Fractional-skin tightening is aimed at the loose or crepey skin present on the face, arms, legs (Fig. 4.15), abdomen (Fig. 4.16), and neck. This is a good combination treatment with the fractional skin resurfacing technology and a pulsed light photo facial system, giving a patient deep tightening, shallow epidermal/dermal resurfacing, and unwanted pigmentation and vascular removal. Deep IR protocol should consist of 3-5 treatments spaced one month apart. There usually is some noticeable short-term improvement in the treatment area but the ultimate results will be observed overtime since the treatment effect is ongoing for several months after the treatments are completed.