Non Surgical Lifting

Dr Touma is well-known for being a pioneer in the use of fillers and botulinum toxin to restore the youthful appearance of the face, neck and hands, often taking years back in people’s apparent age. One of the key advances in dermatology is the ability, using Ultrasound and Radiofrequency devices, to tighten loose skin of the face and neck, stretch marks, or saggy skin of the abdomen, arms and thighs due to aging, weight loss, post-pregnancy, or post-liposuction. Skin tightening is slowly replacing surgery for the treatment of saggy skin, particularly for patients with early laxity, but also for many patients at any age. Properly using skin tightening devices has made face lifting surgery obsolete for most patients including many with advancing age, particularly when combined with botulinum toxin, fillers and PRP. 

HIFU (High intensity Focused Ultrasound) is a very effective technology, and in Dr Touma’s experience is the best to tighten the skin in one session. While not every technology works for all patients, in the proper patient, this technology regularly leads to superb firming of the skin of the lower face and upper neck. The treatment is well tolerated with topical and oral analgesia, and most patients see immediate results, without any downtime. 

6 weeks after a single treatment (Dany Touma, M.D.)

5 months after a single treatment of the forehead(Dany Touma, M.D.)


Dr Touma performs the treatment himself. Patient’s firmer skin continues to improve for six months later, when the collagen remodeling is complete. The feedback that we often hear is that the result is similar to a mini-lift. It is recommended to repeat the treatment every year though some patients choose to do it twice a year. Other areas where HIFU is useful include the forehead to lift the eyebrows, and any area of the body with mild laxity. Importantly, HIFU is highly dependent on the operator; Dr Touma has experience in treating hundreds of patients and maximizing their results, whether using HIFU alone or in combination with botox, fillers or PRP. HIFU is suitable for men and women of any age who are considering a mini facelift or simply need tightening of their face or the skin under the chin but prefer a soft intervention with no down-time.     

Radio-frequency energy is used to heat the dermis, the skin’s inner layer. This gentle treatment smoothens and contours any loose, wrinkled or dimpled skin anywhere on the body and face. The treatment can assist in flattening the stomach, slimming the hips and thighs, reducing cellulite, and toning the upper arms. Most importantly, RF is used safely and effectively to tighten the skin of the face and neck and around the eyes yet it requires 3-4 sessions at 1 week intervals to optimize the initial result. The treatment process is entirely comfortable, quick and virtually pain-free. Patients typically see immediate results, and these results are sustained when repeated every 3-4 months.



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