Hormonal changes and weight gain can cause hyperpigmentation, stretch marks, and accelerated skin growth. For the most part, women are genetically predisposed to certain conditions, but there are things we can do to help skin regain its youthful look. Acid creams encourage exfoliation of dead skin and help the skin to regain its glow. I sometimes use microdermabrasion on stretch marks, but it requires multiple treatments over a large area, and lots of patience. Some light lasers can also help tighten stretch marks. When sagging and scarring are really bad, however, I usually advocate a tummy tuck. Typical candidates for a full tummy tuck are women with drooping abdomens after pregnancy, women and men who've lost a great deal of weight, menopausal women, or older people with loose skin due to age. In the tummy tuck, the skin from the rib cage down to the pelvic area is tightened, and the navel is moved up and secured in a new position. Thermage® is now a safe, non-invasive, radiofrequency (RF) cosmetic procedure that’s clinically proven to help smooth, tighten and contour skin for an overall younger looking appearance. The treatment delivers natural looking results with little to no downtime —on all skin colors, on and off the face, all in a single procedure. Fast and easy, you can even come in during your lunch break and return to work after! Thermage® uses radiofrequency technology to heat the deep, collagen rich layers of your skin. The heat helps tighten existing collagen and stimulate the formation of new collagen, which reduces sagging, renews contours, and improves the smoothness and texture of the skin’s surface. Comfort Pulse Technology, including a vibrating handpiece delivers enhanced patient comfort. On the body, Thermage® can treat wrinkled, crepey, sagging or bulging skin as well as the appearance of cellulite. ZERONA® is an FDA cleared alternative to liposuction, which reduces inches with no pain, no surgery and no downtime. Patients are losing between 3.5 to 5.5 inches and many are seeing even greater results when combined with a sensible diet and exercise program. It's the perfect way to lose stubborn body fat from: neck, love handles, arms, hips, back/bra‐line, thighs, tummy/waistline and knees in this fast pace world we live in. After just six 40 minute treatments you will see inches melt away. And best of all there is no recovery or downtime so you can resume all your normal activities immediately after each treatment.