No, the best non surgical methods only achieve 20% skin tightening when compared to a face and neck lift. If you have facial laxity with jowling and loose neck skin you will need a lift. Non surgical techniques you mention can improve surface wrinkles but will not significantly tighten skin.
Despite heavy marketing as such, no machine is a replacement for a facelift. IMO anyone with 'sagging' is not a candidate for these often shortlasting and expensive interventions. There may be a place in mild laxity or in secondary tightening after surgery but as a primary lifting tool, the patients I consult for facelifting has spent 1000's and are generally non-plussed by the result.
While there are some good technologies such as Ultherapy and radiofrequency devices, none of them does enough to be called a facelift especially when there is significant skin laxity after weight loss. Save your money for the surgical facelift, which will nicely address the neck and lower face.
All radio frequency device are not the same. RF device can be completely non-invasive or minimally invasive. Most of these current non-invasive RF technology with replace surgical procedure. Infinit RF is non-invasive. Even though Infini RF promote collagen and tighten skin, it is temporary and does not really go under the skin to create any significant skin tightening to replace neck lift. Infini is combination of micro-needling with radio-frequency to help improve fine lines and wrinkles. Newer technology such as ThermiTight (minimally invasive RF) is the only RF device that comes really close to replacing neck lift for the correct patient and performed by a well trained Plastic Surgeon. ThermiTight uses a tiny probe to go under the skin to both kill fat and shrink skin. It requires local anesthesia. The results so far are long standing and progressive. Our own patients have not required neck of face lift in the last 4 years! It may at least be a bridge to neck and face lift for those who are not ready now. Make sure to do your home work well before selecting a real Plastic Surgeon.
Radiofrequency wave skin tightening seems transient at best, and a potential money waste at worst. It is generally offered by non-surgeons, as a non-surgical miracle approach. The results, if any seem to be rapidly lost, and are also quite variable from patient to patient and area to area even in the same patient. Facelift/necklift are standards to which all other facial and neck rejuvenation procedures are compared, and there is a reason why they remain the standard. You should see a board-certified Plastic Surgery specialist for an authoritative consultation and exam to see what options are appropriate for our situation. Information concerning facial and neck surgery is found at the link below. Even surgical intervention with severe skin stretch after weight loss can be problematic, given loss of skin elasticity. I hope that this helps.
While radio frequency does promote collagen and tighten skin, it is temporary. If you are having sagging skin from weight loss, I am assuming the facelift/necklift would benefit you most. This will tighten the muscle and skin for a natural, rejuvenated appearance.
Skin tightening technology probably doesn't work in one it does the improvements would be very modest. Patients with significant redundancies get much better results with a formal operation such as a facelift.
Thanks for your question. There has been a lot of interest over the last 10 years for less and less invasive ways of reversing the aging process. Different modalities come in and out of style. They all work by stimulating collagen production and tightening in the lower layers of the skin. In my experience, none really deliver the results that you can get from a facelift. There is just no substitute if you have anything other than mild aging changes. Patients come in for these less invasive treatments, but they just end up having a facelift later when these kinds of treatments don't deliver the desired results.
My philosophy can be put rather simply: If you need a facelift, have a facelift! You'll be happier in the end.
Infini is a new technology combining micro-needling with radiofrequency. It is a great way to help improve fine lines and wrinkles and scars. It will not correct severe sagging. For that you need to have a face and neck lift. If you still have some fine lines post-op you could do the Infini then.
The simple answer is no, it is not a replacement for a lower face and neck lift in the patient with severe tissue sagging. Everyone would like a miracle cure for aging and
the result of a well performed natural appearing facelift without actually
having a surgical procedure. There are no miracle non-surgical procedures or
treatments, including fillers, acupuncture, muscle stimulation, lasers, or skin
creams, that can produce the same results as a facelift.
The term “non-surgical facelift” is a marketing term that actually deceives the
public and does not live up to what is promised. It is often offered by
physicians who are not capable of performing a facelift, because they have
minimal or no formal plastic surgery training. There are, however, a variety of
treatments that can provide some rejuvenation: Dysport or Botox, fillers,
peels, lasers, skin tightening techniques like radiofrequency (temporary and extremely unreliable),
fat injections, minimal lifts of localized areas, all of which still may
require varying amounts of recovery time and are not without potential
complications. They do not, however, produce results similar to a well
performed natural appearing facelift, performed by a board certified plastic
surgeon. None of these alone or in combinations are adequate if there is
sagging facial tissue and excess skin, which would require a facelift to
I would suggest you find a plastic surgeon certified by the American Board of
Plastic Surgery and ideally a member of the American Society for Aesthetic
Plastic Surgery (ASAPS) that you trust and are comfortable with who has all of
the modalities of treatment available. You should discuss your concerns with
that surgeon in person.
Facial rejuvenation needs to be individualized. What would be an ideal approach
for one patient is not necessarily the same for someone else. Based on the examination
and discussion at the consultation, you should have a better understanding of
the various options that can achieve the best cosmetic result for you.
You have only one face, so don’t shop for bargains or magical procedures when
it comes to facial surgery. If it sounds too good to be true, it generally is!
Robert Singer, MD FACS
La Jolla, California