Overall facial sagging is common after age 45, or if there has been a lot of sun damage.
The skin envelope gets thinner, losing collagen, elastin, and fat and starts to be pulled down by gravity. It is important to maintain collagen and elastin with protection (sunscreen and cofactors for collagen synthesis like Vitamin C).
Once the laxity has taken hold, there are several options that could be considered including Pellevé™, Thermage. Pellevé is a great overall skin tightening, brightener, and firming that is virtually pain-free. Thermage is a one time treatment that is excellent for thicker or more oily skin and men. Another option to tighten the skin under the chin and neck is Ultherapy®.