I was concerned primarily with loss of elasticity in my jaw line, chin & neck area. Thought it was time to do a mini-face lift. Dr. Gladstone advised me to wait a bit longer to go under the knife. Instead we opted for 4 less invasive treatments. IPL for surface which was fantastic btw. Pro-found Laser along the chin and neck for tightening over time and the thread lift for immediate results. Dr. Gladstone has very skilled hands and also did some fillers in my temples that finally elevated my eye area with some botox for the crows feet. I am quite pleased with the results and will follow up with pics!RealSelf ReviewPatient