Sagging Skin
As collagen and elasticity decline with age, skin begins to sag on the face, neck, and under the chin. Our advanced, non-surgical treatments tighten skin, restore volume, and improve facial contours for visible firming and natural-looking results without surgery or lengthy downtime.
Sagging Skin and Volume Loss Treatments Can Give You
Firmer skin
Thermisculpt™ and laser treatments can stimulate collagen and elastic fiber production to improve skin strength and support lax skin.
Improved lift
Injectables and laser technologies help elevate areas affected by skin laxity for a more supported appearance.
Enhanced contour
Restoring structure improves facial shape and balance, especially through the cheeks and jawline.
Restored volume
Dermal fillers and biostimulators replenish lost volume that contributes to sagging skin on the face.
Defined jawline
Targeted treatments improve definition along the jawline and reduce heaviness caused by volume loss.
Smoother neck
Nonsurgical skin tightening treatments address sagging neck skin for a firmer, more defined profile.
ThermiSculpt Treatment for Sagging Skin
ThermiSculpt is a proprietary treatment designed to improve moderate to advanced sagging skin by targeting the deeper structural causes of skin laxity. It combines microliposuction with radiofrequency skin tightening to enhance firmness, contour, and support in the lower face, jawline, and under the chin. By stimulating collagen and elastic fiber production, ThermiSculpt delivers noticeable skin tightening without the need for traditional surgery.
ThermiSculpt³ Treatment Benefits
Targets moderate to advanced skin laxity
Improves sagging skin under the chin and along the jawline
Tightens deeper tissue to support facial structure
Stimulates collagen and elastic fiber production
Enhances facial contour and definition
Supports long-term skin firmness and stability
Hear Why ThermiSculpt is Our Most Requested Treatment
ThermiSculpt³ Structural Skin Tightening
Non Surgical Facelift Results with Thermisculpt
The Best Nonsurgical Treatment for Skin Laxity
Ultherapy Treatment to Reduce Sagging Skin and Neck
Educational Webinar: Lift & Tighten Sagging Skin Without Surgery
Take5 Treatment to Reduce Sagging Skin and Aging
Rejuvenate Your Skin and Reduce Sagging Skin
Take5™ Skin Tightening Treatment
Take5 is a proprietary combination laser treatment designed to help patients look up to five years younger in a single, carefully planned session. This exclusive approach layers two or more advanced laser, light, and energy devices to address early visible signs of aging, including uneven texture, dull tone, and loss of skin vitality.
By working at multiple levels of the skin, Take5 supports the production of collagen, elastic fibers, and hyaluronic acid to enhance overall skin quality and radiance. Available exclusively at Cosmetic Laser Dermatology, each Take5 treatment is customized and performed by board-certified dermatologists to deliver a smoother, more refreshed, and naturally youthful appearance with minimal downtime.
Take10™ Advanced Combination Treatment for Skin Laxity
Take10 is a proprietary treatment designed to support a more youthful-looking appearance. This comprehensive approach combines three or more advanced laser, light, and energy devices to address visible signs of aging in the face and neck, including changes in texture, tone, and overall skin quality.
By treating both the skin’s surface and deeper layers, Take10 stimulates collagen, elastic fibers, and hyaluronic acid to help skin appear smoother, more refreshed, and revitalized. Each treatment is carefully customized and performed by board-certified dermatologists to deliver noticeable skin tightening while preserving a natural, balanced appearance.
Understanding Sagging Skin and Volume Loss
Sagging skin occurs when the structural support of the skin weakens due to the gradual loss of collagen, elastic fibers, hyaluronic acid, fat, muscle and bone. This process often leads to sagging skin on the face, sagging neck skin, sagging skin under the chin, and sagging skin after weight loss.
Injectable Volume Restoration
Dermal fillers and biostimulators rebuild lost structure and support, improving lift and contour in key facial areas.
Energy-Based Skin Tightening
Ultrasound and radiofrequency treatments stimulate collagen and elastic fiber production to tighten loose skin.
Laser-Based Firming
Laser treatment for sagging skin promotes collagen and elastic fiber remodeling and improves skin strength and firmness.
Proprietary Combination Treatments
Advanced multi-device combinations address skin laxity and volume loss in a single, comprehensive approach.
