The skin thins with age as a result of intrinsic and environmental factors. Essentially, collagen diminishes and the elastic quality of the skin lessens. This means that it becomes more redundant, develops wrinkles and has less recoil in areas of movement. Because the face and neck are so dynamic, these changes are quite obvious especially when the movement is in the direction that creates more laxity. Eventually even a face lift alone cannot completely overcome this limiting factor. Treating the skin with chemical peels, lasers and other heat producing techniques provides additional tightening of the skin and the production of new collagen. Early lasers used for skin resurfacing were effective by removing the entire upper layers of the skin. This resulted in greater risk of scarring, more discomfort and longer recovery times. Newer lasers may employ fractional technology that preserves islands of skin between vaporized channels. This allows the collagen layer to be stimulated for new growth, shrinkage of the skin and faster healing. Fractional laser can be performed on the entire face or in one or more regions as desired. Surface healing occurs in one week but tightening continues for up to 6 months.