Skin Tightening Technologies in Body Contouring.

Learning objectives: After studying this article, the participant should be able to: 1. Understand the role of nonsurgical skin tightening. 2. Classify different skin tightening devices based on energy mechanism. 3. Recognize the advantages and disadvantages of various skin tightening devices. 4. Identify which skin tightening device to use depending on patient characteristics.

Summary: Although surgical excision or cosmetic lift are the standard means of skin tightening, patients often desire nonsurgical options with minimal downtime. Nonsurgical skin tightening modalities vary based on energy type and delivery method. Higher energy modalities, such as laser therapy, have increased pain, downtime, and potential adverse effects. However, these offer the most dramatic results. A balance must be achieved between energy level, patient satisfaction, and safety. Devices also differ in US Food and Drug Administration approval and skin tightening location. Overall, in an ideal candidate, nonsurgical skin tightening devices offer highly satisfactory results with minimal downtime.