Most effective/current non surgical body skin tightening procedure for loose skin at bra line? (Photo)

Question

In 11/2017, I had 16 yo 330cc saline implants removed & replaced w/Natrelle 140cc implants. I love my new breasts but have been left w/stretched out skin at the bra line that bulges out of bras, swimsuits, tops. I am 5'0, 105lbs, in great shape. Attached photo is current. I've consulted w/PS & was told the bulge is not fat but excess skin. I have considered skin removal surgery but don't want resulting scar. Are there effective nonsurgical methods for my case, like J-Plasma/Renuvion, or others?

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

Kenneth Hughes, MD · Answer

Thank you for your question.Based on your pictures you would be an excellent candidate for bodytite of the back and the bra roll. BodyTite is a non-surgical body contouring for correcting loose skin. The procedure uses radio-frequency-assisted liposuction, known as RFAL. It is an effective treatment option for patients who wish to reduce the appearance of excess fat and/or sagging skin throughout their body. For the best results I would recommend you consult with a board certified plastic surgeon for the best results. Best of luck.

Jason Emer, MD · Answer

To be completely honest, nonsurgical options give only mild improvement compared to a surgical procedure / skin removal. Some skin tightening can be accomplished with a combination of Vanquish, truSculpt iD, Venus Legacy, Exilis, and Cellutone/Zwave. For best results, I recommend a hi-definition procedure like VASER liposuction. I use VASER HI DEF with ThermiRF, Renuvion (J-Plasma), InMode BodyTite and fat grafting (plus excess skin removal if needed) to get the most fat removal, skin tightening, contour and definition. I recommend getting a formal evaluation with a hi-definition physique expert. Best, Dr. Emer

Dusan Sajic, MD, PhD · Answer

Thank you for your question. It’s always difficult to assess without performing the physical exam as clothing can make things appear worse or better than they truly are. With that said based on what I see in the picture you would probably need surgery for this.

There are certainly Options to tighten this but you would likely need a multimodal approach. Ie one modality to target superficial tightening and another to target deeper. Furthermore, non surgical treatments would make subsequent surgery harder - should you choose to pursue that option later. 
There are no radiofrequency machines that have shown superiority to the others in a head to head trial, but ones that actually go inside with needles (profound) or probes (bodytite). 
Regardless of the option you choose all of these machine have shown significant variation among the actual operator of the machines. As such I would highly recommend that you see and aesthetic board-certified dermatologist or plastic surgeon that has experience with non invasive procedures

Most effective/current non surgical body skin tightening procedure for loose skin at bra line? (Photo)

Answers (4)

Answer: Loose skin tightening

Answer: Loose skin tightening

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Most effective/current non surgical body skin tightening procedure for loose skin at bra line? (Photo)

Answers (4)

Answer: Loose skin tightening

Answer: Loose skin tightening

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Everything you need to know about Skin Tightening

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