I have been performing Infini RF treatments for about 12 months and have been very pleased with the improvement in overall skin texture, tone and acne scarring. Although some tightening can be obtained with more aggressive Infini settings and multiple treatments, it is not a substitute for the considerable lifting and repositioning that can result from a properly performed facelift. The sagging that you mention in the lower face and neck involves not only the skin but also the deeper tissues below. In order to obtain and naturally appearing and balanced outcome, a facelift can be used to reposition the deeper tissues and skin most effectively and predictably along with long lasting results.I often combine fat grafting to restore volume and simultaneous skin resurfacing to obtain more effective improvement which addresses all of the parameters of aging. Infini RF is an excellent option to use after facelifting in order to provide a more lasting and balanced outcome. Pre operative skin prepping and post operative maintenance skin care programs are also an excellent way to improve and maintain results.