Non-Surgical Skin Tightening

Non-surgical skin tightening treatments can help improve loose or aging skin without surgery or extensive downtime.

At Cosmetic Laser Dermatology, board-certified dermatologists use advanced laser, light, and energy devices to support fibroblastic activity and stimulate hyaluronic acid, collagen, and elastic fiber production for firmer and more youthful-looking skin.

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Female patient before and after laser skin tightening and microlipo to treat neck laxity and double chin in san diego

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Lift and Tighten a Sagging Neck with Ultherapy Prime

Skin Tightening Treatment with Ultherapy Prime

Restore Skin Firmness with Advanced Treatments

Skin Tightening for a Firmer Look

Before and After Skin Tightening

Frontal image of female patient before and laser skin tightening following weight loss in San Diego

laser skin tightening before and after on a female asian patient

results of a laser skin tightening procedure

laser skin tightening results on a patient from san diego

laser skin tightening before and after results

before and after non-surgical skin tightening for jawline

Thermi skin tightening treatment in san diego, ca

Thermisculpt before and after photos of a female patient at CLDerm

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Newest & Signature Skin Tightening Procedures

Advanced skin tightening procedures such as Laser-Coring and ThermiSculpt³ provide more comprehensive rejuvenation and contouring for patients experiencing moderate skin laxity or volume concerns.

These treatments may combine laser technology, radiofrequency energy, facial liposculpture, dermal fillers, or biostimulators to tighten skin, improve contour, and support fibroblastic activity while stimulating hyaluronic acid, collagen, and elastic fiber production for long-term skin rejuvenation.

TriLift Skin Tightening

TriLift is a non-surgical skin tightening treatment that combines dynamic muscle stimulation, radiofrequency energy, and RF microneedling to improve skin firmness and facial contour. Unlike traditional treatments that focus only on the skin’s surface, TriLift also targets facial muscles to help lift and tighten areas affected by early sagging.

In addition, the treatment supports fibroblastic activity and stimulates hyaluronic acid, collagen, and elastic fiber production for smoother, firmer, and more refreshed-looking skin. TriLift may be used to improve the cheeks, jawline, lower face, and overall facial definition with minimal downtime.

Take10Eyes® for Hooded Eyelids and Sagging Skin Above the Eyes

Sagging skin above the eyes and hooded eyelids can make the face appear tired, heavy, or older than desired. Take10Eyes is a signature treatment at Cosmetic Laser Dermatology designed specifically for the delicate eye area using a customized combination of laser, light, and energy devices to improve skin firmness, texture, and overall rejuvenation.

This advanced approach supports fibroblastic activity and stimulates hyaluronic acid, collagen, and elastic fiber production while addressing crepey skin, fine lines, and mild skin laxity around the eyes. Depending on the patient’s concerns, treatments may include fractional lasers, RF microneedling, ultrasound skin tightening, topical skincare rejuvenation and/or biostimulators for more comprehensive improvement.

Take10® Non-Surgical Skin Tightening

Take10 is Cosmetic Laser Dermatology’s signature multi-modality rejuvenation treatment designed to improve skin laxity, texture, tone, and overall facial aging without surgery. By combining advanced laser, light, and energy devices, Take10® helps tighten skin while supporting fibroblastic activity and stimulating hyaluronic acid, collagen, and elastic fiber production across multiple layers of the skin.

This customized approach may incorporate fractional laser resurfacing, RF skin tightening, ultrasound technology, injectables, and topical skincare regenerative treatments to deliver natural-looking rejuvenation with minimal downtime.

Biostimulators and Fillers for Skin Tightening

Volume loss and collagen depletion can contribute significantly to sagging skin and facial aging. In addition to laser skin tightening and RF skin tightening procedures, Cosmetic Laser Dermatology offers advanced biostimulators and dermal fillers to help restore structure, improve contour, and support fibroblastic activity while stimulating hyaluronic acid, collagen, and elastic fiber production.

Treatments such as Sculptra®, Radiesse®, and hyaluronic acid fillers may be used to improve areas affected by volume loss, including the cheeks, jawline, temples, and lower face. Combining biostimulators with non-invasive skin tightening procedures as well as topical fibroblast activators like, ReQ can often enhance overall lifting and rejuvenation results.

Biostimulators and Fillers for Skin Tightening

Ultrasound Skin Tightening

Ultrasound-based non-invasive skin tightening treatments use focused ultrasound energy to target deeper structural layers beneath the skin. Ultherapy® and Sofwave™ help lift and tighten areas such as the brow, jawline, neck, and lower face while stimulating your body’s own internal regenerative cells.

These non-surgical skin tightening procedures are commonly used for patients seeking gradual, natural looking rejuvenation with minimal downtime.

