Hi There, There are multiple options available for skin tightening, ranging from creams to peels to lasers and to minimally invasive treatments. The more aggressive the treatment, the better the long-term result. Fractional CO2 laser skin resurfacing can be excellent for skin tightening, especially around the eyes and mouth. It can help with fine wrinkles of the face and skin pigmentation issues as well. However, it will not improve jowling or significantly improve skin laxity in the neck area. Microneedling is also helpful to improve the quality of the skin and is less invasive and less aggressive than fractional CO2 laser resurfacing. For that reason, the results are usually limited and not as noticeable when compared to CO2. However, it is a good option to improve skin quality and to improve fine wrinkles of the face. Again, it is not helpful for jowling and neck fat/skin laxity. There are also minimally invasive surgical treatments such as necktite/facetite and other radio frequency skin tightening procedures. These are typically the most aggressive minimally invasive techniques and are often combined with submental liposuction or other procedures to improve facial appearance. However, treatment depends on your anatomy and degree and location of skin laxity. Consulting with a facial expert is the best first step. A proper examination is critical. You can then discuss the above with that provider. Hope that helps, Paul Daraei, MDFacial Plastic SurgeonPremier Image Cosmetic and Laser SurgeryAtlanta, GA