Optimizing skin tightening plan: Profound, Ultherapy, Titan, Exilis. Then BodyTite (no lipo) then subdermal J-Plasma. Thoughts?

Question

If one can afford it, to optimize the repair of mild skin laxity caused by rapid weight loss: 1) Profound RF to kick off the RF skin tightening and skin quality repair. Followed by 2) Ultherapy (ultrasound) 3) Titan or skintyte series (infrared) 4) Exilis series (surface RF), then 5) Circumferential bodytite (without lipo), then 6) Circumferential j plasma. Thoughts? And am I missing something? Besides maybe some good microneedling at end of it all?

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

Grant Stevens, MD · Answer

Hi and thank you for your question! We have both Profound and Ultherapy and have seen impressive results with both on the face! Profound might be preferable for crepey skin to stimulate some collagen on the surface of the skin. We have done some Ultherapy on the body, but given the time it takes and the amount of lines that have to be delivered, we are also excited to use the Profound on the body. Ultherapy has very little to no downtime, whereas Profound will leave some bruising and swelling for about a week. Both are exciting and effective technologies that require just one treatment, once per year! Best, Dr. Grant Stevens

Reza Momeni, MD, FACS · Answer

In my experience Ultherapy with focused treatment planning works very well, and we use it all the time in our practice for our patients.

Ramtin Massoudi, MD - Account Suspended · Answer

You might not need all these modalities.
Ultherapy can focus the energy in 3 different layers of skin. You might benefit from more time maybe 2-3 hours of treatment.
Add some fillers and actually is good enough.

Optimizing skin tightening plan: Profound, Ultherapy, Titan, Exilis. Then BodyTite (no lipo) then subdermal J-Plasma. Thoughts?

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