RF Skin Tightening

RF skin tightening treatments use controlled radiofrequency energy to heat deeper layers of the skin, improving skin firmness and contour. Treatments such as Thermage®, ThermiTight®, and Potenza™ RF Microneedling help support fibroblastic activity and stimulate hyaluronic acid, collagen, and elastic fiber production while improving skin laxity, texture, and overall skin tone.

RF skin tightening treatments may be used on the face, neck, jawline, and body, depending on the patient’s concerns and treatment goals.

Fractional Laser Skin Tightening

Fractional laser skin tightening treatments improve skin texture, firmness, fine lines, wrinkles, sun damage, and acne scars by creating controlled micro injuries within the skin. Technologies such as Fraxel®, Clear + Brilliant®, ActiveFX™, DeepFX™, ResurFX™, UltraClear, and Sciton Profile® help regenerate your skin from within for smoother, firmer, and more rejuvenated skin.

Depending on the treatment selected, these laser skin tightening procedures may address early skin laxity, uneven texture, pigmentation concerns, and signs of aging with varying levels of downtime.

HEAR FROM OUR HAPPY PATIENTS

5/5 STARS

The experience I had with Dr. Groff was absolutely spectacular. Very informative, very attentive, very personable. There was this aire of expertise that made me feel very comfortable and while I won’t mention what I went in for because it is very personal, I will say that my laser treatment was literally 100% painless. HIGHLY recommend. I am more than satisfied with my experience.

I have been to several dermatology groups over the years but I have never felt so valued and so comfortable than I feel with CLD. All of the staff and doctors I have worked with have been exceptional!! They are all professional and kind. I would not hesitate is recommending this office to anyone. Thank You!!!

This office is awesome. My visit today was with Dr Groff. His bed side manner is so fun and welcoming. He understood my concerns and recommended a treatment plan that I feel was reasonable. I love his staff! They take there time to make sure you understand the treatment and after care. Everyone in the office, from the front desk to the nurses in the back, are so friendly and beautiful. They are very prompt and I trust my care with CLD. I can’t wait for my next visit. See you guys in a few weeks!

I have been seeing Dr Fabi for several years, she is a wonderful and very caring doctor. The outcome and care I receive from her always exceeds my expectations. Her work creates a natural and beautiful result that never disappoints. I highly recommend her!

I feel I got personalized treatment throughout the process. They were thorough with an eye on detail. I appreciated they way I was treated- not just a patient, but as a person. Very pleased with the personnel from the receptionist to the doctors. I would definitely recommend.

Why You’ll Love Us

Cosmetic Laser Dermatology is proud to be San Diego’s #1 destination for beautiful skin for over 35 years. Here’s why you should choose us for your next laser skin tightening treatment:

Expertise That Maximizes Your Results and Reduces Downtime

Throughout your skin-tightening treatment journey, you’ll receive professional care from a team of 8 board-certified dermatologists with over 200 years of combined experience and a wide selection of innovative treatments. This combination of expertise and technology allows you to receive optimal skin-tightening results with minimal recovery time.

Personalized Care with Advanced Technology

Your skin-tightening treatment is uniquely tailored using our wide range of 60+ laser, light, and energy devices. This personalized approach helps ensure that your treatment is highly effective, resulting in visibly firmer and smoother skin. Our proprietary procedures and unmatched ability to customize treatments to address additional skin concerns help us maximize your results.

Revolutionary Treatments for Lax, Loose Skin

As a leading research center, Cosmetic Laser Dermatology provides you with access to some of the most innovative and cutting-edge laser technologies in the world. This includes proprietary skin-tightening treatments like ThermiSculpt³, as well as new procedures that are not yet widely available.

Non-Invasive Path to Youthful Skin

With our team, you can receive advanced treatments that rejuvenate and firm sagging skin without the need for a facelift or similar surgery. These minimally invasive options effectively target lax skin and other signs of aging, delivering noticeable results with minimal discomfort and no significant downtime — an ideal choice for those seeking a youthful appearance without the risks of surgery.

Unmatched Safety, Transparency, and 1:1 Guidance

Your safety and peace of mind are our priority. With impeccable success rates, thousands of before/after photos of actual patients, and all the follow-up you need, you have peace of mind knowing you are in the best possible hands with our team. We also help you stay informed and worry-free by educating you about how our devices work, ensuring your treatment plan aligns fully with your current and long-term goals.

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Our Renowned Dermatologists

We are proud to share that Dr. Goldman, Dr. Butterwick, Dr. Groff, Dr. Fabi, & Dr. Boen have once again been recognized as Castle Connolly Top Doctors in 2026!

Cosmetic Laser Dermatology has been voted Best Cosmetic Dermatology Practice in San Diego Magazine’s 2025 “Best of San Diego” readers’ poll!

