A. Yes. The skin tightening should be done first, followed by the peel after the skin cools down. These two procedures complement each other. The peel improves color and texture and the radiofrequency skin tightening defines, tightens and smoothes.
Q. I am 35 years old and after my second child, I have excess skin below my navel. I do not want major surgery. Do I have options other than a tummy tuck?
A. There is a new monopolar radiofrequency device that dramatically improves loose skin with 4 sessions over 2 months. It is virtually painless and has no downtime. The name of this breakthrough device is Exilis. We have been performing this treatment since December, 2010 and I can report very high patient satisfaction.
Q. I had Juvederm into my nasolabial folds 3 months ago. I have heard about Exilis skin tightening. Can I have this done so soon after Juvederm?
A. Yes, the temperatures that Exilis achieves in the skin will not destroy the Juvederm. In addition, the Exilis is usually done to the cheeks and neck, rather than directly to the nasolabial folds.
Q. Botox is not helping my crow's feet as much as it used to now that I am in my late 40's. I am not quite ready for surgery and was wondering if there are other options.
A. Yes, there are several. As we age, the loss of elasticity of the skin and the damage to collagen from years of sunlight begin to take a toll. Remember, Botox only helps dynamic (movement-induced) wrinkles. Lasers such as Fraxel and Active FX can help lines quite a bit because they build collagen, especially if they are combined with radiofrequency skin tightening with Exilis. Expanding the lateral cheek also can help smooth these sometimes stubborn lines.
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