Thank you for your question. There many options for skin tightening that are non-surgical. I use a radio frequency device called Profound to tighten skin in combination with Sculptra. I do the skin tightening procedure first and then follow with a series of Sculptra treatments. It is the analogy of tightening the bedspread and adding feathers to the mattress. As we age we lose volume and our skin becomes more lax. This combination is effective in treating both aspects of aging.
I often do a combination of Sculptra, Juvederm, or Voluma and layer the injectables with Thermage. Thermage produces collagen and is FDA approved to tighten the skin with real results. The new CPT tip is able to provide deep heating and produce fabulous skin tightening results. Please consult a board certified dermatologist who is an expert in skin tightening procedures. Best, Dr. Green