Double board-certified dermatology in Ponte Vedra Beach

Monday to Friday, 8:30 am to 3:30 pm (904) 686-7771

Facial rejuvenation

Sagging Skin and Skin Tightening in Ponte Vedra Beach

Lift and firm jowls, the neck and loose skin on the face and body without surgery, with the technology matched to how much laxity you have.

Common areas Jowls, neck, face and body
Appearance Loose or sagging skin
Primary causes Collagen and elastin loss
Treated with Exion, Sofwave, Emface, Ellacor

What is the best non-surgical treatment for sagging skin?

Short answer

It depends on how much laxity you have and where. For mild to moderate sagging, Sofwave, Emface and Exion Face stimulate new collagen to lift and firm with no downtime. For more significant laxity, Ellacor removes tiny cores of excess skin. Exion Body and RF microneedling tighten loose skin on the abdomen, arms and thighs.

Sagging comes from losing two proteins in the dermis. Collagen gives skin its firm framework, and elastin lets it stretch and snap back. From our late twenties we make less of both every year, and with gravity the weakened structure begins to droop into jowls, a loose neck and slack skin on the body.

Creams can hydrate but cannot reach deep enough to rebuild that structure. For years the only real fix was a facelift. Today, non-surgical devices can heat or stimulate the deep dermis to make new collagen and elastin, tightening skin from the inside out without surgery or long recovery.

Contributing factors

What makes skin sag sooner

  • Sun exposure

    UV radiation breaks down collagen and elastin faster and impairs the skin's ability to make new, healthy proteins.

  • Significant weight loss

    Skin stretched by weight gain may lack the elasticity to shrink back afterward, especially after rapid loss or weight carried for years.

  • Genetics

    Some people inherit less collagen or lose it faster, so laxity comes earlier or more noticeably.

  • Smoking

    Smoke damages collagen and elastin and constricts blood vessels, starving skin of the oxygen and nutrients it needs to repair.

Exion Face

What Exion Face treats

Exion Face boosts the three building blocks of youthful skin: collagen for structure, elastin for resilience and hyaluronic acid for hydration and volume.

  • Loss of firmness and elasticity

    By raising elastin production by 50%, Exion Face restores bounce and gives a firmer, more lifted look.

  • Dehydration and loss of volume

    Hyaluronic acid holds moisture in the skin. Exion Face raises it by 224%, restoring hydration and plumpness from within.

  • Fine lines and wrinkles

    New collagen and elastin smooth lines on the forehead, around the eyes and on the cheeks.

  • Dull, uneven tone

    Stimulating cell renewal and collagen brightens a tired, lackluster complexion.

  • Enlarged pores and rough texture

    Tightening and refining the skin minimizes the look of pores for a smoother surface.

  • Deflation after GLP-1 weight loss

    Skin that has lost volume and hyaluronic acid after Ozempic or other GLP-1 weight loss can benefit. Read how to fix Ozempic face.

Other options

More ways we tighten skin

Each technology suits a different degree of laxity and a different part of the body.

  • Sofwave

    Ultrasound FDA-cleared to lift the brow and lax tissue under the chin and neck. Often one session, no downtime. About Sofwave

  • Emface

    Radiofrequency plus muscle stimulation lifts by treating skin and muscle together. Four 20-minute sessions, no needles. About Emface

  • Ellacor micro-coring

    Removes tiny cores of excess skin for moderate to severe laxity and jowls. 5 to 7 days of downtime. Ellacor in detail

  • Exion Body

    Radiofrequency and ultrasound to tighten loose skin on the abdomen, arms and thighs, with no downtime. Body contouring

  • Aerolase Neo

    A gentle, pain-free laser with a 650-microsecond pulse that tightens skin in all skin types, with no downtime. Laser resurfacing

  • Exion RF Microneedling

    AI-controlled radiofrequency microneedling for deep collagen remodeling on the face and body. Red for 24 to 48 hours. About microneedling

A woman resting outdoors on green grass in the sun

Which tightening treatment fits your skin?

