Nonsurgical skin tightening can improve mild to moderate laxity, crepey skin, fine lines, and early loss of definition without surgery. Carolina Facial Plastics in Charlotte offers advanced radiofrequency, microneedling, plasma, and laser treatments for the face, jawline, neck, and other areas.
The right treatment depends on your skin, degree of laxity, treatment area, and desired recovery time.
Treatment may be appropriate for the:
More advanced sagging, significant excess skin, or prominent neck bands may require a facelift or neck lift for greater correction.
Carolina Facial Plastics offers several technologies because different skin concerns require different approaches.
Sylfirm X combines radiofrequency with microneedling to stimulate collagen and elastin. It can improve skin laxity while also addressing redness, pigmentation, and uneven texture.
Virtue RF delivers radiofrequency energy through microneedles at controlled depths. It can improve mild to moderate laxity, fine lines, enlarged pores, and acne scars.
Subnovii uses plasma energy to stimulate collagen production. It is especially useful for smaller or delicate areas, including the eyelids, crow’s feet, lip lines, and neck.
CoolPeel® uses fractional CO2 laser technology to improve fine lines, sun damage, texture, and mild laxity while generally requiring less recovery than deeper CO2 resurfacing.
Ultimate Duo combines Virtue RF microneedling with CoolPeel. This allows the treatment to address laxity below the skin while improving surface texture, fine lines, and sun damage.
CO2 resurfacing may be appropriate when skin laxity occurs alongside deeper wrinkles, significant sun damage, or more advanced textural concerns. It typically involves more recovery than lighter laser treatments.
Laser Genesis can support collagen production while improving redness and overall skin quality. Moxi is better suited for early aging, pigmentation, sun damage, and uneven tone rather than significant skin laxity.
Treatment begins with an evaluation of your skin, concerns, medical history, and goals. Your provider will recommend the technology and treatment intensity most appropriate for your needs.
Recovery varies by procedure. RF microneedling may cause temporary redness, swelling, or sensitivity, while plasma treatments and deeper CO2 resurfacing may require more visible healing.
Collagen production develops gradually. Improvements may become noticeable over several weeks and continue for several months.
At your consultation, one of our experienced providers will listen to what is bothering you about your skin. They’ll assess your skin’s quality, elasticity, and laxity to determine the best treatment(s) for you. Together, you’ll make a plan to target your trouble spots and get the firm, youthful skin you want.
Your provider starts by cleaning your skin and applying numbing cream. In addition to topical numbing gel, Pro-Nox™ is available to help make your treatment more comfortable. You control the nitrous oxide yourself so you can stay relaxed during the procedure.
Our team uses the skin-tightening device to send energy to the areas you want to target. Your comfort is very important to us. No matter which pain management option you choose, our team will keep checking in to make sure you’re comfortable. Most treatments take 30-90 minutes, depending on the device and how many areas you’re treating.
Your provider will tell you how to take care of your skin for the best results after your treatment. They’ll suggest medical-grade cleansers, moisturizers, and sunscreen. If you don’t have the right products at home, our skincare store has everything you need to protect your skin while it heals.
We’ll also set up a follow-up visit to see how you’re doing and make any changes to your plan if we need to. Our providers will help you create a skincare routine that works with your in-office treatments to maintain your results.
Carolina Facial Plastics is led by Jonathan Kulbersh, MD, a double board-certified facial plastic surgeon whose practice focuses on the face and neck. His expertise supports both surgical and nonsurgical treatment planning.
Patients are supported by an experienced team of injectors, nurses, and physician assistants. Treatment recommendations consider each patient’s skin concerns, anatomy, and aesthetic goals.
With access to multiple laser, radiofrequency, microneedling, and energy based technologies, the team can recommend the treatment or combination best suited to each patient rather than relying on a single device.
Carolina Facial Plastics has been recognized by the BOB Awards as the #1 MedSpa and #1 Facial Plastic Surgeon in Charlotte, reflecting its reputation for both surgical and nonsurgical facial aesthetic care.
“Carolina Facial Plastics is a superb place to receive cosmetic/aesthetic procedures. Heather is a fantastic clinician and truly listens to what your skin concerns are. She develops a treatment plan that takes into account my goals, my timeline and my budget. What more could you ask for? So happy to be your patient Carolina Facial Plastics!”
The best treatment depends on the amount of skin laxity, treatment area, and other concerns you want to address. Virtue RF and Sylfirm X are strong options for stimulating collagen and improving mild to moderate laxity. CoolPeel and CO2 resurfacing may be more appropriate when loose skin is accompanied by wrinkles, sun damage, or uneven texture. A consultation helps determine which treatment or combination can provide the most appropriate results.
Yes. Nonsurgical skin tightening can improve mild to moderate neck laxity and crepey skin by stimulating new collagen. Virtue RF, Sylfirm X, Subnovii, and CoolPeel are among the options available at Carolina Facial Plastics. However, significant excess skin, prominent neck bands, or more advanced sagging may be better addressed with neck lift surgery.
RF microneedling is often a better choice when skin laxity and collagen loss are the primary concerns. Laser resurfacing is especially beneficial when tightening is needed along with fine lines, pigmentation, sun damage, or uneven texture. Because the treatments work differently, some patients benefit from combining RF microneedling and laser resurfacing. Ultimate Duo combines Virtue RF with CoolPeel to address both deeper collagen remodeling and surface concerns.
The number of treatments varies based on the technology used, degree of laxity, and desired results. Some treatments, including RF microneedling, may be recommended as a series to build gradual collagen improvement. More intensive laser resurfacing may follow a different treatment schedule. Your provider will recommend the appropriate number of sessions after evaluating your skin.
Nonsurgical skin tightening results can last for months or longer, depending on the treatment, your skin, and the natural aging process. Collagen production and remodeling may continue for several months after treatment, allowing results to develop gradually. Maintenance treatments may be recommended to help preserve improvement over time. Sun protection and a consistent skincare routine can also support long-term skin quality.
Surgery may be more appropriate when there is significant excess skin, pronounced jowling, visible neck bands, or deeper tissue descent. Nonsurgical treatments can improve mild to moderate laxity and skin quality, but they cannot remove substantial excess skin or reposition deeper facial tissues. A facelift or neck lift can provide more extensive correction when aging changes have progressed beyond what energy-based treatments can reasonably address.
