What is the best non surgical skin tightening option for the abdomen after weight loss? (photos)

Hi there — first, congratulations on your hard work and your weight-loss journey. It’s completely understandable to feel frustrated when the skin doesn’t bounce back the way you hoped, especially at 26. Even in younger patients, the rate and amount of weight loss can outpace the skin’s ability to retract.

The good news is that there are effective non-surgical options that can help improve firmness and texture in a gradual, natural-looking way.

Here are the treatments I commonly recommend for abdominal laxity after weight loss:

1. Radiofrequency Microneedling (RF Microneedling)

This is one of the strongest non-surgical tightening tools we have.
It works by combining heat with microneedling to stimulate collagen and elastin at deeper levels.
Great for: crepey skin, mild-to-moderate laxity, and overall texture improvement.

2. Radiofrequency Skin Tightening (Thermage, Exilis, etc.)

These treatments deliver heat through the skin to contract existing collagen and stimulate new production.
Results appear gradually over several months and continue improving over time.

3. Ultrasound-Based Tightening (Ultherapy or similar platforms)

Focused ultrasound targets deeper layers of tissue to help lift and firm the area.
It’s not painful for most patients and works well for mild laxity.

4. Laser Skin Tightening

Certain laser platforms can improve fine crepiness and boost collagen, often in combination with other modalities.

A Few Important Notes

These treatments work best when skin laxity is mild to moderate, which is very common after a moderate amount of weight loss like yours.

Results are gradual — typically over 3–6 months — because your body is creating new collagen.

Combining treatments often gives the best improvement.

Staying hydrated, maintaining your weight, and supporting your skin with good topical care can all help enhance results.

You’re doing all the right things by exploring non-surgical options first, and at your age, your collagen response is usually strong — so you’re likely to see meaningful improvement even without surgery.

The best option to augment just the little bit you would benefit from would be an internal heating device that would help tighten the skin internally and possible consider microneedling of the skin to improve collagen at deep dermis. I would highly recommend renuvion with a very small amount of lipo. This will likely give you a 30-40% improvement in the quality of your upper abdominal skin.

Overall your excess in skin in minimal, it is just in a tough area (what we call supraumbilical or epigastric area). You can try noninvasive devices such as radiofrequency, however you are likely to have more success with BodyTite or other moderately invasive procedures as these apply energy directly to the skin to provide skin tightening.

There’s unfortunately no powerful noninvasive skin tightener, but there is a category of technologies that does actually work. Micro needling radio frequency devices only true noninvasive skin tighteners. Likely the most powerful in the body is the Morpheus8 device by Inmode. There are several other good micro, needling RF devices, but the M8 goes 8 mm deep and has been to tried and true technology for the last few years. All other categories of devices are honestly honestly junk 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

Hello C,

Congratulations on your weight loss. I would treat your young abdomen with Venus Freeze, it involves one 20-30 minute treatment once a week for 8 weeks then once every 3 months single maintenance treatment. The electromagnetic energy is the least invasive best treatment for skin tightening. There are some radiofrequency treatments that are effective but they are slightly more invasive. Lastly, Emsulpt builds abdominal muscle which takes up the slack of relaxed skin. Good luck and be well.
Michael Persky, MD

Thanks for your question. A bunch of people are going to suggest a bunch of things for non-surgical skin tightening....the big secret is not a single one of them work that great. You will be lucky to see a 10% improvement and you will end up spending hundreds or even thousands of dollars. The best thing you can do is congratulate yourself on reaching your goals, realize you look great, stop comparing yourself to unrealistic (and often fake) online comparisons, and go on living your life.
Hope this helps!
Dallas Buchanan, MD
VIVIFY plastic surgery
Tampa, FL

First of all, you look great! The little bit of skin laxity can be improved using BodyTite and Morpheus Body. These 2 minimally invasive procedures use RadioFrequency to heat the collagen in your skin, shrinking it and tightening your skin. BodyTite is mostly for heating the tissues under the skin which helps to lift and firm your skin. The Morpheus Body, (which is different from Morpheus 8) is more for heating and shrinking the collagen in the skin and creating more collagen to be created. The difference between Morpheus 8 and Morpheus Body is that Morpheus 8 needles go into your skin to one preset depth and zaps you there at that one level. Morpheus Body works on a Burst Mode where the needles penetrate the skin and zap you at three different levels. Therefore in just 2 passes, it will treat the whole thickness of your skin, zapping your collagen layer at 7, 6, 5, 4, 3, and 2mm depth. This creates much more collagen heating and contraction and therefore more tightening of your skin. I therefore recommend both Morpheus Body and BodyTite for firming, lifting, tightening and collagen production

There are a couple of nonsurgical options for you to consider to address mild skin laxity. BodyTite is a minimally invasive procedure using RF technology to tighten skin is one option. No general anesthesia is required. Another option is Morpheus8. This treatment combines RF technology with microneedling to improve overall skin tone and texture. Three treatment sessions are typically recommended for optimal results. A third to consider is Evolve Tite. You can learn more about these options by visiting my website or from a provider near you.

Thank you for the photos. Many patients get RF microneedling 3 times, and then once a year for maintenance. It can improve the tightness of the abdominal skin