After losing weight, the skin on my upper arms looks a bit rippled. Can you suggest a nonsurgical way of tightening it?

Question

I need to know if there are any cosmetic non-surgical treatments that work for this. I was also considering purchasing a Nubody by Nuface for at home after treatment - will it work?

Jeff Rapaport, MD · Answer

Radio radiofrequency and micro-needling with radio frequency are two techniques that have shown success with tightening the skin on arms. Lasers can't tighten the skin but one must be careful when treating areas off the face.Multiple sessions may be necessary. NuBody is a microcurrent device. It may have some minimal effect but must be continuously used to maintain it.

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

Jason Emer, MD · Answer

Nonsurgical options give only mild improvement compared to surgical lifting. Skin tightening can be done with a combination of Vanquish, truSculpt iD, Venus Legacy, Exilis, and Cellutone/Zwave. However for best results, an arm lifting procedure can be combined with a high definition procedure at the same time. I recommend a hi definition procedure like VASER liposuction. I use VASER HI DEF with ThermiRF and fat grafting to get the most fat removal, skin tightening, contour and definition. This combination will give you the most toned result. I recommend getting a formal evaluation with a hi definition physique expert. Best, Dr. Emer

Tracy Mountford, MBBS · Answer

Thank you for your question. We have found a combination of treatments will work best for treating laxity on the body especially the arms. Depending on the severity of the skin laxity, we get good results addressing skin laxity on many areas of the body including the arms by combining of Ultherapy skin tightening with Profhilo a bio stimulator to remodel and smooth the skin then a course of Tixel to improve texture and skin quality. Sometimes if the arms have become more like bingo wings we can also incorporate Coolsculpting combined with Tixel and or profhilo if necessary.

Jean M. Casello, MD · Answer

You would need to be evaluated by an experienced practioner to determine if a non invasive treatment would be appropriate given the degree of skin laxity.  Microneedling or microneedling with radiofrequency are good non invasive options to tighten the skin on the arms.  In our office we use the Exillis or lutronic infini with very good results.

After losing weight, the skin on my upper arms looks a bit rippled. Can you suggest a nonsurgical way of tightening it?

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