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Great question. The best way to tighten loose skin after a significant weight loss is a tummy tuck or belt lift. There are other energy based modalities to tighten skin but they may not be powerful enough for the amount of skin that is excessive.
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
Morpheus8 provides both skin tightening and skin resurfacing improvements. The technology uses radiofrequency deep subdermal heating to effectively tighten skin and remodel the superficial texture, such as scarring and enlarged pores. Combining Morpheus8 with lasers can give both complexion and laxity improvements in one treatment, so it's an ideal add-on treatment for those who care about preventative sagging or scarring improvements. You can also add this on to liposuction or internal heating to get more improvement in the areas treated. I suggest getting a formal evaluation with a cosmetic dermatologist to develop a treatment plan that works for you. Best, Dr. Emer
Hello,Losing weight is a health priority. Congratulations. With sagging/excess skin, lift procedures can make a big difference. The face may benefit well from a face lift and your abdomen, thighs, etc. may benefit from similar lift procedures. Don't waste time and money on miracle lotions that promise to cure you of extra skin. Similarly, medical devices that tighten the skin will have little effect on areas that have hanging, excess skin. See a board certified plastic surgeon and see if a lift surgery is right for you!
Generally the only way to manage loose skin is via a dermolipectomy procedure.There are alternatives. Titan, Thermage, Velasmooth, Accent, etc. However, I generally see the patients who have tried these and have been dissatisfied. I rarely see someone who has undergone these treatment modlaities and achieve satsifactory results. It doesn't mean that it doesn't work but on a scale of 1-10, these techniques may accomplish a 2-3 when you need an 8-9.Furthermore, it has been my experience that even at the end of a tuck/lift/tighthening procedure on a weight loss patient, I have been surprised by the laxity which can recur several months later and have advised patients that they may need a second tightening procedure for the best result.