Male, late 20s, how to tighten the loose skin on my stomach?

After liposuction, especially in areas with pre-existing stretch marks or reduced skin elasticity, loose skin can persist because the skin’s collagen and elastin fibers have limited ability to retract. At four months post-procedure, some natural tightening may still occur, but the majority of improvement typically happens within the first six months.

Treatment options to consider include:

Non-Surgical Skin Tightening: Devices such as radiofrequency (RF), ultrasound-based treatments, or laser-assisted tightening can stimulate collagen remodeling and improve skin firmness over time. Multiple sessions are often needed.

Microneedling with Radiofrequency: This can target both surface texture (including stretch marks) and deeper collagen remodeling.

Minimally Invasive Tightening: Procedures like Renuvion® (helium plasma + RF) can be performed under local anesthesia and deliver more noticeable tightening than external devices.

Surgical Excision: If skin laxity is significant and persistent, a mini-abdominoplasty or full abdominoplasty may provide the most dramatic and lasting improvement.

Summary:
Given your age and recent liposuction, starting with non-invasive or minimally invasive skin tightening options may be beneficial before considering surgical removal of excess skin. This approach allows for collagen stimulation while preserving the improvements you’ve already achieved from your procedure.

a procedure called Morpheus8 could potentially help you. Morpheus8 helps to dissolve fat and tighten the skin with radiofrequency while also helping skin texture. The procedure is done with adequate numbing cream and does not require anesthesia. Another option for comfort is the use of pronox (laughing gas) which some practices like our tend to use. The procedure takes about 30 minutes or so with a downtime of roughly 3 days. The downtime includes redness, irritation, and itching which can all be treated with a good gentle lotion. it is recommended to do about 3 treatments, 8-10 weeks apart for the body. It is important to book your procedure in the winter/fall months as avoiding sun exposure is crucial for this procedure.

There are a few options to consider. You could look into a tummy tuck which would surgically remove the loose skin. You can also consider BodyTite. This minimally invasive procedure uses RF technology to tighten skin. No general anesthesia is required. Results can be enhanced by adding Morpheus8 treatments. Visit my website or a provider near you to learn more.

I think an energy device, such as BodyTite (Renuvion, J-Plasma are also options), would help to tighten the skin in these areas. These devices apply energy to dermis to try and get the skin to tighten more than traditional liposuction. Although they are moderately invasive, they do tend to have a good effect on the skin typically.

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