Skin tightening still elusive
Skin tightening with laser is still the Holy Grail. “We are not as consistent in achieving patient satisfaction as we should be,” Dr. Battle said.
While any form of infrared or RF energy devices have been proven to be effective to a degree, ultrasound using the Ultherapy laser is probably the gold standard. Dr. Battle’s practice uses the Cutera Titan or InMode Forma laser — often in conjunction with either kybella injections or Coolsculpting (Zeltiq) to minimize fat prior to tightening the skin. After four to six treatments spaced six weeks apart, patients can expect a 20% to 40% improvement in skin tightening.
Most body contouring devices are also safe to treat patients with skin of color. “Apoptosis can be obtained through cryolipolysis, RF and lasers, because our fat cells are sensitive to extremes of temperatures,” he says.