Aging, pregnancy, weight gain (or loss), hormones, genetics, medical conditions, lifestyle factors, and sun exposure can all contribute to drooping skin. Treatments for tightening the skin, however, are more difficult to identify. Reversing the skin’s natural processes can be challenging, but there are several truly effective skin tightening solutions at Donaldson Plastic Surgery that you should know about.
We’re here to answer two questions:
Whether a treatment will be effective or not varies from person-to-person, depending on two things: the level of skin laxity (mild, moderate, or severe) and the overall elasticity of the skin. For example, an individual in their 20s or 30s with mild or moderate loose skin will have relatively higher skin elasticity and, therefore, will be more likely to see loose skin improve over time with regular non-invasive treatments.
Moderate to severe skin laxity is more common among individuals in their 50s or 60s. This population is more likely to have relatively lower skin elasticity, so their skin may be less responsive to non-surgical treatments. In this case, surgical skin tightening may be a more effective path to correct your concerns.
No matter your concerns or what level of loose skin you have, we have the tools to help you address it. Our team of experienced aesthetic specialists is here to help you identify what level of treatment is right for you to tighten loose skin of the face, neck, and body — all the way from result-driven products to our surgical skin tightening procedures.
Our Medical Aestheticians Tatjana and Nikki recommend a combination of at-home care and professional Medspa treatments to correct mild to moderate loose skin of the face, neck, and body. Listed below is a powerful collection of medical-grade skincare products that you can use to improve skin elasticity, visibly improve the appearance of fine lines and wrinkles, and combat signs of aging.
All of these products, including the facial and body rollers, are available for purchase by phone or in person.
Non-invasive skin tightening treatments like Ultherapy are more targeted and go deeper to address the underlying causes of mild to moderate loose skin. Ultherapy is a non-surgical skin tightening and lifting treatment that uses ultrasonic energy to send waves deep within the skin that stimulate collagen production. Because it works on a deeper level than other treatments, Ultherapy is a great preventative treatment for individuals seeing the beginnings of aging skin, rather than a fix to severe sagging or wrinkling. It is primarily intended to lift and tighten the skin of the brow, chin, jowls, neck, and upper chest, but can also be used to target other specific areas of concern.
Halo Laser Skin Resurfacing is a hybrid fractional laser treatment that addresses a number of visible skin concerns and offers skin tightening benefits from inducing collagen production in the healing process. For patients with mild to moderate skin laxity, Halo can result in more youthful, tighter-looking skin. Although the Halo laser is not primarily for skin tightening, patients usually see and feel a skin tightening effect. Wrinkles and fine lines are addressed with Halo, as well as other signs of aging, problematic skin texture, scarring, and sun damage. Other benefits of Halo include minimal downtime and a noticeable improvement of skin a just a couple of days. You can schedule Halo with Adrienne, Paige, Stacie, or Angie.
Renuvion (also known as J Plasma) is a minimally-invasive procedure that uses a combination of radiofrequency energy and helium gas to virtually tighten the skin of the face, neck, and body. A wand emitting the stream of energy is gently passed underneath (in some cases overtop) the dermal layer to cause contraction of the skin. Results can be seen immediately, but dramatically improve over time. See what one patient has to say about her chin liposuction and Renuvion results with Dr. Sieffert!
Botox and fillers are not “skin tightening treatments”, but they do offer benefits that address signs of mild to moderate skin laxity, which is why we include them here.
Aging skin can cause wrinkles, folds, and droopiness to form, which can be corrected using minimally-invasive injectables like Botox and dermal fillers for the face. Botox works by softening the appearance fine lines and wrinkles in the skin by relaxing the muscle underneath that causes the crease to form. Fillers restore volume under the skin to an area where volume has been lost and skin has begun to droop or fold as a result (ex. the jawline, or nasolabial folds and marionette lines). Neither injectable treatment is used to reverse skin laxity, but they can help to improve common concerns associated with it.
