Loose, wrinkly, saggy skin tightening is hot right now, literally. The methods used most often to tighten skin involve heat. In no particular order: laser (Fotona), ultrasound (Ultherapy, Thermage), and radiofrequency (Invasix). We are actively studying at my practice which method does the tightening the best and with the least number of treatments. We have tried all these treatments and continue to try them as their respective manufacturers update and improve their function and protocols.
Right now our favorite is Fotona (1550nm) laser tightening, which seems to do the job with the least amount of pain and treatments. We have been using it to tighten lower face, neck, lateral brows, and tummies. I will provide some photos as they become available. We have been doing Fotona treatments without any anesthesia or sedation because the heat you feel is so mild. Some timid patients we have given numbing cream prior to the treatment.