There is no amount of filler or "skin tightening" devices that will give you a result like this. Do not add filler to your jawline and nasolabial folds or cheeks thinking that you will lift your neck or sharpen your jaw line. It is an anatomic impossibility. Only surgery will get you from point A to point B. Filler is a wonderful tool in properly selected patients. Please make sure that if you are going to a med spa, make sure that they are owned and operated by someone in the medical field. If you don't, you will be a victim of the commodities market. A good injector would tell you in a case like this that surgery is the best path to a naturally rejuvenated look. This patient is only one month out. This result will continue to improve, but we already think she looks fabulous. Dr. Collins did a deep plane facelift with upper and lower eyelid surgery and an endoscopic brow lift.