Ellacor is a nonsurgical skin rejuvenation treatment that leverages a pioneering technique called micro-coring to smooth wrinkles and tighten skin.
This novel treatment, also called fractional tissue extraction or microexcisional skin removal, uses hollow needles to precisely remove between 6,000 and 12,000 tiny “micro-cores” of excess skin, without thermal energy or plastic surgery.
These tiny cores extend through the full thickness of the skin, but they’re so minuscule (less than half a millimeter in diameter) that they're intended to not leave a scar, as Rosemont, Illinois, plastic surgeon Dr. Stefan Mark Szczerba explains. “I tell anyone interested in Ellacor to think about when you get your blood drawn. That hollow needle does not leave a scar. This is the same size needle—just attached to suction! The goal is to remove the little core of skin, without leaving a scar.”
As much as 8% of the skin’s volume can be removed in a single session, and a series of treatments can create more significant skin tightening and smoothing benefits than many nonsurgical treatment options.
“When the Ellacor treatment is repeated a few times, the removed surface area can approximate what is removed with a mini facelift,” says Dr. Szczerba. “This impressive amount of skin tightening that happens with micro-coring has a significant change to the wrinkles of the skin, all without scars from incisions.”
Ellacor is FDA-cleared to treat both moderate and severe wrinkles in the mid- to lower face. According to Dr. Jason Pozner, a plastic surgeon in Boca Raton, Florida, who was involved in Ellacor clinical trials, treatment areas commonly include the cheeks, around the mouth, and under the chin. Some doctors are also using it “off label” on areas like above the knees and on the décolletage.
The minimally invasive procedure typically takes less than 30 minutes and requires only a few days of downtime.
RealSelf Tip: Micro-coring doesn’t tighten the underlying muscles or fascia and isn’t FDA approved for skin tightening, so like all nonsurgical treatments, results don’t match those of a traditional surgical facelift.
Pros
Cons
The price you pay will depend on the number of treatments you have (two to three are recommended, in most cases), your provider's practice location, their level of experience, and whether you have complementary procedures.
Dr. Szczerba often combines Ellacor with BroadBand Light treatments or a light laser peel, to speed up recovery and enhance results. “These treatments can be an additional cost or can be worked into your original price,” he notes.
Ellacor is FDA cleared for the treatment of moderate to severe wrinkles in adults who are 22 or older, with Fitzpatrick skin types I-IV.
The treatment can also tighten mild to moderately sagging skin. “Ellacor provides a nonsurgical solution for patients who aren’t yet ready for surgery,” writes NYC dermatologic surgeon Dr. Roy Geronemus, in an article in Practical Dermatology. “I would typically recommend this to someone looking for that next level of results who is in their mid-40s to 60s.” He reports that his patients “have seen a very natural-looking reduction in facial wrinkles, without any scarring.”
Miami dermatologic surgeon Dr. Jill Waibel, who wrote about micro-coring in a 2020 article, says that Ellacor works well both for people with lax skin and as a maintenance treatment for “younger patients who want to stave off a future facelift.”
Your provider will determine if you’re a good candidate for Ellacor, based on your goals, skin tone, and the severity of your skin laxity.
Ellacor shouldn’t be performed on people who:
It’s also not recommended for people who have skin cancer, birthmarks, open wounds or sores, or facial implants in the treatment area.
Here’s what to expect.
The makers of Ellacor say that "Recovery time ranges from several days to weeks, which can vary by patient and treatment settings." Your provider should be able to give you their best estimate during your consultation, when you discuss the details of your treatment plan. Everyone heals differently, so you may find that you recover more quickly or that it takes longer than you both expect.
The healing process is very important to a good result, so follow your provider’s instructions carefully.
Improvement can be seen within a few weeks of your first treatment, according to Dr. Pozner.
Most patients need 2 to 3 treatment sessions for optimal results, and it takes 3 to 6 months from your final treatment for full results to develop.
Ellacor results are long-lasting, but because skin aging continues, you’ll need occasional follow-up sessions to maintain them. How soon you’ll need a maintenance treatment will depend on your age, skin quality, and lifestyle factors like your skincare routine, how well you stay out of the sun, and whether you smoke.
Following an effective skincare regimen—including daily use of sunscreen with an SPF 30+—will help to prolong the benefits.
Ellacor treatment is considered safe when it’s performed by an experienced provider, on patients with fair to light brown skin tones.
However, your provider should be transparent with you about potential side effects. Cytrellis (the manufacturer) says that side effects may include:
All of these potential side effects should resolve on their own over time.
Like RF microneedling or laser treatments, Ellacor can trigger post-inflammatory hypo- or hyperpigmentation, which may or may not resolve on its own.
Also note that while this procedure is touted as a scarless alternative to surgery, scarring is possible, especially on patients with brown or deeply pigmented skin, or a history of hyperpigmentation or keloid scars. Recent exposure to sun or tanning beds can also increase your chances of scarring or pigmentation problems.
More rare side effects include:
Again, seek out a skilled, experienced provider who will know how to mitigate these risks or treat any side effects that do arise.
Updated August 17, 2023