To successfully treat more significant loose skin, surgery is usually the best option.
With surgical skin tightening procedures, excess skin is removed surgically and the remaining skin is re-draped tighter than before. This option is the gold-standard is for patients who have moderate to severe skin laxity as a result of aging or weight loss but can be ideal for mild to moderate skin laxity as well.
Here are some of our most effective surgical solutions performed by Dr. Donaldson & Dr. Sieffert.
A tummy tuck is a procedure in which excess skin and fat are surgically removed from the abdomen (and the underlying muscles tightened) to improve its contours. Stretched skin in this area will not always retract on its own, making surgery the only option to return the abdomen to its original form.
Anyone who has undergone pregnancy or weight loss, or who just simply struggles with excess skin of the belly, can benefit from this kind of surgical tightening. Scarring for a tummy tuck is minimal and easily concealed with undergarments or bathing suits, and our tummy tuck patients are thrilled with their results. Their only regret is they wished they had done is sooner!
A body lift, or circumferential body contouring, is a procedure in which excess skin of the entire abdominal front, back, and sides is removed for a tighter trunk. Usually performed on individuals with severe skin laxity of the body, this procedure is common amongst individuals who have undergone significant weight loss and are left with excess skin as a result. A body lift can also encompass surgical tightening of multiple areas including the arms, chest, upper and lower back, buttocks, and thighs — the surgery is always customized to address the patient’s concerns.
Arm lifts and thigh lifts are procedures in which sagging excess skin of the upper arms and thighs is removed, often solving cosmetic concerns of the colloquial “bat wings” and sagging skin of the inner thighs and above the knee. They can be performed individually or together, depending on a patient’s wishes. These two areas are very likely to loosen with age, so the majority of arm and thigh lift candidates simply wish to see their extremities restored to a more youthful-looking state. Scarring is likely to be visible in these areas, so please discuss your concerns with your surgeon prior to surgery.
Facelifts and neck lifts are also common amongst individuals with concerns of drooping skin. As exterior representations of how we present ourselves to the world, the areas of the face and neck are often ones of prime importance — but, unfortunately, they can be some of the first areas to show the effects of aging. In a facelift and/or neck lift, excess skin is excised by your surgeon and the skin is laid tauter than it was before. Specific areas like the lower or upper face can be targeted, as in the case of a brow lift. Scarring is very discrete and easily concealed.
Upper and lower blepharoplasty, or eyelid surgery, are surgical procedures in which excess skin of the upper and lower lid is carefully removed, and the remaining skin joined back together for younger, fresher-looking eyes. If you have what some might describe as overly-hooded eyes, or suffer from large bags underneath, you are likely a good candidate for an eyelid lift. Sometimes fat pads in the lower eyelid may also be removed to reduce puffiness. The procedure is straightforward and scarring is virtually invisible.
As a full-service plastic surgery practice, we are always uniquely equipped to offer each patient a customizable treatment plan, completely attuned to you. Our two board-certified plastic surgeons & our team of highly-trained non-surgical and aesthetic experts work closely together to recommend the right treatments that will help you reach your goals, and we take great care to vet the technology we use to offer the safest and most effective treatments available. We are intensely focused on delivering realistic recommendations and achieving beautiful outcomes.
If you’re curious to learn more, please submit your contact information below. Our friendly team of aesthetic coordinators will reach out to answer your questions and help you schedule your personalized consultation!
Advanced Microneedling with PRP — A.K.A. the “Vampire Facial” — is a popular facial that actually lives up to its lore! If your skin is feeling dull and lifeless, then this treatment may be exactly what you need to re-vamp your natural glow. Check out everything you need to know about this newfangled approach to Microneedling.
It is important to know that the treatment referred to as the “Vampire Facial” IS microneedling, but a more advanced form of it. Instead of infusing the skin with a serum, we perform Advanced Microneedling with PRP to utilize your own blood cells (PRP, or platelet-rich plasma) to directly initiate tissue growth and collagen production.
