Hi, thank you for your detailed question. Based on your goals and age, there are several effective non-surgical treatments for both the face and body. Here’s a breakdown: 1. Face – Jowls & Marionette Lines: Ultherapy (Ultrasound Skin Tightening): Uses focused ultrasound to lift and tighten skin along the jawline, neck, and under the chin. It stimulates your body’s collagen production gradually. Radiofrequency (RF) Devices: Treatments like Thermage or Profound RF can tighten skin and improve fine lines by stimulating collagen and elastin. Dermal Fillers: Strategic placement along the marionette lines or jawline can restore volume, soften lines, and provide subtle lift. Microneedling with RF: Combines microneedling with radiofrequency energy to improve skin texture, tighten tissue, and reduce fine lines. 2. Abdomen & Thighs – Skin Tightening & Fat Reduction: CoolSculpting / Cryolipolysis: Non-invasive fat reduction that can contour areas like the abdomen and thighs. Works best when skin elasticity is still moderate. RF Body Contouring (e.g., Venus Legacy, Forma, Exilis): These devices heat deeper layers of skin, tightening tissue and improving overall contour. Non-Surgical Liposuction Alternatives: There isn’t a true “lipo” replacement that removes large volumes of fat at once. Non-invasive options reduce small pockets but are less dramatic than surgical liposuction. Combination Approach: Often, the best results come from combining energy-based skin tightening with targeted fat reduction. For your face, combining Ultherapy or RF with fillers can give noticeable lift and smoothness. For the body, multiple RF or cryolipolysis sessions can tighten and contour moderately. At 61 with moderate weight, these treatments can give a natural improvement, but for more dramatic fat removal or significant sagging, surgical options may be more effective. If you want, I can outline a step-by-step treatment plan for both face and abdomen that maximizes non-surgical results while keeping recovery minimal.