It can tighten and build elastin and collagen but will not be the same as a face lift. Sometimes threads placed in the cheeks can be a lifestyle lift done in the office which can give you added lift. Often treatments are complimentary such as laser, vivace, threads etc. Or facelift and vivace. The procedures can work together to get better results. Vivace will improve pores, add collagen and elastin over time but will not replace a face lift.