Safe options for skin tightening when I take photosensitive causing medicine and have metal in my ankle?

Hello and thank you for your question! At 43 and in the middle of weight loss, it’s totally normal to worry about loose skin — and you do have safe options!

-Microneedling (no RF): Safe for all skin tones, no light/heat, improves texture and firmness.
-RF Microneedling (e.g., Morpheus8): Possible with caution — your ankle metal likely won’t interfere, but a provider should screen you carefully.
-Topicals & supplements: Retinol-based firming creams and collagen peptides can help improve skin tone gradually.
-Massage & lymphatic drainage: Gentle, natural ways to improve skin appearance and support circulation.
-Surgery (if needed): A tummy tuck is an option for more significant laxity post-weight loss.

Avoid for now:
-Lasers, IPL, and light-based devices (due to photosensitive meds and risk of hyperpigmentation).

You’ll get the best results with a provider experienced in treating skin of color and sensitive cases.

Best of luck in your journey!
Genie Alexander, RN BSN
for Anna Petropoulos, MD FRCS
Center for Classic Beauty
Boston & Danvers, MA

When considering skin tightening options while taking photosensitive medications and having metal in your ankle, it’s important to choose treatments that are safe and effective under these conditions. Here are some options to consider:

Radiofrequency (RF) Treatments:

RF is generally safe for individuals with metal implants, as it typically targets the skin's surface layers and not deeper tissues where metal might be located. However, always inform your provider about your implant to ensure safety.
RF is also suitable for those on photosensitive medications, as it does not rely on light-based technology.
Ultrasound Therapy (e.g., Ultherapy):

This non-invasive procedure uses focused ultrasound energy to stimulate collagen production. It is generally safe for individuals with metal implants and those on photosensitive medications.
Microneedling:

Microneedling can be a good option as it mechanically stimulates collagen production without the use of light or heat. It is safe for all skin types and does not interact with photosensitive medications.
Topical Treatments:

Consider using topical products that contain retinoids or peptides, which can help improve skin elasticity and firmness over time.
Consultation with a Dermatologist:

It's crucial to have a thorough consultation with a dermatologist or a qualified cosmetic surgeon who can assess your specific situation, taking into account your medications and medical history, to recommend the most appropriate and safe treatment plan.
Always ensure that any procedure is performed by a licensed and experienced professional who is aware of your medical history, including your photosensitivity and metal implants.

Congratulations on your weight loss! In many cases having metal in your ankle would not interfere with your candidacy for surgical interventions to address loose skin on your abdomen. You can consider a tummy tuck, liposuction, or minimally invasive procedures such as BodyTite depending on your goals. Medications can be discussed with your surgeon to determine if they can be continued or if they need to be stopped around the time of your procedure.