Nonsurgical Skin Tightening

Skin ageing facts

Skin ageing describes the changes in the appearance and characteristics of the skin that occur as people get older.

It is a complicated biological process influenced by a combination of intrinsic (natural ageing) and extrinsic (sun exposure, smoking) factors; both show up visibly with the same results, yet the extrinsic aging is the one that we can fight against.

Both these factors together result in cumulative structural, physiological alterations and progressive changes in each skin layer as well as changes in skin appearance, especially, on the sun-exposed skin areas.

In contrast to thin, finely wrinkled and dry naturally aged skin, premature photoaged skin typically shows a thickened epidermis, mottled discoloration, deep wrinkles, laxity, dullness, and roughness. Gradual loss of skin elasticity leads to the phenomenon of sagging. Slowing of the epidermal turnover rate and cell cycle lengthening coincides with a slower wound healing in older adults.

Anti-ageing therapy

The goal of any anti-ageing treatment is to accomplish a healthy, blemish-free and smooth skin.

In clinical parlance, “to look better” doesn’t intend to “look more youthful.” Hence, it is so essential for us to listen to the patients and orientate them to a specific therapy that will give them the most fulfilling results.

The age of the patient, history related to surgery, general well-being status, skin type, the person’s lifestyle and numerous other factors ought to be contemplated before picking the methodology for the individual case.

The desired therapeutic anti-aging effect of the skin is continuous, step-by-step process, which combines various methods of the skin bio-revitalization and rejuvenation, augmentation, restoration of each skin layer individually and in the light of many other factors.

When should you consider Non-surgical treatment?

Non-surgical skin tightening turns into a good possibility if you have mild to moderate loose skin on your face and neck or if you have lingering skin laxity after an operative procedure.

It should also be considered if you would like to improve the quality of your skin and if you are unwilling to undergo a more invasive facial cosmetic surgery solution like a facelift or necklift.

Some of the advantages that are making non-surgical, the go-to skin tightening procedure is that it is performed with no incisions, with minor discomfort and has little to no downtime. It is perfect for all skin types, unlike other treatments, e.g., laser treatment, in which a person’s pigmentation must be carefully considered.

Some of the cons to consider with this are that the results will certainly be less dramatic than those that can be obtained with a facelift, brow lift, and neck lift.

Another consideration is that there can be skin redness and temporary swelling or numbness around the treated areas following the skin-tightening procedure. However, most clients find that they can still go about their daily routine, and it doesn’t affect their schedule.

If you want to focus on what is unique to you, please consult with your dermato-surgeon at our clinic.

Skin tightening procedures

Before the procedure begins the area to be treated is cleaned of makeup and skin lotions.
Oral or intravenous pain medication may be required depending upon treatment mode, area, and your unique needs.

Based on the type of your skin and the region being dealt with, your specialist may pick one of the following treatments.

Radiofrequency (Thermage)

Radiofrequency energy could be used to tighten the collagen in the skin, thereby filling out wrinkles and fine lines. The system targets all three layers of facial skin with the goal of keeping the skin rejuvenated and healthy for years.

Patients feel no pain during the treatment.

  • chevron_rightThe treatment area is measured and marked.
  • chevron_rightYour skin is cooled for comfort and safety.
  • chevron_rightA specially designed treatment tip is placed against your skin.
  • chevron_rightRadio Frequency energy penetrates deep into the skin’s tissue, heating the treatment areas and stimulating collagen production.
  • chevron_rightYou will feel a gentle vibration as well as cooling and heating sensations during each pulse.
  • chevron_rightThe upper layer of your skin is cooled.

Intense pulsed light – IPL (VelaShape)

Intense pulsed light (IPL) therapy is a non-invasive and non-ablative treatment that uses high-intensity pulses of visible light to improve the appearance of the skin.

  • chevron_rightIf your face is to be treated, you will be provided with protective eye covering.
  • chevron_rightA handpiece is used to administer a continuous cooling while an infrared light heats the deep dermis (deep layer of your skin).
  • chevron_rightOne or more passes may be performed.

Radiofrequency and intense pulsed light treatments heat only the deep layer of your skin. The epidermis or outer skin layer is not damaged. Your body’s natural wound healing response causes collagen changes in the skin which result in skin tightening.

A series of treatments is usually performed. The Thermage procedure has been available for almost ten years to non-invasively tighten skin around the eyes, jawline, chin, and body. While the earliest treatments were quite painful and the results unpredictable, the most advanced techniques deliver appreciable tightening with minimal discomfort.