The right choice depends on the area, the degree of laxity and your goals. Most people with mild to moderate sagging are good candidates for non-surgical tightening, especially if they want a noticeable improvement without the downtime and risks of surgery.

Because these treatments rebuild your own collagen, results last, usually a year or more. Aging continues, so we recommend maintenance, typically once a year.

  • Mild to moderate jowls, neck or brow: Sofwave, Emface or Exion Face
  • More significant laxity: Ellacor, which physically removes micro-portions of excess skin
  • Loose skin on the body: Exion Body for the abdomen, arms and thighs; RF microneedling for texture and firmness
  • Sessions: Emface and Exion usually in a series; Sofwave often one session; Ellacor and RF microneedling 2 to 4
  • Compare the technologies in Skin tightening treatments: RF microneedling, ultrasound and more

How Exion Face works

Exion Face is the first and only non-invasive device to combine monopolar radiofrequency with targeted ultrasound. Controlled heat reaches deep into the dermis and prompts fibroblasts to make new hyaluronic acid, collagen and elastin. The ultrasound component spreads the energy evenly for consistent, predictable results.

In clinical studies, Exion Face increased hyaluronic acid by 224% and elastin by 50%, with significant new collagen, improving firmness, hydration, texture and tone. Because it works with your own biology rather than adding product, results build naturally and progressively.

Exion Face is FDA-cleared to heat tissue for selected medical conditions, such as temporary relief of pain and muscle spasms and increased local circulation. It suits men and women of any skin type or tone.

Exion Face treatment in the clinic

Exion Face sessions, recovery and results

Each session takes 20 to 30 minutes. The applicator delivers warmth that most patients find relaxing, with no needles and no pain. There is no downtime at all: you can go back to work, exercise and makeup right away.

Most patients have 3 to 4 sessions, 1 to 2 weeks apart. Many notice better texture and radiance after 2 to 3 sessions, with optimal results 4 to 8 weeks after the series. Results last 6 to 12 months or longer, and some patients choose periodic maintenance sessions.

  • Before: avoid sun and tanning for two weeks; arrive with clean, makeup-free skin
  • Side effects: temporary redness, warmth and mild swelling that settle within a few hours; serious effects are extremely rare
  • To keep results: protect your skin from the sun and maintain a healthy lifestyle

Exion Face treatment overview

What to expect with Exion Face

  1. 01

    Consultation

    Dr. Cappel assesses your skin and goals, confirms Exion Face is right for you and plans your sessions.

  2. 02

    Preparation

    Avoid sun exposure and tanning for at least two weeks. Arrive with clean, makeup-free skin.

  3. 03

    Treatment

    Your skin is cleansed and the applicator delivers radiofrequency and ultrasound energy. 20 to 30 minutes.

  4. 04

    Aftercare

    No downtime. Any redness, warmth or mild swelling settles within a few hours.

  5. 05

    Series

    Three to four sessions, scheduled 1 to 2 weeks apart.

  6. 06

    Results

    Optimal 4 to 8 weeks after the series, lasting 6 to 12 months or longer.

Suitability

Is non-surgical skin tightening right for you?

A good fit if

  • You have mild to moderate sagging on the face, jowls, neck or body
  • You want a more defined jawline or a lifted brow without a facelift
  • You have loose skin on the abdomen, arms or thighs after weight loss or pregnancy
  • You want to stimulate collagen early to keep skin firm as you age
  • You want little or no downtime and natural, progressive results

Not the right treatment if

  • For Exion Face: you are pregnant
  • For Exion Face: you have metal implants in the treatment area
  • You have an active infection or skin condition in the treatment area
  • You have a history of skin cancer in the treatment area
  • You have severe laxity with a lot of excess skin, which energy-based devices cannot remove

For excess skin and deep wrinkles, see Ellacor on our wrinkles page. For ultrasound lifting, see Sofwave.