Both Microneedling and Advanced Microneedling with PRP are highly effective treatments for skin rejuvenation.
We like to think of Advanced Microneedling with PRP like an all-out sprint compared to a jog — you will get to your destination, but you’ll likely get there much quicker! It is up to you and your provider during your one-on-one consultation to determine which treatment is better for you.
This treatment, commonly referred to as the “Vampire Facial”, works by using your own blood’s healing properties in combination with medical Microneedling. In Microneedling, we create a controlled, superficial injury to the skin using tiny micro-needles, which triggers a rapid healing response to “repair the damage” & flood the area with collagen. PRP contains a high concentration of platelets, growth factors, and active proteins from your own blood. When it is added to your skin during microneedling, it kick starts the collagen production process! This treatment should both be performed in a clinical setting by a highly-trained Medical Aesthetician with experience in handling blood.
Benefits of the “Vampire Facial” include reduced fine lines and wrinkles, smoother and tighter skin, improved hyperpigmentation and scarring, and improved efficacy of skin care products. Advanced Microneedling with PRP provides you with all of the benefits of microneedling while also amplifies results and lessens the amount of healing time.
Just give us a call! We hope to see you for your next treatment or skin care consultation at the Donaldson Plastic Surgery Medspa soon! Fangs for reading!
Tired or inspired — our eyes have always communicated something about us to the rest of the world. Now, with face masks a regular part of our lives, our eyes are essentially our sole feature of self-expression, and their bright appearance feels more important than ever.
“Eye contact is a very important aspect of human connection”, says our expert PA injector Stacie Isler. “When you make eye contact with someone, you communicate with them on an intimate level and allow them to gain a deeper understanding of your mental state, which is perhaps why, in this particular crisis, we are so focused on finding solutions for the eyes.”
So, how can we prioritize our eyes? And what’s the best way to tackle under eye problems like fine lines, puffiness, and dark circles? To answer these questions and more, we have compiled a list of our top 10 products, at-home remedies, makeup tricks, and treatments that really work to revitalize the eyes and upper face.
Without any further ado, here are the top 10 ways to enhance your eyes whilst wearing a face mask.
Eyelid surgery, also known as blepharoplasty or an eyelid lift, is a minimally-invasive surgical procedure for repairing the upper and/or lower eyelids by removing excess skin and tissue around the eyes. Eyelid surgery is the gold standard for addressing droopy, sagging eyelids and reducing visible signs of aging.
Sometimes a nonsurgical treatment may be a better option to address your concerns, so setting up a consultation with Dr. Sieffert is the best first step you can take to determine is eyelid surgery is the right treatment for you.
Hollowness under the eyes due to lack of sleep, age-related volume loss, or simply just anatomy can sometimes cast a shadow under the eyes, creating dark circles where the depression lies. Under eye filler expertly placed in what’s known as the “tear trough” can help to fill in that depression under the eyes, leading to a more youthful and well-rested appearance.
Don’t forget about crow’s feet! If you only treat your forehead lines, just a small pop of Botox right by the eyes can make all the difference in the world. Not only does it smooth those fine lines, but it can also open up your eyes by relaxing the surrounding muscles which will make them look wider and brighter.
While the makeup category can seem daunting, enough practice with the right products goes a long way! Beyond highlighting the cheekbones and using concealer to help cover dark circles and fine lines, you can make your eyes stand out with the right eye shadow and eyeliner, and by filling in and setting the brows with a pomade, gel, powder, or pencil. Since most of our facial expressions stem from our eyebrows, it can be a crucial step in helping to frame the face.
“As a makeup artist, one of my signature tips would be to put a pop of a light shimmer shadow in the inner eye corner to help brighten the eyes,” says our resident makeup and skincare expert Julia Plaat. “I also absolutely suggest using a mascara with a conditioning treatment, or a growth serum to help give your natural lashes strength and to maximize your mascara use.” Speaking of which…
Latisse lash growth prescription formula is by far one of the best kept secrets in the medical aesthetic world.
