What modalities for skin tightening of the face (jawline, cheek, temples, etc) don't cause fat loss as well as tightening?

Question

I had Exilis Ultra 3 years ago and had noticeable facial fat loss after (particularly at the temples and cheeks), which caused some sagging at the jawline and neck. I tried Kybella to deal with the neck, and it made things worse... I'd like to tighten my skin without creating additional fat loss, and it's not severe enough that I'd want a lift as of yet. What would you suggest is the safest, proven modality? Thanks in advance for your informed opinions!

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

Jason Emer, MD · Answer

FaceTite can internally tighten the skin in the lower face and neck. After all the skin has been heated and contracted, we shape the neck with liposuction to give definition and remove stubborn pockets of fat. In one quick treatment, we can tighten skin, remove fat, and contour the lower face, jawline, and jowls with only a weekend of downtime.  Keep in mind that combination approaches will give you a more significant improvement as opposed to a single procedure. I recommend getting a consultation with a board-certified cosmetic dermatologist and facial sculpting expert. Best, Dr. Emer

Jeff Rapaport, MD · Answer

Tightening of the face and neck with the new Profound microneedle radio frequency device, (long pulse dermal unit ) directs energy  directly to the dermis. The long pulse allows you to use lower energies and  this gives you less scatter. We have seen tightening without any fat loss. Studies have shown increased collagen, hyaluronic acid and most importantly, elastic fibers.
Jeff Rapaport MD FAAD
Realself All-star

What modalities for skin tightening of the face (jawline, cheek, temples, etc) don't cause fat loss as well as tightening?

Answers (3)

Recommended reading

Everything you need to know about Skin Tightening

Our mission is to create a world where every investment in modern beauty is Worth It.

What modalities for skin tightening of the face (jawline, cheek, temples, etc) don't cause fat loss as well as tightening?

Answers (3)

Browse related questions

Recommended reading

Everything you need to know about Skin Tightening

Our mission is to create a world where every investment in modern beauty is Worth It.