Compared

Skin tightening options compared

Comparison of skin tightening treatments offered at Dermagnify
TreatmentHow it worksPrimary targetBest for
SofwaveSynchronous ultrasound parallel beamLaxity, fine linesLifting the brow, neck and under the chin with no downtime
EmfaceSynchronized radiofrequency and muscle stimulationLaxity and muscle toneLifting the face by treating skin and muscle together
Exion Face and BodyMonopolar radiofrequency and targeted ultrasoundLaxity, texture, hydrationTightening and boosting hyaluronic acid on the face and body
EllacorMicro-coring removes up to 8% of skinModerate to severe laxityRemoving excess skin in the lower face and body
Exion RF MicroneedlingAI-controlled radiofrequency microneedlingLaxity, texture, wrinklesDeep collagen remodeling and significant tightening

Results

Patient results

  • Before Exion Face After Exion Face Before After
    Exion Face · Female, age 25 to 34

Individual results vary. Photographs depict actual outcomes for specific patients and are not a guarantee of the results any individual patient will experience.

Cost

What skin tightening costs

Pricing

Exion Face is priced by the areas treated and the number of sessions in your plan, typically 3 to 4. We give you transparent pricing at your consultation and build a plan that fits your budget, with flexible payment options and package pricing available. Sofwave, Emface and Ellacor are also quoted at consultation.

Costs vary with the number of sessions and the areas treated. We give you transparent pricing at your consultation, before any treatment. Cost and payment options

Questions

Questions about Skin Tightening

It depends on how severe the jowling is. For mild to moderate laxity, Sofwave, Emface and Exion lift and tighten well. For more significant laxity, Ellacor physically removes micro-portions of excess skin.

It varies by technology. Exion Face is usually 3 to 4 sessions and Emface a series of four. Sofwave often works in one session, and Ellacor and RF microneedling usually take 2 to 4.

Usually not. Sofwave, Emface, Exion and Aerolase Neo let you return to daily life immediately. RF microneedling and Ellacor can mean a few days of redness and swelling, far less than surgery.

Because these treatments build your own collagen, most patients enjoy results for a year or more. Exion Face results last 6 to 12 months or longer. We recommend maintenance, typically once a year.

Yes. Exion Body is designed to tighten loose skin on the abdomen, arms and thighs, and RF microneedling improves texture and firmness on body areas too.

No. You feel a warm, comfortable sensation as the device heats the skin, and most patients find it relaxing. There are no needles.

Many patients notice better texture and radiance after 2 to 3 sessions. Optimal results show 4 to 8 weeks after the full series as hyaluronic acid, collagen and elastin production continues.

Where

Skin Tightening in Ponte Vedra Beach, FL

At our office at 100 Executive Way, Suite 114, Ponte Vedra Beach, under the care of Dr. Cappel, a double board-certified dermatologist and dermatopathologist.

Patients see us from Ponte Vedra Beach, Ponte Vedra, Nocatee, Jacksonville Beach, Atlantic Beach, Neptune Beach, Jacksonville, St. Augustine and Palm Coast and across Northeast Florida.

  • HoursMonday to Friday, 8:30 am to 3:30 pm
  • Phone(904) 686-7771
  • PaymentSelf-pay, credit cards, CareCredit and Cherry

Also consider

Treatments that pair with this one

  • Sofwave
    Face

    Sofwave

    FDA-cleared ultrasound to lift the brow, neck and under the chin, usually in one session.

    Details
    Read about Sofwave
  • Emface
    Face

    Emface

    A needle-free lift that treats facial skin and muscle at the same time.

    Details
    Read about Emface
  • Body Contouring
    Body

    Body Contouring

    Exion Body and Emsculpt Neo for loose skin, stubborn fat and muscle tone.

    Details
    Read about Body Contouring

Book a visit

See a double board-certified dermatologist in Ponte Vedra Beach

Dermatology visits, aesthetic consultations and wellness plans all start the same way: a careful assessment by Dr. Cappel and a plan built around your skin, your health and your goals.

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