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Crepey, loose skin is one of the classic signs of aging, but it’s not one you have to live with. Gone are the days when surgery was your only option for correcting that telltale symptom of growing old. Today, you have multiple noninvasive and minimally invasive choices for tightening your lax skin and turning back the clock.

Dr. Michael Tachuk, director of the California Academy of Cosmetic Surgery and founder of Viva Wellness Medical Group, is an anti-aging expert. At our state-of-the-art facility in San Diego, California, he helps patients throughout Southern California achieve their aesthetic goals through advanced procedures that produce dramatic results. When it comes to skin tightening, he offers three remarkable nonsurgical technologies to address all types of skin laxity issues.


The reason your skin has begun to sag and wrinkle is that it’s lost its internal structure. Specifically, it’s lost collagen and elastin, the two proteins responsible for the suppleness and resilience of your skin. It’s also lost the essential layer of fat just beneath the surface that made your skin look plump and young. As a result, your skin becomes thinner, succumbs to gravity, and shrivels a bit.

But ultrasound can help you regain what you’ve lost. Dr. Tachuk uses Ultherapy®, an FDA-cleared handheld device that delivers targeted ultrasound energy to the layers of your skin. Ultrasound energy penetrates your skin’s outer layer and reaches very specific depths predetermined by Dr. Tachuk. This stimulates your body to ramp up its collagen production.

Ultherapy isn’t instant — you see results in a couple of months — but many of our patients are very pleased with the treatment. The increased collagen significantly tightens the skin on your face, neck, and chest.


Like ultrasound, radiofrequency stimulates collagen production, but it uses a different technology. Radiofrequency relies on focused heat to pass through your skin layers and trigger a healing response.

Dr. Tachuk uses ThermiSmooth®, a hand-held device that allows him to control the temperature and give you a comfortable, pleasant experience. The radiofrequency energy doesn’t penetrate as far as ultrasound energy, focusing mainly on the epidermal layer. It usually takes 2-3 treatments, but once your collagen production kicks in, your skin plumps up and your wrinkles smooth out.

If your lax skin could also use a little reshaping along with your tightening treatment, Dr. Tachuk offers ThermiTight®. This procedure involves a minimally invasive technique that reaches your inner skin layers with a slender probe to deliver the radiofrequency energy directly to uneven areas of your skin on your neck, breasts, abdomen, thighs, knees, and arms to recontour your silhouette.

Radiofrequency can even improve the appearance and tautness of your vagina. Just like the skin on your face and hands, your vaginal walls can become loose, too. ThermiVa® tightens that delicate skin and makes sex more enjoyable again.


If you have minor scars, large pores, or stretch marks along with your saggy skin, microneedling is a technology Dr. Tachuk can use to correct all of these issues at the same time.

The Infini™ RF microneedling hand-held device makes hundreds of tiny pinprick-sized holes in your skin, which your body treats as wounds, while also sending radiofrequency energy into the deeper layers of your skin. Internally, your body goes to work healing those wounds by sending collagen, increasing blood flow, and even regenerating epithelial cells. You see some results right away, but they peak in a couple of months.

Combo treatments may be best

Radiofrequency, ultrasound, and microneedling are each exceptionally effective on their own, but you may see even more dramatic results if you team up your treatments. Dr. Tachuk offers a full spectrum of skin-beautifying treatments, such as chemical peels, dermal fillers, platelet-rich plasma, Botox®, and more.

If you’re dealing with the signs of aging and wish you could tighten your sagging skin, you’ve come to the right place. Call us at (619) 222-5433, or request a consultation online. Tighter skin is easier than you think.

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