What can I do to help crepey skin on stomach? Ultherapy and Emsculpt haven't helped. (photo)

Question

I am 60 yo. My weight is 125 and I am 5'5 in and has been stable at that weight for 35 yrs. I have had no surgeries or pregnancies. I exercise 5 times/week for 35 years combo or weights and aerobics. I have not been in the sun for 35 years. I eat a healthy diet and drink plenty of water. I do not smoke or drink. I had ultherapy 5 x last one 6 months ago without improvement. I had emsculpt 5 x last one 3 months ago without improvement. HELP!

Michael A. Zadeh, MD, FACS · Answer

Thank you for your question and pictures. I am not surprised that the treatments you have had have not worked for you. Ultherapy has minimal effect on the body, and EMSculpt is not a skin tightening treatment at all, it builds muscle and reduces fat. If you are looking for a non-surgical option to tighten the loose skin then I would recommend ThermiTight. This treatment goes under the skin to heat the tissue using radiofrequency. It allows a more diffuse heating than RF Microneedling treatments and the results are usually more dramatic. Make sure you see an experienced physician for an in-person consultation and examination to determine if the treatment is appropriate for you. Best wishes.

Raffy Karamanoukian, MD, FACS · Answer

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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

In truth, non-surgical options give only mild improvement compared to surgical lifting. Skin tightening can be done with a combination of Vanquish, truSculpt iD, Venus Legacy, Exilis, Cellutone/Zwave. However, for best results, a Tummy Tuck procedure can be combined with a high definition procedure at the same time. For best results, I recommend VASER HI-DEF Liposuction with ThermiRF, Renuvion, InMode BodyTite and fat grafting to get the most fat removal, skin tightening, contour and definition. This combination will give you the most toned result. I recommend getting a formal evaluation with a hi-definition physique expert. Best, Dr. Emer

Jeff Rapaport, MD · Answer

You  have lax skin on your abdomen. An aggressive skin tightening program is suggested. Monopolar, bipolar and microneedle radio frequency have all been reported to help. In my opinion, the new Profound device, with the longest pulse durations, is the most effective of the 3 methods. View an abdominal tightening video below.
Jeff Rapaport MD FAAD
Realself All-star

Ned Snyder, IV, MD · Answer

Thank you for submitting your inquiry and photo.  I'm sorry your goals haven't been met with previous treatments.  One other conservative option to consider would be ThermiTight to the abdomen.  This is an in-office procedure that uses radiofrequency to tighten skin and improve laxity.  However, the results can be more subtle.  A more aggressive approach would be to undergo a mini-abdominoplasty.  This would give you a tighter appearance of your abdomen. These options can be discussed in further detail with your plastic surgeon.  Good luck and thank you again for reaching out.

Michael Hakimi, MD · Answer

This is a very common issue. As we age the amount of quality of collagen in our skin decreases dramatically and causes skin laxity and crepiness. The gold standard would be to do a tummy tuck and pull the skin and remove extra. However, if you don't want the tummy tuck scar, radiofrequency skin tightening could improve it by 40%. Liftique radiofreuency methods, combine the best in the market to meat the needs of patients with different amount of skin laxity.

Michele S. Green, MD · Answer

From your photograph I would recommend Thermage treatment on your abdomen. Thermage is great for tightening and restoring skin elasticity. Thermage body tip is designed to deliver heat energy in short, rapid pulses  deep into the dermis as well  the subcutaneous adipose tissue layer by bulk-heating and uniformly distributing heat energy to stimulate collagen and improve skin elasticity.

What can I do to help crepey skin on stomach? Ultherapy and Emsculpt haven't helped. (photo)

Answers (7)

More Skin Tightening Questions

How can I fix a sagging belly button? (photo)

Will J-Plasma or HIFU work for the loose skin on my abdomen from major weight loss? (photos)

4 weeks post J-Plasma on my arms my left arm became increasingly swollen at 2 weeks. What could this be? (photos)

How long after lipo do I have to wait before I get skin tightening treatments on my abdomen?

How can I get rid of the wrinkles above my belly button? (photos)

I am 33 and 9 months postpartum with my second child. What would be the best treatment for my lose skin and stretch marks?

WE SEND PRETTY
EMAILS