With laxity, there are varying degrees of severity:
MILD LAXITY For mild cases of laxity, typically patients in their 20’s and 30’s, we may begin non-invasive treatments such as Sofwave TM . Sofwave uses proprietary Synchronous Ultrasound Parallel beam technology, which utilizes ultrasound energy that precisely passes through the skin’s surface, heating the mid-dermal tissue at just the precise depth and temperature to rejuvenate collagen fibers and improve the overall appearance of the skin. Sofwave is typically done as a single 30–45 minute treatment and is FDA cleared to treat facial lines and wrinkles and lift the eyebrows, lower face, submental (under the chin), and neck areas. You can expect little to no downtime following Sofwave treatments, so it's perfect for patients who have an active and busy lifestyle. MODERATE LAXITY For moderate cases of laxity, Exilis Ultra is a great choice for patients in their 30’s to early 40’s. Exilis Ultra utilizes a combination of radiofrequency energy and ultrasound energy. The ultrasound component of Exilis is used to help assist in the delivery of the radiofrequency energy, for controlled and precise heating of the dermis where collagen is produced, which produces firmer, tighter skin. Treatments are comfortable and tolerated well by patients, as it feels like gradual heating to the skin. Treatments are typically done in a series of 4-8 treatments spaced 2-4 weeks apart. Even better, there isn’t any downtime, and Exilis isn’t just indicated for the treatment of laxity on the face - it can also be used to tighten skin from head to toe. SEVERE LAXITY For more severe cases of laxity, my hands down favorite treatment is microneedling + radiofrequency ( Infini Genius or Scarlet ). Of all treatments that we provide to address laxity in our office, this is what I feel provides the most consistent and jaw-dropping results. What is unique about microneedling + radiofrequency is that it combines two different modalities into a single treatment. Any time we can combine multiple modalities into one treatment, enhanced results can be seen. This combination therapy is more effective at stimulating collagen production, as well as contracting existing collagen for better skin tightening and a reduction of a variety of skin concerns, like acne scars. Different from Sofwave and Exilis, which both have a controlled depth of penetration, our microneedling + radiofrequency devices, Infini Genius and Scarlet, can be tailored to treat at different depths within the skin. This means that your provider will adjust their depth settings for each unique patient. Patients are typically treated at three different precise depths which allows us to treat the entire collagen layer. These microneedles are different from traditional microneedles; they’re insulated, which is how they’re able to deliver radiofrequency energy at these precise depths. These needles penetrate the skin, creating a controlled wound, causing collagen to mass produce. This creates lifted, smoother, and tighter skin. Microneedling + radiofrequency treatments are typically done in a series of 3 treatments, spaced 4-6 weeks apart. Unlike Sofwave and Exilis, treatments do require a small amount of social downtime. Generally, you can expect about 3-5 days of social downtime with mild redness and swelling post-procedure. Microneedling + radiofrequency has traditionally been used to treat the face, neck, and chest; however, we are now finding that this can be a great option for treating skin laxity and texture on the body as well. Pair microneedling + radiofrequency with other treatments like Halo for the ultimate result in skin tightening plus skin resurfacing that results in the most beautiful, glowing skin!
BY HANNAH BUENO, RN, BSN THE NEWCOMER: Threading PDO threads are a non-surgical option to recontour and lift tissue to create a more youthful appearance to the face.
PDO threads have 2 categories:
1
SMOOTH THREADS
2
BARB LIFTING THREADS
Each plays a role in tighter, healthier-looking skin. Smooth threads are designed to help areas of crepey skin, recruit new collagen formation and tighten the skin over time with neocollagenesis, an occurrence in the human body as a natural component of wound repair. Smooth threads can be placed under the eye to improve skin texture, in the lip border to add definition, in those pesky smile lines and in various other parts of the face and body. Barb lifting threads help to sculpt areas of the face with laxity to improve the position of tissue resulting in a more youthful appearance. You will see immediate results with your CaloThreadlift and continue to see results for 6 to 9 months.
THREADING
CaloSpa Patients
EXILIS ULTRA
SOFWAVE
CaloSpa Patient
Photo Courtesy of Sofwave
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