Help with excess face skin from weight loss - what are the best treatment options? (photos)

Your best results will be with a lift, but you can get good improvement with J plasma or ThermiTight. J plasma might be a little bit stronger.

First and foremost despite your best efforts of trying to show us your concern we make assessments based on standardized pictures. Look at how plastic surgeons take before and after pictures to get an idea. Basically we’re looking for mug shots showing the front and profile standing in a neutral position without facial expression.

Ablative skin treatments are good at treating find wrinkles and are particularly useful in people who are very fair skinned. I don’t think it makes much difference if the ablation is done using a CO2 laser or burned off with J plasma or even peeled off using a chemical peel.

It’s a distraction of the epidermis and superficial dermis that causes the body‘s reaction and how the injury is induced isn’t really that important.

Facetite is different in that it is not a superficial treatment.

JPlasma can be used subdermal or under the skin on the neck but typically not on the face.

It can also be used on the skin on the face and potentially the neck though that is increased risk as an ablative treatment.

It’s important to recognize the JPlasma has two modalities of use. One is a blade of skin resurfacing and the other is subdermal heating.

Generally speaking through skin laxity is best treated with excision of excess skin.

You don’t appear to have aged skin and don’t have fine wrinkles. I question if these treatments are going to do what you expect them to.

You’re definitely on the young side to consider a facelift though it’s probably in the end much more effective at truly doing skin tightening.

Keep your expectations low when it comes to nonsurgical options and don’t buy into all the hype.

Do not sign up for any procedure unless the provider can show you numerous quality before and after pictures of patients with similar characteristics to your own with long-term follow up.

The effectiveness of nonsurgical skin tightening is not nearly as good if at all compared to how it’s being sold and promoted.

I personally purchased the JPlasma device at a cost of over $100,000. I used it for a year and later sold it because I literally saw no advantage in owning the device and could not consciously recommend it to my patients.

To get a quality assessment I recommend having multiple in person consultations with highly experienced well seasoned plastic surgeons who have been in practice for a long time.

In the end finding the right provider is probably far more important than trying to find the best device.

Plastic surgeons have what they need to do their job. Surgeons who deliver consistent quality results do so because of skill and experience.

It is not the ones who have the most expensive toys.

Best,

Mats Hagstrom MD