Sagging Skin Treatments
Cosmetic Laser Dermatology offers one of the most comprehensive non surgical treatment selections available to address sagging skin and volume loss. Treatments are often combined for optimal tightening and long-term improvement.
Injectable Dermal Fillers and Biostimulators
- Juvederm® Dermal Fillers including, Voluma, Vollure XC, and Volbella
- Restylane® Fillers including Refyne and Defyne
- Radiesse® for skin laxity and collagen stimulation
- Belotero® for fine superficial lines
- Sculptra® for jowls and volume loss
Liquid Facelift
A liquid facelift is a nonsurgical approach that combines fillers and neuromodulators to improve sagging skin on the face with minimal downtime.
Non-Invasive and Minimally Invasive Skin Tightening
- Ultherapy® for sagging neck skin treatment and facial lifting
- Thermage FLX® radiofrequency skin tightening
- Silhouette InstaLift® for immediate lift and collagen support
- Sofwave can stimulate production of collagen and elastic fibers, improving skin firmness with minimal downtime.
Laser Skin Resurfacing
Advanced laser skin resurfacing treatments at Cosmetic Laser Dermatology are designed to improve skin quality by stimulating collagen and elastic fiber production and supporting fibroblast activity in the face, neck, and décolletage. By encouraging controlled skin renewal at multiple levels, these treatments help refine texture, even tone, and enhance overall skin clarity while supporting long-term skin health.

Hear From Our Happy Patients
I trust Farzaneh Momeni completely with my skin. She is by far the best clinical aesthetician I’ve ever known. My skin has improved dramatically since I began monthly facials with her. Her treatments are 100% results-driven so if this is what you seek, look no further. Also, the entire Team at West Dermatology are top-notch. They’re always friendly, professional, & helpful, & greet everyone with a smile. 10 Stars all around!
My new regular cosmetic dermatology office. Dr Zubair is amazing and really patient with me. He has helped me over the last year with keloid scar removal, jaw Botox, and full facial acne scar treatment (ultra clear). The office is clean and the nursing/medical assistant staff is accommodating on all levels. I will always recommend this office and Dr Zubair to friends and family.
Most professional and most impressive! The service from the physicians to office staff is superb!
I live in Orange County and drove all the way out to see Dr. Wu because a friend of mine referred him (she had amazing results from her face and neck procedure). Dr. Wu is truly an artist! He made me feel extremely comfortable during my procedure. I was anxious when I got there, but he (and his staff) have such great energy and are so very kind and gentle that you can't help but feel at ease! The office was immaculate and they adhered to covid rules (sanitizing, temp checks, masks). This is my go-to place from now on and Dr. Wu is my go-to guy! Can't wait to see my final results! Thank you Phyllis (pre-op) for being so wonderful and informative! You were so very helpful and kind! I'll definitely be back!
Leysin and the entire team at Cosmetic Laser Dermatology are fantastic. They are professional, caring and communicative. The laser treatment was comfortable, efficient and effective! I highly recommend this practice. I definitely will come back and recommend her and Cosmetic Laser Dermatology to my family and friends.
Dr. Goldman is amazing! I came here for my permanent eyeliner removal (which is not offered anywhere near me), and they are completely removed in just one session. They use a special contact lens to protect your eyes from the laser, and there are no damages to my eyelashes. The healing was also nice and smooth. They have everything you need. I live almost 3 hours away, but it was totally worth the trip. For anyone who is looking to remove their permanent makeup, this is the right place to go :)-
Dr. Butterwick is fantastic, all of her team as well. They make sure your experience is pleasant and painless as possible. My tattoo removal and my injectables look amazing. I highly recommend her for any skin treatment.
Cosmetic Laser Dermatology was recommended to me by my dermatologist. He recommended Dr. Monica Boen. I'm so glad I took his recommendation. Everyone here at Cosmetic Laser Dermatology was super nice and friendly. Very welcoming. I came here for hair removal treatment. I did 4 sessions with Dr. Boen. Dr. Boen made me feel so comfortable and at ease when I talked to her. She explained everything before she did my treatment. I loved that. She was really easy to talk to. I definitely will come back and recommend her and Cosmetic Laser Dermatology to my family and friends.
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!
"Dr. Sabrina Fabi is genius! Her technique is unlike anyone, her eye is precise, and her kindness and caring manner comes from the depth of her soul. She's simply brilliant! It's no wonder people travel the country just to be treated by her."