Although the results are not as dramatic as a facelift, over 90% of patients obtain noticeable tightening of the treated areas, and it never looks “pulled.” The procedure can be repeated every 1-3 years as needed to maintain the results.

Ultrasound (Ultherapy/VelaShape)

Ultherapy uses safe and time tested ultrasound energy to lift and tighten the skin naturally without surgery or downtime. It helps to achieve a fresher, more youthful look from your brow to your chest.

  • chevron_rightThe treatment area is measured and marked.
  • chevron_rightAn ultrasound gel is applied to your skin.
  • chevron_rightA smooth handpiece is placed on your skin and an image of the tissue beneath is projected on a screen so your surgeon can see the treatment area.
  • chevron_rightThe ultrasound emits small thermal bursts to stimulate the deep structural support layers of the skin without disturbing the skin’s surface.

Unlike lasers, which penetrates the skin from the outside–in, Ultrasound treatments bypass the surface of the skin and focus ultrasonic energy to the dermal layer (the deep layer of your skin) where collagen lives. New collagen growth is stimulated, which gradually lifts and tightens the skin.

Your skin above the focus point and tissue below the focus point are protected. Like radiofrequency and IPL, multiple treatments may be needed.

The most advanced technology involves focused ultrasound to visualize through the skin, to target and treat deep support structures. Deep skin layers are targeted and heated to stimulate the growth of collagen, which gradually lifts the skin in 3-4 months.

It is currently used for a non-invasive eyebrow lift and can be used to return definition to the jawline and improve the area under the chin.

The ultrasound treatment can be quite effective to non-invasively rejuvenate the face; it is best performed using light pain medication to increase comfort during the treatment. As compared with plastic surgery, there is no cutting, no recovery, and all patients can resume their normal activities immediately.

Several months after treatment, patients look refreshed and rejuvenated, never pulled. It’s suggested to repeat the treatment every 2-3 years to maintain the results.

Preparing for a nonsurgical skin tightening procedure

  • chevron_rightYou are advised to stop smoking for at least six weeks before undergoing treatment to promote better healing.
  • chevron_rightPlease avoid taking aspirin, other anti-inflammatory drugs, and herbal medications that might result in bleeding.
  • chevron_rightAvoid using skin products so as to decrease the risk of complications from treatment.
  • chevron_rightKeep yourself hydrated, as it is pretty important before and after surgery for safe recovery.

Although nonsurgical skin tightening is usually performed on an outpatient basis, please arrange to have someone drive you home after your treatment and to stay with you at least the first night following your procedure.

How long the treatment would take?

Most nonsurgical skin tightening procedures usually take at least thirty to ninety minutes to complete but may take longer.

Adequate medications are administered for your comfort during the surgical procedure. In some cases oral, local anesthesia, or intravenous sedation may be administered as well·

For your safety during the procedure, various monitors will be used to check your heart, blood pressure, pulse, and the amount of oxygen circulating in your blood.

Your surgeon will follow the treatment plan discussed with you. Soon after the session, you will be taken to a recovery area where you will continue to be closely monitored. You will probably be permitted to leave the clinic after a short observation period, and you are usually able to resume full activity immediately after treatment unless otherwise directed by your surgeon.

You may notice an immediate improvement in your skin, but your results will unfold over the course of two to six months.

Skin reddening, swelling, and numbness at the treatment area(s). Please speak to your
Dermatologist to find out if your pain, redness, swelling and numbness are normal or a sign of a possible problem and discuss for your immediate post-treatment recovery. Your surgeon will also provide detailed instructions about the normal symptoms you will experience and any potential signs of complications.

Because the natural process of creating new collagen builds over time, your results will become more evident over the course of two to three months. You may see continued improvement and contouring for up to six months as new collagen is formed. Contact your surgeon to discuss if additional treatments are needed.

How long will the results last?

Most nonsurgical skin tightening results will last one to three years on average. Subsequent procedures may need to be repeated periodically to maintain the benefits.

For safety, as well as the most beautiful and healthy outcome, we advise you to visit our clinic for follow-up evaluation at prescribed times and whenever you notice any changes in the skin that have been treated. Do not hesitate to contact your surgeon when you have any questions or concerns.

Is non-surgical tightening is safe?

Fortunately, significant complications from nonsurgical skin tightening are infrequent. Your specific risks for nonsurgical skin tightening will be discussed during your consultation.

You can help minimize certain risks by following the advice and instructions of your board-certified plastic surgeon, both before and after your nonsurgical skin tightening.