Thermitight, Viora Reaction, or Velashape for upper arm skin tightening? (photo)

Question

I have loose skin on my upper arms. I had coolsculpting done on my triceps and it worked wonderfully for the backs of my arms. But when my arms rest against my side, the skin on my biceps bluges out and looks unsightly. I was told coolsculpting couldn't be done on the front of my arm due to the nerve structure there. Would Thermitight, Viora Reaction, or Velashape be able to address this issue? If so, which procedure would be most effective? Thank you!

W. John Bullis, MD · Answer

My vote is for ThermiTight - nothing on the market will tighten skin like that; and it will also "melt" some fat.  It is more expensive, because it is "surgical," meaning that the area(s) to be treated will have to be numbed and a small poke is made in the skin in order to get the ThermiTight cannula under the skin where it will work its magic.  Also, because it is surgical, it requires some healing time afterwards - 3 or more months before the area feels "normal" again, but it will look better by 2 weeks out from surgery.  The other two devices work "OK," but not nearly as well as ThermiTight nor ThermiSmooth either, for that matter.

Jaime S. Schwartz, MD, FACS · Answer

Thank you for your question.  I recommend a combination of procedures for optimal results.
  
ThermiTight utilizes a small electrode inserted under the skin to heat tissue to a selected therapeutic temperature.  Literature has shown that elevating skin to a therapeutic temperature level can contract collagen molecules and stimulate collagen production, which may give the appearance of lifting or tightening.   Fat reduction is rare, unless set to high temperatures and kept at high temperatures for a significant amount of time .
  
To best answer your question,  it  depends on how much skin laxity you have.   ThermiTight can work well in the thigh area to tighten skin that is mild to moderately lax.  . Surgery may be a better option, if you have excessive laxity.   Results with ThermiTight vary from patient to patient.  You should experience some overall improvement.
  
The best way to assess and give true advice would be an in-person exam.
  
Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.
  
Best of luck!
  
Dr. Schwartz
  
Board Certified Plastic Surgeon
  
#RealSelf100Surgeon
  
#RealSelfCORESurgeon

Michael A. Zadeh, MD, FACS · Answer

An in-person consultation would be needed to determine if you are a candidate for any of the mentioned treatments and which would be best for you. In general, ThermiTight is the best non-surgical skin tightening treatment on the market. Please find an experienced provider.

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Thermitight, Viora Reaction, or Velashape for upper arm skin tightening? (photo)

Answers (3)

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