The simple answer is no, it is not a replacement for a lower face and neck lift in the patient with severe tissue sagging. Everyone would like a miracle cure for aging and the result of a well performed natural appearing facelift without actually having a surgical procedure. There are no miracle non-surgical procedures or treatments, including fillers, acupuncture, muscle stimulation, lasers, or skin creams, that can produce the same results as a facelift. The term “non-surgical facelift” is a marketing term that actually deceives the public and does not live up to what is promised. It is often offered by physicians who are not capable of performing a facelift, because they have minimal or no formal plastic surgery training. There are, however, a variety of treatments that can provide some rejuvenation: Dysport or Botox, fillers, peels, lasers, skin tightening techniques like radiofrequency (temporary and extremely unreliable), fat injections, minimal lifts of localized areas, all of which still may require varying amounts of recovery time and are not without potential complications. They do not, however, produce results similar to a well performed natural appearing facelift, performed by a board certified plastic surgeon. None of these alone or in combinations are adequate if there is sagging facial tissue and excess skin, which would require a facelift to correct it. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with who has all of the modalities of treatment available. You should discuss your concerns with that surgeon in person. Facial rejuvenation needs to be individualized. What would be an ideal approach for one patient is not necessarily the same for someone else. Based on the examination and discussion at the consultation, you should have a better understanding of the various options that can achieve the best cosmetic result for you. You have only one face, so don’t shop for bargains or magical procedures when it comes to facial surgery. If it sounds too good to be true, it generally is! Robert Singer, MD FACS La Jolla, California