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 the Women’s Dermatologic Society, adjunct 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 the approval of new drugs and devices, and acts as an advisor for numerous aesthetic-minded companies.

Dr. Lupo was recently recognized as a trailblazer for women in dermatology and for her dedication to educating dermatology residents and fellows.

She has also received the following awards:

  • 𝐋𝐢𝐟𝐞𝐭𝐢𝐦𝐞 𝐂𝐚𝐫𝐞𝐞𝐫 𝐄𝐝𝐮𝐜𝐚𝐭𝐨𝐫 𝐀𝐰𝐚𝐫𝐝 from the 𝐃𝐞𝐫𝐦𝐚𝐭𝐨𝐥𝐨𝐠𝐲 𝐅𝐨𝐮𝐧𝐝𝐚𝐭𝐢𝐨𝐧 - Recognizes full-time academicians who have dedicated their careers to educating dermatology residents and fellows;

  • 𝐖𝐢𝐥𝐦𝐚 𝐁𝐞𝐫𝐠𝐟𝐞𝐥𝐝, 𝐌𝐃 𝐕𝐢𝐬𝐢𝐨𝐧𝐚𝐫𝐲 and 𝐋𝐞𝐚𝐝𝐞𝐫𝐬𝐡𝐢𝐩 𝐀𝐰𝐚𝐫𝐝 from the 𝐖𝐨𝐦𝐞𝐧'𝐬 𝐃𝐞𝐫𝐦𝐚𝐭𝐨𝐥𝐨𝐠𝐢𝐜 𝐒𝐨𝐜𝐢𝐞𝐭𝐲 - Recognizes dermatologists of national prominence who have been trailblazers for women in some aspect of dermatology.

Dr. Lupo has authored over 90 published articles and book chapters and has spoken on various dermatological topics at nearly 480 national and international meetings and seminars.

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If you submit an online appointment request, we will contact you to schedule the date and time. All new-patient appointments must be scheduled over the phone.


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Dr. Lupo expertise and experience can't be beat! She's amazing :)
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