What would be the best procedure to tighten/lift without cutting? (Photo)

Face is sagging.

Doctor Answers 18

Best Procedure to Lift and Tighten

A non surgical way to lift the face and neck would certainly be ideal, but it doesn't exist. In order to achieve a meaningful aesthetic result, surgery is the only option. If performed by an experienced facelift surgeon, the results will look natural and durable. Good luck in your research. 


Fort Myers Facial Plastic Surgeon
4.8 out of 5 stars 82 reviews

Surgical face and neck lift for best results

 In our practice, the goal of a The lower face and neck lift is to tighten loose facial and neck skin,  tighten loose facial and neck muscles, lift the jowls, and remove any fatty deposits above and below the platysma muscle in the neck in addition to a platysma-plasty. There is NO nonsurgical device that can accomplish these goals.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 129 reviews

What would be the best procedure to tighten/lift without cutting?

Honestly ONLY surgery offers the better results from any non surgical or minimally surgical treatments. But in this case the $$s wasted on non surgery like Thermal would be better spent towards surgery. If still adverse to surgery than minimal surgical options like Silhouette Lift &/or ThermiTight RF. 

Facial Aging and Lasers, Peels, RF/Ultrasound, Fillers, Skin Care, Face Lift, Fat Injections

you really need a formal facial rejuvenation consultation with an expert who can discuss facial volume, laxity, and complexion with you.  a formal assessment is needed to see if noninvasive options will work, most likely you really need surgery plus some non invasive options for improvement that is significant.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.9 out of 5 stars 167 reviews

Tightening and Lifting the Face and Neck without cutting?

In spite of all the claims of multiple manufacturers of machines to lift and tighten the skin, none have proven long term efficacy. You can gain a little facial and cheek lift and tighten localized areas of those using fillers, but you will not really get any tightening or lifting of the neck. Still, the only way to do what you need is with surgery (a face/neck lift). If you did not want to do surgery on the under eye areas, you could then do fillers there. Do not waste your money on any other option unless you need the results for only a few months.

Robert T. Buchanan, MD
Highlands Plastic Surgeon
5.0 out of 5 stars 5 reviews

A combination approach is best

You will need 3 things to restore your face to its natural resting position.  Tightening, lifting and relaxing.
You can achieve the tightening with either the Profound or the Ulthera.  One uses Radiofrequency Needles under the skin (after anesthetic) to increase the heat to a certain high temperature to stimulate collagen production. The other uses focused ultrasound to create the collagen production.  I would personally recommend Profound due to the relative severity of your laxity; it gives a more reliable result.  

Next would be lifting the skin, which will need to be done with fillers.  Voluma to the upper cheeks and fillers also to define the jawline as well as reduce the folds around the mouth.
Finally, I do think that Botulinum Toxin and Fillers would be needed to restore your forehead to a more natural position; your brow has fallen and it will need help to sit up straighter.  

A combination of these treatments should give you about 2/3 the result of a facelift.  Even if you get a facelift you will need to have fillers.  However, understand that the time frame for fillers is 6 months- 2 years and the Profound will last about 2 years.  So you are going to need to commit to significant ongoing treatment to maintain your effect.  Good luck!

Amy Forman Taub, MD
Chicago Dermatologic Surgeon
3.6 out of 5 stars 11 reviews

Non-Surgical Face Lift

Thank you for your question in regards to a non-surgical face lift. Exilis is a radio frequency treatment that reduces the appearance of wrinkles and helps tighten the skin. Exilis treatment use heat without damaging skin. The heat causes fat to melt away and stimulate collagen production which tightens your skin. Facial fillers can also help areas with volume loss, which can appear to give you a slight lift. To be sure what is best for you, see two or more board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment. I hope this helps.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 150 reviews

Nonsurgical options to help your face

There are multiple nonsurgical facelift options available to you and include:
1) Viora (Radiofrequency) laser tightening
2) Laser resurfacing (I like the cool helium plasma)
3) Threadlift (I prefer the Sillhouette lift)
4) Fat grafting to cheeks, nasolabial fold, lips, and prejowls

Please see link below and contact our office for more details.

Arian Mowlavi, MD
Orange County Plastic Surgeon
4.9 out of 5 stars 44 reviews

Tightening without surgery

Facial fillers and lasers are the best bet to tighten without surgery. There are several dermal filler options to explore. Think about 1 ml for every decade of life is a good guide. 

Jose E. Barrera, MD, FACS
San Antonio Facial Plastic Surgeon
5.0 out of 5 stars 40 reviews

What would be the best procedure to tighten/lift without cutting?

Thank you for your question. Much of what causes facial aging and loose skin of the face is loss of mid face volume in the form of fat. The use of new dermal soft tissue fillers such as Voluma can plump the cheeks, restore an apple cheek, and lift the cheek. I would also recommend Botox to treat the frown lines. A small amount of Botox can be used in the DAO muscles below the corner of the mouth to lift the corners of the mouth and reduce the risk of jowls.

These methods are superior to non surgeoical skin tightening devices such as Thermage and Ulthera which are costly and produce minimal results

For more information on dermal fillers please read the following link:

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.