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SAGGING SKIN

When skin starts to lose its lift

Skin laxity develops gradually and in layers. Over time, collagen and elastin thin, deep structural support relaxes, fat pads shift, and facial bones subtly remodel. These changes may be accelerated by sun exposure, genetics, weight fluctuations, smoking, hormonal shifts, and repetitive movements such as prolonged downward gaze (“tech neck”).

As support weakens, the jawline can soften, early jowls may appear, the neck can look crepey, and facial contours may feel heavier or less defined. Our approach focuses on restoring support—not adding bulk. We combine Ultherapy®, which tightens deep foundational layers, with hyper-dilute Radiesse®, which improves the quality and strength of the skin itself by stimulating new collagen and elastin. When appropriate, we may add small, strategic volume to rebalance contours. Every plan is customized to your anatomy, goals, timeline, and comfort with downtime—always aiming for natural, refined results.

Not sure where to begin?

Every treatment begins with the right conversation. We’ll help you choose the most appropriate next step based on your goals, timeline, and comfort level.

AM I A CANDIDATE

You may be a good candidate if you notice softening along the jawline, mild to moderate skin laxity, crepey texture of the neck or lower face, or early jowling, and prefer a non-surgical approach. During your assessment, we evaluate skin thickness, degree of laxity, facial balance, and underlying support to ensure expectations are realistic.

Most candidates experience gradual, progressive improvement, with firmer skin and subtle lifting that develops over several months. Results are designed to look refreshed and supported—not tight or overdone.

POSSIBILITIES

With the right combination of treatments, we can:

  • Sharpen jawline definition and soften early jowls
  • Tighten the under-chin area and firm the neck
  • Subtly lift the brow or upper face in select candidates
  • Smooth crepey texture on the lower face, neck, and chest
  • Improve overall contour so features appear lighter, firmer, and more supported

TREATMENT OPTIONS

Ultherapy® (micro-focused ultrasound)
Ultherapy delivers precise ultrasound energy to the deep structural layers (SMAS and deep dermis), triggering collagen renewal and gradual tightening over 3–6 months. It is especially effective for the lower face, jawline, under-chin area, and neck. No needles, no incisions, and minimal downtime.

Hyper-dilute Radiesse® (CaHA)
When diluted and placed superficially, Radiesse acts as a biostimulator, improving skin thickness, elasticity, and crepey texture without adding volume. It complements Ultherapy by strengthening the skin envelope while ultrasound tightens the deeper framework.

Combination planning
For optimal results, treatments are often sequenced—Ultherapy first, followed by hyper-dilute Radiesse® several weeks later. In some cases, conservative hyaluronic-acid filler may be added to support the chin or jawline, or laser treatments (MOXI®, HALO®, NanoLaserPeel®) and BBL® HEROic™ may be incorporated to refine texture and tone.

Skincare support

Medical-grade retinoids, peptides, niacinamide, antioxidants, and daily sun protection help preserve collagen, maintain firmness, and extend treatment results.

All injectable treatments are personally performed by Dr. Copeland, known for his candid guidance, technical precision, and understated, no-pressure approach. Your plan is phased and personalized—designed to fit your goals, schedule, and comfort level.

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