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Great question and a common concern. I would suggest a combination of skin tightening procedures with Botox/ neurotoxin to the olatysma muscles for best results. The Botox will soften the banding and the skin tightening procedures will tighten the skin. We offer both ultherapy and microRF for skin tightening.
Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in. Best, Dr. Karamanoukian Realself100 Surgeon
I recommend Ultherapy because it is the only device FDA cleared to lift multiple levels of skin, including the deepest layer where plastic surgeons would operate during a face lift. Other devices will only tighten.