Loose & Sagging Skin
Softer jawlines, crepey necks and skin that doesn’t bounce back like it used to. Here’s what causes it, what actually helps, and how we build a non-surgical plan around your goals.
Medically reviewed by the AMW Med Spa licensed clinical team
- Best options
- RF microneedling, Sculptra®, Radiesse®, PDO threads
- Typical plan
- 3 sessions, about 4 weeks apart
- Downtime
- None to a few days
- Results
- Build gradually over 3–6 months
What is skin laxity?
Skin laxity is the loss of firmness and “snap-back” in the skin. It happens as the collagen and elastin that hold skin taut break down faster than your body replaces them, and as the fat and bone underneath slowly lose volume.
It usually shows first along the jawline, under the chin and on the neck, then in the cheeks and around the eyes. It can also affect the arms, abdomen and thighs, especially after weight loss or pregnancy.
Common signs
- JowlsA softer, less defined jawline
- Loose neck skinLaxity or bands under the chin
- Crepey textureThin, finely wrinkled skin
- Deeper foldsSmile lines and marionette lines
- Flatter cheeksMid-face volume moving downward
- Heavier browsHooding over the upper eyelids
Areas we treat
Cheeks & mid-face
- RF microneedling
- Sculptra®
- Radiesse®
Jawline & jowls
- RF microneedling
- Radiesse®
- PDO threads
Neck
- Neck Restoration Program
- Gold Standard Neck Combo
Brows
- PDO brow lift
Arms
- Body Tightening: Arms
Abdomen
- Body Tightening: Abdomen
Thighs
- Body Tightening: Thighs
What causes it?
Natural aging
Collagen production slows from your mid-20s, and elastin fibers weaken over time.
Sun exposure
UV light breaks down collagen and elastin. It’s the biggest cause you can control.
Weight change
Significant weight loss can leave skin that has stretched without the support underneath.
Volume loss
Fat pads and bone in the face gradually shrink, so skin has less to drape over.
Lifestyle
Smoking, poor sleep and dehydration all speed up collagen breakdown.
Three ways to firm & lift
Stimulate new collagen in the skin itself with RF microneedling.
Replace lost volume and structure with collagen-stimulating injectables.
Reposition tissue with dissolvable PDO threads.
Tighten
Face Firming Program (RF Microneedling + PRP)
Best for: Mild to moderate laxity and crepiness on the face
- Sessions
- 3, about 4 weeks apart
- Downtime
- Redness for 1–3 days
- Results
- Gradual over 3–6 months
Neck Restoration Program
Best for: Crepey or loose skin from jawline to collarbone
- Sessions
- 3, about 4 weeks apart
- Downtime
- Redness for 1–3 days
- Results
- Gradual over 3–6 months
Total Face & Neck Firming Combo
Best for: Treating face and neck together
- Sessions
- 3, about 4 weeks apart
- Downtime
- Redness for 1–3 days
- Results
- Gradual over 3–6 months
Body Tightening Programs
Best for: Arms, abdomen and thighs
- Sessions
- Multi-session program
- Downtime
- Redness for a few days
- Results
- Gradual over several months
Rebuild support
Sculptra®
Best for: Overall volume loss and thinning skin
- Sessions
- Usually 2–3
- Downtime
- Minimal
- Results
- Gradual over several months
Radiesse®
Best for: Jawline, cheeks and structure
- Sessions
- Usually 1–2
- Downtime
- Possible swelling or bruising
- Results
- Right away, improving over weeks
Gold Standard Neck Rejuvenation Combo
Best for: Horizontal neck lines and crepey neck skin
- Sessions
- 1 procedure
- Downtime
- Possible swelling or bruising
- Results
- Within about 2 weeks
Compare all options side by side
| Treatment | How it works | Sessions | Downtime | Results | Price |
|---|---|---|---|---|---|
| Face Firming Program (RF Microneedling + PRP) | Radiofrequency (RF) energy delivered through fine needles, plus PRP | 3, about 4 weeks apart | Redness for 1–3 days | Gradual over 3–6 months | $2,399 |
| Neck Restoration Program | Focused RF microneedling plus PRP | 3, about 4 weeks apart | Redness for 1–3 days | Gradual over 3–6 months | $1,999 |
| Total Face & Neck Firming Combo | Combined RF microneedling plus PRP | 3, about 4 weeks apart | Redness for 1–3 days | Gradual over 3–6 months | $3,499 |
| Sculptra® | Injectable that stimulates your own collagen | Usually 2–3 | Minimal | Gradual over several months | 1 vial · $750 |
| Radiesse® | Injectable that adds volume and supports collagen | Usually 1–2 | Possible swelling or bruising | Right away, improving over weeks | 1 syringe · $799 |
| Gold Standard Neck Rejuvenation Combo | Radiesse®, HA line filler and neuromodulator micro-dosing | 1 procedure | Possible swelling or bruising | Within about 2 weeks | $2,200 |
| PDO Thread Treatment | Dissolvable threads placed under the skin | Usually 1 | Mild swelling or tenderness | Your provider explains what to expect at consultation | From $800 |
| Body Tightening Programs | Acoustic wave therapy, RF microneedling and PRP | Multi-session program | Redness for a few days | Gradual over several months | From $1,799 |
Your typical plan
- ConsultationYour provider assesses your skin, anatomy and goals, and gives you a written plan with the total price.
- Treatment seriesMost tightening plans are 3 sessions about 4 weeks apart. Injectables are often done in 1–2 visits.
- Results buildCollagen takes time. Most people see steady improvement over 3–6 months.
- MaintainA yearly touch-up session helps keep results as your skin continues to age.
An honest note: Non-surgical treatments work best for mild to moderate laxity. If you have a lot of loose skin, a surgical opinion may serve you better, and we’ll tell you that at your consultation.
Frequently asked
Still unsure? Call us and we’ll talk it through.
Can loose skin be treated without surgery?
Yes, for mild to moderate laxity. RF microneedling, collagen-stimulating injectables and PDO threads can improve the look of loose skin without incisions. Results are more subtle than a surgical lift, and more advanced laxity may need a surgical opinion.
What is the best treatment for sagging skin?
It depends on the cause. If the skin itself is thin and crepey, RF microneedling is usually the starting point. If the face has lost volume, Sculptra® or Radiesse® restore support. Many people get the best result from a combination. Your provider will recommend a plan after assessing you.
Does RF microneedling really tighten skin?
RF microneedling delivers controlled heat into the deeper layers of the skin, which triggers your body to produce new collagen and elastin. The change is gradual and builds over several months. Results vary from person to person.
How many treatments will I need?
Most RF microneedling programs are 3 sessions about 4 weeks apart. Sculptra® is usually 2–3 sessions. Radiesse® and PDO threads are often a single visit. Your provider confirms the plan and total price before you start.
Is there downtime?
Expect redness for 1–3 days after RF microneedling. Injectables and threads can cause some swelling, tenderness or bruising for a few days. Most people return to work the same day or the next.
Can treatments be combined?
Yes. Combining approaches is common: for example, RF microneedling to tighten the skin with Sculptra® or Radiesse® to restore volume. Your provider will plan the order and spacing.
When will I see results, and how long do they last?
Injectables show a change right away. Collagen-based results build over 3–6 months and can last a year or longer. Your skin keeps aging, so many people plan a yearly maintenance session.
Who shouldn’t have these treatments?
Some treatments aren’t suitable during pregnancy or breastfeeding, with active skin infections, certain medical conditions or some medications. Your provider reviews your health history before recommending anything.
Start with a consultation.
Your provider assesses your skin and goals and gives you a written plan with the total price before anything is booked.