Patients often come to me asking for skin tightening.
But “tightening” is not a diagnosis.
Before deciding what treatment to use, I look at the quality of the skin, the degree and direction of laxity, facial structure, tissue distribution and what the patient actually wants to change.
Only then do I decide whether radiofrequency, ultrasound, laser, a minimally invasive approach — or sometimes no energy treatment at all — is appropriate.
It is a slower conversation than naming a machine. It is also the reason the result tends to look like the patient, rather than like a treatment.