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FACE | Saggy skin

This page discusses treatments aimed at SAGGY SKIN control, creating, building and enhancing your best features. The topics discussed are as follows.

Non invasive facelift for SAGGY skin – With focus on combination therapy for best results 

Today, we will discuss how to CONQUER saggy skin. Saggy, saggy, saggy skin, and how achieve a lifted and tightened effect.Ageing and gravity leads to sagginess. Of course the easiest way to lift skin is to use good old masking tape. Just kidding! Now ageing leads to the 3Ds, deflation, damage, descent.

skin changes with age

skin changes with age


  1. Descent: The skin loses collagen and elastin,  and sags.
  2. Deflation is when the soft tissue layer loses volume, hence flattening the cheeks, liken to a deflated beachball.
  3. Damage from sun exposure leads to fine lines and wrinkles.


Let us go deeper into the skin, layer by layer.

Skin ageing. What happens at the skin layers?

  • Epidermis: The skin barrier weakens and loses moisture, and is often dry.
  • Dermis: The skin loses its collagen and elastin in the dermal matrix due to sun damage and ageing.
  • Subcutaneous layer: Volume is lost in the form of fat tissue, causing the redundant skin to sag.


The overall result is SAGGY SKIN.

saggy face



Non invasive facelift

1) Liquid facelift – This involves the use of threadlift, botulinum toxin as in microbotox or dermalift, or the careful use of fillers, namely Hyaluronic fillers, injected at key areas on your face, to provide the anchor, support and lift.

2) Threadlift – Please refer to my Threadlift | Facelift page 

3) US facelift – Ulthera, HIFU



Here is an elegant diagram comparing HIFU | Ultherapy to RF and Lasers. As we can see, Ultherapy delivers focussed energy onto the SMAS layer, reaching up to 4.5mm into the skin to tighten the SMAS layer. It also delivers energy up to 3mm to induce collagen production.

Most Radiofrequency devices deliver bulk heating up to 4.3mm, hence inducing collagen and tightening pores, improving tone and texture. Lasers deliver energy under 3mm of the skin, improving tone, colour and clarity.

Today, I will focus the discussion on HIFU. HIFU is an elegant system, and is FDA approved for skin lifting and tightening. Using targeted Ultrasound, it achieves lifting and collagen stimulation. It is particularly effective for…

  1. Upper face for lifting brows– Lift and tighten loose skin on areas such as the eyebrows ( to give you a freshened look)
  2. Lower face for a sharper, more defined jawline– Addressing double chin, saggy jawline characterised by jowls (addressing the submental fat in the process)
  3. Neck for a smoother outline–  Addressing saggy skin and wrinkles on the neck

Here is an example of the treatment zones for HIFU.

ulthera image

Who is suitable?

HIFU is indicated for patients 35-60 y.o

How does it work?

Its energy is targeted to the SMAS layer (Superficial musculo-aponeurotic system), which is the layer commonly addressed by plastic surgeons in a surgical facelift.


Is it painful?

Latest technology HIFUs are considered pain-free.

Is there any downtime?

For most patients, there is little to no downtime. There is a small risk of mild and transient redness, edema and bumps on the face.



Lifting de la peau – Clinique Thermage Solta Medical ® Bruxelles


Q Does it interfere with everyday life?
Because it is applied to the deep layer of the skin without damaging the surface of the skin, daily life such as make-up and washing after the procedure is possible.

Q Is it painful?
Temporarily, there may be a feeling of throbbing or stiffness in the deeper layer of the skin, but some people do not need anesthesia because the pain is not strong.

Q Is it expensive?
The affordable price of the equipment and consumables makes it cheaper than existing lifting devices.

Q When will I see the results?
The effect may start showing as soon as the same day as the procedure, and for the next two weeks you may experience a pulling and tightening sensation, which means that collagen is regenerating and you will see a lifting effect after 1-3 months

Q How long does the procedure take?
Ultrasonic energy output speed is fast and the operation time is 15 ~ 20 minutes.

Q Is one session enough?
Since the aging of the skin continues after the procedure, we recommend that you periodically perform the procedure for maintenance.

Q After the treatment, will my cheeks look too sunken?
If you do not have a lot of fat on your face, you do not have to worry about adjusting your strength and practicing it at the right level.

Q I have a fat transplant. Can I still get the treatment done?
Since it takes 3 ~ 6 months for the transplanted fat to engraft, it is recommended to wait before the treatment.

Q Can I get the treatment after plastic surgery?
It is recommended that you let the skin heal after such treatments, as facial contour, for at least 3 months.

Q Is the effect better with higher number of shots?
The higher the number of shots, the bigger the effect, but since each individual has a different degree of sagging, and sagginess has a combination of causes.

Q I have recently been injected with fillers. Can I still get the treatment?
We recommend waiting at least one month after filler injections.

Q Is it suitable for sensitive skin?
Skin may become a little red on the day of the procedure, but because it is applied to deep layers of the skin, the discomfort is tolerable if you take it at the appropriate settings.

Q When should I get the next treatment?
Depending on the intensity of the procedure and the condition of your skin after 6 months after the first treatment, it may help to maintain good skin if you are treated periodically once every 6 months to once a year.


How about liquid facelift?

Basically, this involves the use of either botulinum toxin or hyaluronic acid to achieve a lifting effect. Here are 2 commonly performed procedures.

Dermalift – This technique utilises a diluted dysport dose to induce tightening of the forehead, cheeks, jawline.

8 point lift from Juvederm – This technique involves careful placement of hyaluronic acid to anchor, support and lift your face.


SAGGY SKIN SOLUTION | Non invasive facelift – Threadlift + Fillers + HIFU

So I hope this mini series on facelift has been helpful. Speak to your Dermatologist for more information.To learn more about this, please refer to my Facelift Page.