For a 44 yo female, what would be the best laser to tighten after weight loss?

Hi Dr. I, Your website is fantastic! Thank you for taking time out of your very busy life and answering our questions. I am a Vietnamese 44 y/o female, and have lost 20 lbs. over the past 4 mo. I have very good skin with no wrinkles, or discoloration. My facial skin is now lax on the cheek and neck. what is the safest and best laser treatment for this? There are so many types out there?

Thank you!  The answer to this really depends on how much extra skin you really have.  If you have a lot, surgery could be the best answer.  But at 44, Thermage could be a great option for you.  It does not cause problems with pigment or discoloration because it is a sound wave.  Done well, it should give you a little lift and tightening and it can be repeated for a more effect.  Of all the lasers, the fractionated CO2 (be sure it’s fractionated) would be your best choice for tightening.  Make sure your dermatologist is experienced and board certified (  There is a risk of pigment changes, usually temporary, with this laser but it gives the most tightening. Here is a video demonstration of a Thermage treatment.   Dr. I

Dr. Brandith Irwin, MD

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