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Skin Tightening - Related Questions

Q. I am only 38 years old, but likely from recent weight loss, I now have noticeable jowls. I am too young for a facelift (And no way could I afford one anyway). Is there a needle-less option for me?

A. Yes, there are now reasonably effective ways to tighten the skin that in my opinion, seem to work best in younger patients. I prefer Exilis radiofrequency skin tightening. This devise deep heats the skin several millimeters deep to stimulate collagen that will result in skin tightening. This procedure is safe on all skin colors and types. The pain level is very tolerable. 4-6 sessions each spaced about 2 weeks apart gives the best result. Cost is $300-500 per session depending on where you live.

Q. Does Exilis Work for Neck and Contouring and How Long is Each Session?

A. Yes, This procedure is very good for the neck and have about a 80% satisfaction rate in my practice. Nothing works on every case, but I see consistent results especially in those who do not have severe skin redundancy and who are younger than 60 years old.

Q. I do not want to try Botox. I know that sounds weird as all my friends are doing it and look great, but I just don't want to go down that route. What can I have done to lift my eyebrows and look less tired?

A. Well, you do have options. Dermal fillers injected under the lateral brow can lift the eyebrows. It actually lasts longer than Botox alone and works best if done in ADDITION to Botox. But if you do not want Botox, I am guessing you do not want fillers either. That leaves two other options: surgical brow lift by a facial plastic surgeon (FPS), or ultrasonic/ radiofrequency skin tightening by a dermatologist or FPS. While not as dramatic as surgery, these procedures such as Exilis, Thermage and Ulthera can give a tightening effect and should be discussed as possible alternatives for a brow lift.


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Meet one of the countrys leading experts in the field of non-surgical skin rejuvenation.

Lupo Center for Aesthetic and General Dermatology
Mary P. Lupo, M.D. - Connect on Linkedin

Our mission at the Lupo Center is to provide patients with innovative, effective and ethical care to make each person look and feel their personal best. To fulfill our goal, we provide state-of-the-art medical, surgical and cosmetic treatments to all patients.

Board certified dermatologist and clinical professor of dermatology Mary P. Lupo, MD has been a leader in the field of non-surgical rejuvenation since 1983. She travels internationally to teach her innovative techniques, and her reputation brings in patients from around the country. She started the first formal residency training program for injectables and peels in 1983 at Tulane Medical School and served as past president of Women’s Dermatologic Society, clinical professor of dermatology at Tulane and a founder of Cosmetic Boot Camp. Dr. Lupo holds membership in many prestigious dermatology associations, participates in clinical trials for approval of new drugs and devices and acts as an advisor for numerous aesthetic-minded companies.

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I have been with Dr. Lupo for over 20 years and would not want to see any one else. She is well respected in the field of dermatological medicine and considered one of the Best in our region. I trust and respect her one hundred percent. Recently, in the past couple of years I have started to see her for aesthetic procedures and once I did this I could not believe the positive feedback I received from my colleagues and clients on how I looked rested or refreshed. How I present myself matters in my work. Thanks Dr. Lupo for enhancing my appearance and taking care of all my skin needs.
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