Temspure uses radiofrequency for skin tightening and is effective, but a combination approach is needed to get the most improvement for skin tightening. I recommend J Plasma, lasers (Fraxel, Clear + Brilliant, Co2), microneedling/prp, ultherapy and rf treatments to get the best outcomes for the face. For the arms, skin tightening can be done with a combination of Vanquish, Venus Legacy, Exilis, Celllutone/Zwave. However for best results, an arm lift can be combined with a high definition procedure at the same time, depending on skin laxity. For best results, I recommend a hi definition procedure like a VASER liposuction. I use VASER HI DEF with ThermiRF and Fat Grafting to get the most fat removal, skin tightening, contour and definition. This combination will give you the most toned result. I recommend getting a formal evaluation with a hi definition physique expert. Best, Dr. Emer