As we age we lose volume in our face, primarily fat. As a result, skin can hang down as gravity acts on it creating droopiness, wrinkles, and bands. This can be thought of as excess skin and is similar in concept to a dress that becomes too large as its owner loses weight. In cases where you have a significant amount of this loose skin, you may find no other solution than plastic surgery (e.g. facelift, body lift, arm lift, etc.) because the underlying muscles need to be addressed and repositioned.
Prior to deciding on surgery, people tend to ask medical experts for alternatives. Tighten skin without undergoing surgery include:
1) Dermal fillers like Juvederm, Restylane, or Radiesse can soften the shadowing that occurs around your nasolabial fold and facial creases, thus making the jowls and cheek folds appear less prominent. Fillers act like inflating a beach ball to address the pockets and bulges. For example, by using a filler to restore volume to the cheeks, you can lessen the appearance of the jowls to some extent.
2) There are a number of skin tightening devices or machines used in medical offices that may tighten skin such as Refirme, TITAN, or Thermage. Titan uses infrared light (IR) to tighten the skin, Thermage uses unipolar radiofrequency energy (RF), and Refirme uses IR and bipolar RF.
3) A doctor may suggest you rejuvenate skin with laser skin resurfacing. The erbium laser with Profractional technology or the CO2 laser with Fraxel is additional options.