Hello, cjwells51, thank you for your question! In our practice take a holistic approach to aesthetics, and achieve some wonderful results with various nonsurgical modalities. Morpheus8, SylfirmX and ScarletRF are both fabulous treatments that combine radiofrequency with microneedling to tighten the skin as well as improve skin tone and texture. Additionally, the Agnes RF device is used for precision in smaller areas such as under the eyes or skin laxity in the lower face. It can address fat pads as well as skin laxity. PDO Threads and dermal fillers are also a great way to improve upon the results of RF-microneedling. All of this is to say that you can absolutely make improvements without surgery, if that is your preference. We wish you the best of luck in your search! Best, Genie Alexander RN BSN for Dr. Anna Petropoulos MD FRCS at Center for Classic Beauty, Boston & Danvers, MA.