What is best treatment for tightening facial skin post filler use?

Thanks for your question. We have seen great results with the Morpheus8 which is RF with Microneedling. The microneedling penetrates high depths then your regular microneedling which is used more for skin tone and texture. The Morpheus8 also has a different tip that works great for the undereye area. I would always recommend someone who is highly trained and experienced in using the machine, improper use of any device can cause scarring or burns. Providers at our office do almost upwards of 30 Morpheus treatment per week so they are very comfortable and experienced using the machine.

Despite the abundance of RF microneedling devices available, it's crucial to research and find the best one for your needs thoroughly. Potenza stands out as the first RF microneedling device offering four distinct modes (monopolar, bipolar, 1MHz, 2MHz) and various needle tip options. This versatility allows it to cater to individual needs, providing highly personalized results. Suitable for all skin types and backgrounds, Potenza Microneedling RF is a great option for facial skin tightening in the under-eye and cheek areas. Outcomes vary depending on the provider, so it is highly recommended to seek out an experienced professional.

I own eight medical spas and have a vast amount of experience with multiple modalities of facial skin tighteners. In my opinion, the best I have ever seen is the Sylfirm device by BENEV. Combine your treatments with topical exosomes and I think you’ll be very pleased with the results.

Skin tightening on the face is best addressed non-surgically by either ablative lasers for loose skin around the eyes or mouth, or RF microneedling (around the mouth). Lateral skin (jowls) can also be helped with muscle stimulation (TriLift/EmFace). Always be sure that the medical director of your spa is abl board certified plastic surgeon or dermatologist to ensure those overseeing your procedure avoid untoward complications.

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

You may want to consider Morpheus8. This treatment combines RF technology with microneedling to improve overall skin tone and texture. It is safe to use around the eyes. Three treatment sessions are recommended for optimal results. It is important to see an experienced provider who can answer your questions and deliver the best outcomes. See my website or a provider near you to learn more.

Thanks for your question. Two of the most effective devices I have worked with for this indication are:
Sofwave- utilizing microfocused ultrasound to deliver heat to the deep dermis at a depth of 1.5mm, generating new collagen and elastin in the skin. It's a very popular treatment also as it has no downtime!
Morpheus8- utilizing RF energy delivered at the tips of micropins. With this approach you get the collagen stimulation of the heat PLUS the collagen stimulation of the microneedling, so you can potentially get more result per session, but at the expense of 'some downtime'- puffiness, faint redness for a day or two, potential bruising. Morpheus8 could of course also be combined with PRP.
Both work very well, both require topical numbing.
Both have smaller handpieces designed for use in delicate regions such as the under eye- the Sofwave one is called the "Precise" handpiece, the Morpheus has the "Prime" Tip.
Both are very safe though in particular with the Morpheus8 I would be careful to go to a provider you can firmly 'trust'- based on reputation, reviews, and/or recommendations of others, as this one can cause a burn if technique is not good on the part of the provider. I hope that helps!