Dr. William Groff was voted Best Cosmetic Dermatologist, Best Cosmetic Surgeon, and Best Dermatologist for 4 consecutive years by the San Diego Reader Best Poll.

Dr. Mitchel Goldman was voted #1 Cosmetic Dermatologist in America by Newsweek

Dr. William Groff was voted Best Cosmetic Dermatologist and Best Cosmetic Surgeon for 8 consecutive years by the San Diego U-T Best Readers Poll.

Drs. Goldman, Butterwick, and Fabi made the top 8 in Newsweek’s Best Cosmetic Dermatologists in America for the last two years in a row

Voted in the top 10% of Realself Doctors by achieving high patient satisfaction and getting favorable feedback on Q&A

Dr. William Groff was voted Best Dermatologist for 10 consecutive years and Best Cosmetic Surgeon for 9 consecutive years by the La Jolla Light Best Readers Poll.

Drs. Goldman, Butterwick, Groff, Fabi, and Boen were named Castle Connolly Top Doctors in 2025, making us one of the Top 3 Practices in California with the most Castle Connolly Top Doctors in Dermatology.

Dr. Boen has been recognized as a Top Doctor in 2023 and 2024 by San Diego County Medical Society.

Dr. Butterwick, is a distinguished facial cosmetic surgeon certified by the American Board of Facial
Cosmetic Surgery (ABFCS).

Mitchel P. Goldman, MD Board-Certified Dermatologist

Kimberly J. Butterwick, MD Board-Certified Dermatologist

Dr. William Groff Board-Certified Dermatologist

Sabrina G. Fabi, MD Board-Certified Dermatologist

Douglas C. Wu, MD, PhD Board-Certified Dermatologist

Monica Boen, MD Board-Certified Dermatologist

Raheel Zubair, MD Board-Certified Dermatologist

Kavita Darji Patel, MD, FAAD Board-Certified Dermatologist

Leysin Fletcher, PA-C Physician Associate

Farzaneh Momeni-Salami, MA Medical Aesthetician

Meet the Team

Non-Surgical Skin Tightening FAQ

How does non-surgical skin tightening work?

Non-surgical skin tightening treatments use advanced laser, light, and energy devices to heat targeted layers of the skin and support fibroblastic activity. This process helps stimulate hyaluronic acid, collagen, and elastic fiber production to improve skin firmness, texture, and contour over time without surgery or extensive downtime.

Which noninvasive skin tightening procedures are available?

Cosmetic Laser Dermatology offers a variety of non-invasive skin tightening procedures, including ThermiSculpt³ , Thermage, Ultherapy, Sofwave, ThermiTight, Potenza RF Microneedling, Laser Coring, Fraxel, Clear + Brilliant, ResurFX, Sciton Profile, ActiveFX, and DeepFX. These skin tightening procedures may be used individually or combined, depending on the patient’s goals and treatment areas.

How to tighten skin on the face without surgery?

Patients looking for how to tighten skin on the face without surgery may benefit from RF skin tightening, ultrasound treatments, laser skin tightening, or RF microneedling procedures. Treatments such as Thermage, Sofwave, Ultherapy, Potenza RF Microneedling, and fractional lasers help support fibroblastic activity and stimulate hyaluronic acid, collagen, and elastic fiber production for firmer, smoother skin.

Who is a good candidate for non-surgical skin tightening?

Many patients with mild to moderate skin laxity on the face, neck, jawline, or body may be good candidates for non-surgical skin tightening. Board-certified dermatologists can recommend the most effective skin tightening procedures based on skin condition, treatment goals, and the desired level of rejuvenation.

How long does it take to see results from skin tightening treatments?

Some patients notice gradual improvement within a few weeks after laser skin tightening or RF skin tightening treatments. Continued enhancement may develop over several months as fibroblastic activity increases, and the skin stimulates hyaluronic acid, collagen, and elastic fiber production.

How long do non-surgical skin tightening results last?

Results from noninvasive skin tightening treatments can vary depending on the technology used, skin quality, and lifestyle factors. Many patients experience improvements that may last up to a year or longer, especially when maintenance treatments and medical-grade skincare are incorporated into their routine.

Can skin tightening procedures be combined with other treatments?

Yes. Non-surgical skin tightening treatments are often combined with laser resurfacing, dermal fillers, biostimulators, RF microneedling, or other rejuvenation procedures for more comprehensive results. Combination treatments may help improve skin texture, laxity, contour, and overall skin quality while supporting hyaluronic acid, collagen, and elastic fiber production.

Is there downtime after laser skin tightening or RF skin tightening?

Most laser skin tightening and RF skin tightening treatments involve minimal downtime. Depending on the procedure selected, patients may experience temporary redness, swelling, or mild sensitivity following treatment. Recovery time varies based on the intensity of the procedure and the treatment technology used.

Non-Surgical Skin Tightening