“Many patients have been asking about using Latisse versus GrandeLash, since both are popular options within the practice,” Julia continues. “While both have similar active ingredients that work to prolong the lifespan of the lash hair, Latisse tends to be a more potent product as it is of prescription strength. GrandeLash, while not quite as potent, has added vitamins and nutrients in their formula to boost the natural lash health.”
While both promote wonderful results, it is important to discuss your options with a specialist like Julia here at the practice to make the best decision for your lash goals.
Now, while she definitely recommends pairing at-home beauty and skincare with professional treatments to go deeper than a superficial fix, there are a few specific options Julia recommends that directly help with the eyes.
The skin around the eyes is entirely different than the rest of the skin on your face. It is much more fragile and sensitive. Other at-home products that Julia highly recommends would be Environ Skincare’s eye gels. The best way to maximize the restorative A, C, and E vitamins and invigorating peptide complexes within the gels would be to pair them with the CIT-Focus Eye Stamper. The stamper creates microchannels in the skin for the best product penetration, allowing your products to be their most efficient.
Microblading is a great semi-permanent technique that adds hairlike strokes by depositing color into the skin to help fill in and define your brows for up to two years.
Tatjana is a certified microblading expert! People travel long and far to have their eyebrows microbladed by Tatjana because of her reputation for sheer perfection and high attention to detail. Most aestheticians only receive a weekend of training before they begin microblading on live patients, but not Tatjana. Tatjana voluntarily spent years training and perfecting her technique before she ever saw her first microblading patient. She is not flippant about the semipermanent nature of microblading; she takes the responsibility very seriously. In fact, Tatjana even became a licensed tattoo artist, just to fully understand the relationship between ink and our skin!
Less permanent than microblading, brow and lash tinting are a phenomenal option for those who are tired of filling in their brows or applying mascara every day. It deposits pigment into the hair follicle and can last from four to six weeks while giving you the option to still apply makeup and products.
Not to be confused with at-home cosmetic needling (see CIT Eye Stamper in step 6), microneedling is a wonderful facial treatment for the skin. It improves from the inside out, impacting your skin on a cellular level by stimulating growth factors, and encouraging new collagen formation which plumps, smooths, and thickens the skin, aiding in the correction of sun damage. While it’s amazing for your entire face and neck, it’s especially wonderful for the delicate skin around the eye area, as it combats dark circles and fine lines.
Skin health is also something we should not forget, as wearing masks may be temporary but your skin health is a lifetime concern. Beyond wearing your SPF, facials are one of the best ways to prolong and augment the health and appearance of the skin.
If you aren’t already adding it on to your facials with Tatjana, make sure to get the Eye Repair add-on with your next facial for undereye rejuvenation, and a gentle exfoliation treatment to help brighten and smooth any concerns you may have!
Have you been thinking about trying out facial fillers, or maybe a fat-eliminating injectable like Kybella? Nonsurgical, injectable treatments for the mid- and lower face have been in high demand, and for good reason. Wearing masks allows us the perfect opportunity to try out new aesthetic treatments and procedures, without the need to take time off from your regular routine to heal from any possible swelling or bruising that may occur.
Face masks also offer a discrete solution for healing from surgical procedures. Combined with our surgeons’ gentle approaches, your face mask might present the chance for a subtle and smooth transition when it comes time to unveil your results.
There are several ways to create enhancement within the eye area, with the top three being makeup, professional treatments, and at home product use. Each of these include their own variety of options, but the best results come from combining different aspects of each.
It is no question that masks and protective coverings are key to keeping us safe during the COVID-19 pandemic. So, don’t skip the face masks – instead, make the most of your beautiful eyes with one of these procedures, or simply by trying out a new medical-grade skincare solution or makeup product.
We hope this guide has helped you discover new ways to define your face’s most unique features. Thank you for reading our top 10 tips and treatments for enhancing the eyes while wearing a face mask — here’s looking at you!