I wish I could give them 10 stars! I had such an awesome experience for my first visit and I am referring everyone I know to this office. From the super friendly staff to the state of the art procedures, they are the cream of the crop.
“I came to participate in a research study. All of the Doctors and staff at C.L. Dermatology are very professional, warm and friendly. All our my needs were anticipated and the hospitality of this office is like a five star hotel.”
Why You Will Love Us
Expert Consultations
A detailed evaluation of facial structure, volume loss, and skin laxity to guide precise treatment selection.
Advanced Technology
Access to over 60 laser, light, and energy devices, along with leading injectable options.
Proprietary Combination Care
Take5 and Take10 treatments are designed to help you take years off your face while delivering lasting value through advanced, board-certified dermatologists guided care.
Natural-Looking Results
Every approach prioritizes balance, structure, and refined definition without an overdone appearance.
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).
Sagging Skin FAQs
Sagging skin develops when the skin loses its underlying support structure over time. As collagen, elastic fibers, hyaluronic acid, fat, and even bone gradually decline, the skin becomes less firm and more prone to laxity. This process commonly affects areas such as sagging skin on the face, sagging neck skin, and sagging skin under the chin. Genetics, sun exposure, weight fluctuations, and lifestyle factors can all accelerate these visible changes.
Yes, sagging skin can often be effectively treated without surgery using advanced non surgical solutions. ThermiSculpt is a leading option for moderate to advanced skin laxity, targeting deeper structural causes of sagging skin for noticeable tightening. Take5 and Take10 combination treatments also play an important role by stimulating collagen and elastic fiber production while improving overall skin support. These approaches deliver meaningful improvement with minimal downtime.
ThermiSculpt directly targets the deeper structural contributors to sagging skin, making it especially effective for moderate to advanced skin laxity. By combining radiofrequency skin tightening with structural support techniques, it improves firmness and contour in areas like the jawline and under the chin.ThermiSculpt³ also supports fibroblast activity to stimulate collagen and elastic fiber production, contributing to gradual, long-term improvement in skin support and definition. It is often recommended when noticeable tightening is desired without traditional surgery.
Sagging skin after weight loss is very common and highly treatable with non surgical skin laxity treatments. ThermiSculpt is particularly effective for addressing loose skin caused by structural changes following weight loss, especially in the lower face and under the chin. Treatments such as Take10 may be recommended when volume loss and laxity occur together. Combining tightening and volume restoring technologies helps improve contour and firmness without surgery.
Juvederm dermal fillers help counter sagging skin by replacing lost volume and reinforcing facial structure. By restoring support in areas such as the cheeks, jawline, and chin, fillers create a lifting effect that improves facial contour. They are especially effective for sagging skin on the face and sagging skin under the chin when volume loss is a contributing factor. Results are visible immediately and continue to refine as the filler settles.
Sculptra for jowls is a biostimulatory injectable that works by stimulating your body’s natural collagen and elastic fiber production. Rather than providing instant volume, it gradually improves skin laxity and firmness over time. This makes it ideal for addressing jowls and lower face sagging where long term structural support is needed. Results develop progressively and can last for several years with proper maintenance.
Sagging skin treatments can target multiple areas of the face and neck. Common treatment areas include sagging skin on the face, sagging neck skin, the jawline, cheeks, and sagging skin under the chin. ThermiSculpt is especially effective for lower face and neck laxity, while Take5 and Take10 can address broader skin concerns. Treatment plans are customized based on anatomy and goals.
The right treatment is selected through a comprehensive consultation with a dermatologist. Factors such as skin thickness, degree of laxity, volume loss, facial structure, and lifestyle are carefully evaluated. Many patients benefit from a combination approach using injectables, laser treatment for sagging skin, and energy based technologies. This strategic planning ensures natural looking results that align with individual goals.
Sofwave is a noninvasive skin tightening treatment that uses advanced ultrasound energy to target the mid dermal layer, where collagen and elastic fiber production plays a critical role in skin firmness. By stimulating new collagen and elastin, Sofwave helps improve mild to moderate skin laxity while supporting smoother, tighter looking skin over time. The treatment is great for the face and neck and is known for minimal downtime, making it an appealing option for patients seeking noticeable tightening without surgery.
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