A. A traditional facelift is the most popular procedure for those wanting to improve the sagging around the jaw line. Many feel, however, that surgery is either too dangerous, too expensive or they cannot take the necessary time off from work. Others are on blood thinners or have medical conditions that prevent them from being able to undergo a cutting procedure. Smokers are also at risk for more complications from a facelift. Finally, some patients in their 40's or 50's are simply not bad enough to justify the risks and cost of a traditional facelift. For all these groups, I recommend radiofrequency skin tightening. This is a no-downtime treatment done in sessions (usually 4 over 8 weeks). The deeper heating of the skin and subcutaneous tissue results in a firming and tightening effect. There is no downtime and the procedure is very tolerable so there is no need for the cost and risk of anesthesia. The results are excellent for those without severe sagging and definitely a preventative for those wanting to postpone or prevent a facelift.
Q. I have had several pregnancies. My weight is close to normal, but my loose skin embarrasses me and prevents me from wearing certain clothes. Is a tummy tuck my only option?
A. No, indeed! From your description, you are a perfect candidate for Exilis or Titan. Exilis is radiofrequency skin tightening and Titan firms the skin with deep penetrating pulsed light. Both are "colorblind" meaning it can be used on all skin types. Several sessions are needed depending on the severity, but most patients need four. They are done at 1-4 week intervals. There is no downtime and requires no anesthesia. It is perfect for the abdomen, arms, and even the knees.
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