Many people start to notice signs of aging when skin around the lower face and neck begins to sag. The natural aging process and sun and environmental factors cause a decrease in collagen and elastin, resulting in mild to moderate laxity. To correct these signs of aging, one can have a facial rejuvenation treatment called Piano Skin Tightening, which the Fotona SP Dynamis ND performs: Yag laser. It safely and effectively penetrates the skin for gentle tightening of fine lines and wrinkles, helping to improve overall skin texture and laxity on the face and neck.

Learn more about Skin Tightening – read our FAQ’S



Each person is different, but you will feel a warm sensation during the treatment, like a hot stone massage or lying in the warm sun. Immediately following treatment, you may experience some mild redness that will diminish after a couple of hours. Patients can resume their daily activities immediately following the treatment. It is best to avoid direct sun for a few days following treatment and to apply sunscreen. Results can be seen after the first treatment, 3-6 treatments sessions treatments are required for best results, spaced 3 to 4 weeks apart.

If you are experiencing loose or saggy skin on your face or neck and looking for a quick and effective way to restore youthfulness to your skin, Piano Mode skin tightening may be the ideal solution for your concerns.

To discuss laser skin tightening procedures in more detail, schedule a complimentary consultation @ 250.586.1883






"Exemplary service, informed consent, contemporary knowledge, a sense of humour, delightful patient outcomes. Thank you for your service and commitment to the art and science of personal wellness.”
- Melanie Young

*Individual Results may vary

Be good to yourself! We are in this life for the long haul so why not look the best we can. It is amazing what a CO2 laser treatment can do for your skin. Plan 5 days of “Me” time, then look out world! The results are absolutely fabulous presto-changeo: 10 - 15 years younger! I am thrilled.
- Camille

*Individual Results may vary

"This is a note to let you know how pleased I am with my Micro-fractional laser treatment given by Dr. Biro. I found it to be nearly painless during the treatment of about one hour or so and of course no pain at all with the healing process."
- Carollee

*Individual Results may vary

I've been seeing Dr. Andy for botox and facial treatments since 2011. As a person, he is very considerate and caring; capable of interesting, lively banter - a nice to know individual. As a professional, he is quite disciplined and knowledgeable. His clinical approach is cautious and discerning - using the most appropriate treatment of the many options and products offered by his practice. He does good work and I trust him. I do not look anything like a 60+ woman - I look 40-ish.... which is quite empowering.
- from:

*Individual Results may vary

Absolutely amazing team! Gorgeous selection of skincare and makeup products that'll make you feel like a million dollars. Excellent, top tier services to achieve your - most fabulous - you. The fountain of youth does exist!!
- Daina Goodinson

*Individual Results may vary

Excellent service, & very reasonable rates. Dr. Biro was really great, very friendly, knowledgeable and skilled, and the rest of the staff were so helpful and friendly.
I had two people recommend this clinic, one of whom is a nurse, and i couldn't be happier that I went. I've had my botox done at 3 other clinics and I've had the best results from Longevity - I'll definitley be coming back!!
I came over from Vancouver, was running late because I missed a ferry and they couldn't have been nicer about rescheduling me and doing everything they could to get me in.
I've already recommended them to three other friends/family members - you should definitely go check them out.
- Dawn Webb

*Individual Results may vary

Thank you Longevity Team. I was a little nervous at first, and within minutes Melissa put my worries to ease. Dr. Andy Biro worked his magic, and the results are astonishing. I highly recommend Longevity Medical.
- Marieke Maria

*Individual Results may vary


What is Skin Tightening?

Fotona’s laser skin tightening treatment is a non-invasive procedure that uses the laser to tighten skin by stimulating the growth of new collagen and tightening the elastin, which causes the skin to contract. Fotona targets and heats the collagen in the upper dermis while protecting the epidermis with controlled cooling. Laser skin tightening is appropriate for men and women of all skin types who wish to achieve smoother and more youthful-looking skin.

*Individual results may vary.

What are the benefits of Skin Tightening?

Fotona’s laser is ideal for skin tightening. It safely and effectively penetrates the skin for gentle tightening of fine lines and wrinkles, helping to improve overall skin texture and laxity. Laser skin tightening is more effective than chemical peels and microdermabrasion and less invasive than surgery, with no discomfort or downtime involved with the procedure.

*Individual results may vary.

Who is a Good Candidate?

The state-of-the-art Fotona SP Dynamis can efficiently treat all skin types for laser skin-tightening treatments. Dr. Biro recommends Piano Mode skin-tightening treatments for patients experiencing mild to moderate skin laxity on the face and neck. As with most laser treatment programs, Piano Mode skin tightening treatments need to be repeated every 3 to 4 weeks for a minimum of 5 treatments to achieve optimal results. Piano Mode skin-tightening treatments are non-invasive and require no downtime.

*Individual results may vary.