuvenation in my opinion, yet it is so important because our faces lose an incredible amount of volume over the years, and we never truly rejuvenate someone or make them look healthier and better by tightening alone; we must replace volume somehow.  In your case it can be done with fillers or with fat grafting from somewhere else on your body.  I have my biases toward fat grafting, which is very easy to perform, very reliable at creating long-lasting beautiful results, and has the added benefit of truly rejuvenating your tissues by actually stimulating new tissue growth and blood supply.  Further discussion about the details of this is beyond the scope of this thread, but I strongly encourage you to look into it.  In fact, if I only was allowed to do the things I have mentioned here for you - Fractora, FaceTite, and fat transfer - I could do it all in the office procedure room awake under local anesthesia, very comfortably, and you would look significantly better with just those things, none of which is surgery.  Perfect?  No, of course not, but WAAAAY better, naturally, and without an aggressive surgical procedure.
Find a board certified plastic surgeon or facial plastic surgeon who has experience with these kinds of minimally invasive rejuvenation plans, and go on a consultation to explore your options.  I would highly suggest that you see an actual surgeon for these things as opposed to a dermatologist, for although you may find a dermatologist who does all of these things, it's a bit more hit-or-miss to find one who truly has the same three dimensional awareness of facial anatomy and skill and experience in doing procedures in multiple different planes of the face and neck as most surgeons do.  Best of luck to you! 

  At 53 years of age, skin, muscle, and fat must all be addressed to rejuvenate the neck. In our practice, we perform a high-SMAS lower face and neck lift procedure which accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing fatty deposits in the neck in addition to a platysma plasty which significantly improves the jawline. For many examples and more information, please see the link and the video below

Thank you for this question, but unfortunately with your very severe sun damage, the elasticity of your skin is permanently gone and only the properly performed facelift surgery can offer you anything worthwhile. Just like Thermage, all non-surgical options are of no use for you.