Laser Treatments for Sagging Skin

Watch Dr. Irwin's short video on laser treatment options for sagging skin
  • Thermage and Ulthera provide similar results for sagging skin with no downtime
  • Fractional CO2 lasers help with sagging skin as well as wrinkles, color and texture, but do have some downtime

Learn more about lasers for brown spots from Dermatologist Dr. Irwin:

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Video Transcription 

Dr. Brandith Irwin:
Welcome to I’m Dr. Brandith Irwin and we are here to provide you with expert advice on skincare and cosmetic dermatology. This segment is on sagging skin. And the first thing I want to say is that there’s been a lot of marketing lately with various devices claiming to provide non-surgical facelifts. I think that we all have to take with a grain of salt. The fact is if you are sixty-five years old and you have a lot of loose skin under or neck or really a true jowl, than none of these sort of surgical modalities are going to have the effect that a facelift will have.

So of my patients say well can you do these things in series and yes absolutely you can if you’re absolutely determined not to have a facelift but you want to maximize the non-surgical result. Some of these technologies, most of them can be used in a series in order to get more effect from them. So that is entirely possible. The other thing I want to talk about too is that Thermage which for example which is this machine.

There is another piece of technology that has recently come on the market called ulthera; I’ve been getting a lot of questions about that. And this is my opinion, but my opinion is still that Thermage is better. It’s not that Thermage and Ulthera give so much different results. I think the results are actually very similar. But the difference is with Thermage is has with um cooling tip that is inserted into the head and it is much more comfortable than the Ulthera. Ulthera is painful. Thermage is very comfortable now. The other advantage of Thermage over Ulthera is that Thermage is one treatment for results that take the Ulthera machine three treatments.

Fractionated carbon dioxide lasers like the Active FX Luminous or the Active/Deep FX Luminous or the dot laser the CO2 laser from Decca they all provide some skin tightening. And the advantage is taking care of many wrinkles at the same time. So again with this technology if I have a fifty-five year old woman who has mild to moderate sagging and then has a lot of wrinkles in addition, I will almost always go with the fractionated carbon dioxide laser. But if I have say a forty-five year old with very few wrinkles who just need a little skin tightening then I will almost always use the Thermage. And it depends and with down time it’s important. The Thermage has no down time. The fractionated CO2 laser you will definitely have anywhere from four to five days or a week to ten days depending on how the laser is customized for you and the kind of results that you want. So again there’s a lot that goes in to making these decisions and again I think that the end the goal is to provide you with the best, most cost effective customized laser treatment for you in this case with Thermage’s sound wave. So I think um please feel free to see our research guide on We have a section on Thermage we also have a section on CO2 lasers and I hope you enjoy your time on SkinTour.

Dr. Brandith Irwin, MD

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Hi, I’m Dr. Irwin, and I believe that consumers need and deserve a medically trained and unbiased skincare advocate.

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