Ulthera is a device that uses ultrasound technology to guide the placement of heat energy deep into the skin of the face and neck to help stimulate collagen and elastic tissue formation, and slowly produce skin tightening over about 3 months time. The Fraxel DUAL laser can also help improve skin texture and firmness over several treatments by delivering small columns of energy under the skin to stimulate production of elastic tissue and new collagen formation. Daily use of broad-spectrum sunscreens over the neck and décolletage are crucial to prevent UV-induced damage that leads to increased laxity of the skin.