Rejuvenation of the facial area, e.g., face, neck, jowls, and the like, that combines a plurality of different modalities is disclosed. A rejuvenation method can combine such modalities as skin tightening, in which electromagnetic energy, such as radio-frequency energy, visible light, and the like, or ultrasonic energy can be applied to the skin to tighten it; tissue tightening, in which sutures can be put in repositioned, tightened tissue underlying the skin to hold the tissue in place; tissue reinforcement, in which other sutures can be put around the tissue tightening sutures to reinforce their hold on the underlying tissue; and skin resection, in which excess skin can be excised and the remaining skin anchored over the tightened underlying tissue to produce a rejuvenating effect.