What is the best skin tightening laser based on experience?

Great question, and this is something I’m asked quite often. Minimally invasive treatments like J-Plasma (Renuvion), BodyTite, and other laser-based systems can be excellent options for individuals with mild to moderate skin laxity, providing alternatives to more extensive procedures like tummy tucks or arm lifts. However, it’s important to recognize that these treatments do have limitations.
For those with significant skin laxity, particularly following major weight loss, non-surgical solutions typically can’t fully correct loose or sagging skin. That said, in the right candidates, I’ve seen very satisfying and natural-looking results.
Be cautious of overstated promises regarding skin tightening. The best approach is to consult with a surgeon who has a proven track record, shows real before-and-after results, and provides clear, honest guidance on what you can realistically expect for your unique goals.

You are clearly doing your research! The Renuvion and the Bodytite are the two best skin tightening surgical technologies in the world. Our practice has performed more of both than any other practice in North America. We have a study to be released in the plastic surgery journal comparing the technologies. We believe both are great devices and useful for different circumstances. If you want an overall generality, the renuvion is better in areas that you are simultaneously going to liposuction and the bodytite is better in areas that are not being suctioned, but rather just being tightened.

Hi Fantastic750344,
While all of the options you listed can potentially achieve a mild improvement in skin laxity and may be indicated in select candidates, the gold standard for skin tightening is excision of the excess skin. Without seeing any photos, it is not possible to give you a definitive recommendation. I would recommend you reach out to a board eligible or board certified plastic surgeon for an in person consultation to discuss the best treatment options for your particular case.
Hope this helps!Charles Riccio, MD

Each of the options you mentioned has plusses and minuses. It depends on the individual patient's situation and goals. For very lax skin, excision is the best tool. For minimal tightening Morpheus8 may be the right choice. For fat removal with mild to moderate skin tightening with no general anesthesia required BodyTight can be used. I encourage you to begin by visiting with a board certified plastic surgeon near you to discuss your concerns and learn more about each option.

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