Best procedure for body skin crepiness and laxity?

Question

I'm looking to address loose skin on the abdomen and general crepiness of the skin there and on the buttocks. My derm suggested Sculptra and microneedling, but I'm curious if other treatments made for tightening (ultrasound, radiofrequency) would be better. I'm 38 yo and thin so just want to focus on skin texture and elasticity, not fat reduction.

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

Camille Cash, MD · Answer

There are a few options to consider based on the degree of skin laxity and texture issues that concern you.  BodyTite is a minimally invasive treatment that uses RF technology both on the surface and just underneath the skin to tighten the tissues.  No general anesthesia is required. It can be combined with Morpheus8 treatments to enhance results. See my website or an experienced provider near you to learn more.

Vibha Gambhir, MD · Answer

Hi and thank you for your question. I would highly recommend thermage for collagen building. It addresses the exact concerns you are inquiring about such as crepiness and laxity. 80-90% see visible results in a few months as it builds collagen that you get to keep as you age. It is a non-invasive procedure that uses radio frequency. It can be coupled with sculptra injections for even better results!

Glenn Vallecillos, MD, FACS · Answer

For you skin texture, I recommend Fraxel laser. For skin tightening, I recommend Morpheus8 body.

Getting these radio-frequency assisted treatments done (3 treatments are highly recommended for the best and long-lasting results) will rebuild your skin from the ground up - giving you the best skin you've ever had while remedying your skin laxity.

Sculptra would only "fill" your buttocks, it would have an effect on the volume and shape but would have no effect on the texture of the surface of your skin.

Also if you get microneedling done - always get it with PRP. Data shows that microneedling with PRP has significant advantages when comparing the results to mircroneedling without PRP.

The order of treatments should be: skin texture first, skin laxity second. You will get the best results this way.

Best procedure for body skin crepiness and laxity?

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