Dr. Stephen Mandy: I think it's only fair to say that any person doing aesthetic dermatology or cosmetic dermatology, whatever you wish to call it, has to have a whole toolbox full of things. And we use a variety of energy devices we call them, that tighten the skin. Some of them operate on ultrasound, others on radio frequency; all of them have the same principle, and the principle is to heat the deep layers of the skin without burning the skin - that's very important - to the degree that it's a minor injury. That injury causes the body's healing mechanism to ramp up. And when that happens, your body makes new collagen and that tightens your skin. So it's kind of, if I can put it in simple terms, it's kind of like [inaudible 00:00:59]. And it works very well. It's not a face lift, it will never be a face lift, at least with modern technology maybe one day, but when you combine radio frequency or ultrasonic energy devices with fillers, you get a double sort of a synergistic effect, and can even do better than you do with either alone.

Do I Have to Get Surgery to Fix My Sagging Skin?

The answer is a resounding no! Dr. Stephen Mandy discusses non-surgical procedures for tightening up that sagging skin.