Have you heard of microneedling?
It is certainly being celebrated, and for good reason – it has rapidly become a favorite among skincare patients and clinicians alike. So, why is microneedling becoming so popular?
Microneedling is a safe and clinically proven technique for improving collagen production, using ultrafine needles to stimulate your skin’s natural healing process and to improve the appearance of pores, fine lines, acne, scars, discoloration and wrinkles. Quick and non-invasive, microneedling is a long-lasting method to achieve notably smoother, brighter, and more luminous skin after just one treatment.
Essentially, it changes the skin on a cellular level by releasing blood platelets along with growth factors. After every microneedling treatment, your skin begins growing new collagen which, in turn, plumps the skin. Fine lines and wrinkles are prevented or corrected, hyperpigmentation is improved and corrected, and scars are softened or diminished.
In order to achieve the best results, patients start with six treatments spaced two weeks apart, along with the use of recommended medical grade products at home. After this initial series is complete, most patients will then continue their microneedling appointments every four to six weeks to maintain their results. The more you receive, the better your skin will be!
Downtime is usually very minimal, averaging one to three days of redness depending on the sensitivity of your skin. Typically, skin is the most red immediately after treatment – the process essentially creates controlled wounds, so your body’s natural inflammatory response is activated immediately after treatment.
Your face will look like you got a sunburn, but it will resolve itself much faster than a sunburn would. Redness will subside dramatically in the 24 hours following treatment. You may want to avoid making plans for the following day until your skin returns to its normal color. Makeup and sunblock should also be avoided for 24 hours. There will be some mild flaking of the skin two to three days after the treatment. It will feel dry and tight, but will naturally exfoliate off.
Of course, this treatment works best with proper aftercare. Using the right products can optimize your treatment, so I will also spend some time doing a skin assessment. Together, we will develop an easy-to-follow skincare regimen using medical grade ingredients to complement the microneedling treatment.
Microneedling is like planting a new layer of grass. You need to water and nourish your new foundation in order to see the best results, and maintenance is key to your happy new skin.
Aquagold Fine Touch is similar to cosmetic microneedling, however it goes a step further. This treatment infuses the skin with customized skin cocktails through 20 small needles plated with 24-karat gold, allowing for greater absorption of the active ingredients through the tiny microchannels.
Tatjana Dzamov, our Lead Medical Aesthetician and Aquagold specialist, recently demonstrated this cutting-edge treatment and explained its benefits on Good Day Marketplace.
First, we will figure out the right combination of serums for your skin. Once filled, the needled applicator is then pressed into the skin in an overlapping pattern, ensuring the solution is delivered evenly into the chosen area.
You may be surprised to hear there is virtually no pain connected with this procedure; your skin will numbed beforehand to ensure maximum comfort, with special attention given to particularly sensitive areas. The needles on the Aquagold applicator are ultra fine, smaller than even a hair follicle, meaning they will create very miniscule and precise punctures while inflicting the least possible amount of damage.
Unlike traditional microneedling, Aquagold allows us the added benefit of microdosing combinations of result-driven products like BOTOX®, Restylane®, Volbella, vitamins like B12, peptides like Cytocare 516, and anti-inflammatories like CBD oil into the skin. These products create a specialized elixir that will help to reduce pore size, even out skin tone, minimize fine lines and wrinkles, improve redness and inflammation, and improve acne scars. The end result is glowing and vibrant skin for the next two to three months. For best results, I recommend four treatments spaced four to six weeks apart.
Aquagold and microneedling are not meant to replace each other, but rather to enhance the other’s benefits. Aquagold is a great way to give your microneedling regimen a boost when done in between your microneedling appointments. They pair very well together; microneedling can be done to maintain the benefits from your Aquagold treatment or vice versa.
Are you ready to schedule your microneedling or Aquagold appointment with Tatjana? Give us a call at (614) 442-7610 and get ready for healthy and beautiful skin.