60, female, 5'7, 30lbs overweight, would any non-surgical procedure improve my sagging skin?

Absolutely, there are several non-surgical procedures that can help improve sagging skin under the eyes and in the jowl/jawline area. Here are a few options:
1. Dermal Fillers: These are injectable substances used to plump up skin, fill in lines and wrinkles, and help restore a smoother appearance. They can be used to treat sagging skin by filling in the areas of volume loss that are contributing to the sagging.
2. Ultherapy: This is a non-surgical ultrasound treatment that can lift and tighten the skin on the face, neck, and under the eyes. The procedure stimulates collagen production, which can help to lift and tighten sagging skin.
3. Radiofrequency treatments: These treatments use energy to heat the deep layer of your skin to stimulate collagen production and result in skin tightening. Examples include Thermage and Exilis.
4. Laser therapy: Laser resurfacing treatments can remove the outer layers of the skin and stimulate new skin growth, leading to a tightening effect.
5. PDO thread lift: A minimally invasive procedure where dissolvable threads are used to lift and tighten sagging skin.
6. Microneedling with radiofrequency: This procedure creates tiny punctures in the skin to trigger the body's wound healing process, stimulating collagen and elastin production, resulting in tighter, smoother skin.
Remember, it's crucial to consult with a board-certified dermatologist or cosmetic surgeon to discuss the best treatment options for your specific needs and expectations. They can provide you with detailed information about each procedure, including their benefits, risks, costs, and what you can expect during recovery.

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.

Best,
Dr. Karamanoukian
Realself100 Surgeon

The cheeks have loss of volume which can be improved non-surgically with filler. Surgical options include fat grafting (usually harvested from the abdomen) or submalar implants via an intraoral incisions. This step of volumizing the cheeks would be needed in addition to a facelift.
Many patients choose to get a facelift after disappointing results from thread lifts or sofwave. Threads are temporary, lasting about 6 months. They also cause scarring, which makes facelift more difficult later on.