SkinCare Physicians Doctors

Aging Gracefully: Our Top 3 Non-Surgical Facial Skin Tightening Treatments

Published on Jan 26th, 2024 by Jeffrey Dover, MD

Dr. Dover with 3 skin tightening devices: Thermage, Legend Pro and SofwaveOne of the holy grails of cosmetic surgery is tightening facial skin without surgery. Until very recently the only option was a facelift. While effective, this is a major surgical procedure, with attendant risks, and most of our patients wouldn’t consider such an operation. The question has always been, how can I get the results of a facelift without the surgical risks and downtime. Over the last decade or so, a variety of treatments have been developed which offer non-invasive skin tightening by boosting collagen production in the dermis. And while not as effective as a facelift, non-surgical face tightening is a recognized, highly effective, reproducible, safe group of procedures, which gives our patients what they want. 3 types of devices are now available for all skin types.

Thermage: Standing the test of time

Before & after photos of woman's full neck tightened using Thermage
The first of the non-surgical face tightening devices developed was Thermage, a radiofrequency (RF) device. RF delivered to the skin through a flat chilled tip, converts to heat which not only tightens existing collagen, but also stimulates new collagen production. It is highly effective for raising slightly sagging or drooping eyebrows, and also for tightening early jowls and mild sagging of the lower face and upper neck. The procedure takes just under an hour and no anesthetic is necessary. It’s a little bit uncomfortable, but very well tolerated. Other than a bit of a temporary redness seen by some for a few minutes, most patients have absolutely no downtime. Side effects are rare. 94% of patients in a study headed up by the dermatologists at SkinCare Physicians were pleased with the results.

RF Microneedling: Precised collagen stimulation

The second group are other RF devices that use microneedling to delivers energy to the skin through tiny needles. The idea is that by delivering RF through needles, it gets into the skin to the exact depth we want, producing directed collagen production. The Legend Pro, Morpheus, and Genius RF, all available at SkinCare Physicians, are the most effective RF microneedling devices available in the US.  These procedures are also very well tolerated. They hurt a bit more than Thermage, topical anesthetic is sometimes used, and the redness and occasional tiny crusts may last a few days. Rather than the single treatment with Thermage, these RF microneedling devices require three treatments done, about a month apart. Each treatment lasts about 60 minutes.

Before & after photos of a woman's neck treated with the Genius microneedling device

Treatment with Genius RF – Photos courtesy of Steven Weiner, MD

Sofwave : Novel approach to skin tightening

Before & after photos of woman's neck treated with Sofwave

Photos courtesy of Sofwave

The third non-invasive approach to skin tightening uses technology that delivers high energy ultrasound into the dermis. The ultrasound energy converts into heat, stimulating new collagen production.  Our favorite of the ultrasound devices is the Sofwave. The 30-60 minute treatment is very well tolerated and side effects are rare. With the device’s integrated cooling mechanism, the skin surface remains protected and patients do not have to plan for any downtime. Sofwave is a bit more uncomfortable than Thermage so our dermatologists apply a topical anesthetic cream before the treatment performed once a year.

Non-surgical skin tightening has come of age over the last decade. We now have true alternatives to facelifting. They are much better tolerated, less involved, more desirable, and very popular. The only tricky question for our patients is selecting one of these excellent treatments. SkinCare Physicians dermatologists will help you to decide which one suits your skin best during a consultation.

YOU MAY ALSO LIKE

Thinking about neck tightening? RF Microneedling may be right for you

Leave a Reply

Fields marked with * are required.

Back to top

Our Promise

Our team of renowned physicians and experienced support staff is committed to excellence in medical skin care and cosmetic procedures with a patient-centered focus for women and men in the greater Boston area and beyond.

Request a Consultation

Contact Us

    The form below should not be used by patients to communicate clinical questions to SkinCare Physicians. It is not a patient portal. If your message is of an urgent, clinical or confidential nature, please call us instead at 1-617-383-8201.


    Please email me news and special offers

    termsAccepted

    Physician society logos

    SkinCare Physicians®

    1244 Boylston Street (Route 9)
    Chestnut Hill, Massachusetts 02467

    Learn more about your rights and protections related to the No Surprises Act (HR133).

    The dermatologists and other medical professionals at SkinCare Physicians specialize in a wide range of dermatology treatments and services, including laser hair removal, laser skin treatment, hair transplant, eyelid surgery, body contouring, psoriasis, skin cancer, BOTOX® Cosmetic, fillers, and Thermage®. From their offices in Chestnut Hill, they serve Boston, Brookline, Cambridge, Newton and Wellesley.

    Keep in mind that each patient is unique and your results may vary.



    SkinCare Physicians®
    1244 Boylston Street (Route 9)
    Chestnut Hill, Massachusetts 02467

    Phone: (617) 731-1600 Fax: (617) 731-1601

    Learn more about your rights and protections related to the No Surprises Act (HR133).

    Keep in mind that each patient is unique and your results may vary.

    The dermatologists and other medical professionals at SkinCare Physicians specialize in a wide range of dermatology treatments and services, including laser hair removal, laser skin treatment, hair transplant, eyelid surgery, body contouring, psoriasis, skin cancer, BOTOX® Cosmetic, fillers, and Thermage®. From their offices in Chestnut Hill, they serve Boston, Brookline, Cambridge, Newton and Wellesley.