Skin Laxity Treatment
Loose skin rarely appears overnight. It shows up first as crepey texture under the eyes, softening along the jawline, or skin on the neck that no longer snaps back, and it gradually changes the contours of the face. Patients from Beverly Hills, Brentwood, Hancock Park, and across Los Angeles come to Parsa M.D. to learn how much their skin can realistically tighten without surgery, and when a surgical option will serve them better.
How tissue is lifted and supported, not just tightened, is central to Dr. Kami Parsa’s work. He coauthored a 2026 article in Aesthetic Plastic Surgery reconsidering the biomechanics of the V-Lift technique with calcium hydroxylapatite, lectures on The Role of Radiofrequency in Aesthetic Medicine, and developed the Trifecta Lift™, a combined lower eyelid and midface procedure for patients whose laxity has moved beyond what devices can correct. He is an oculoplastic and reconstructive surgeon with more than 20 years of clinical experience.
“Energy devices can make skin firmer, but they cannot lift tissue that has fallen significantly. The honest conversation is about where you are on that spectrum, so you spend your time and money on the approach that will actually change what you see in the mirror.” — Dr. Kami Parsa
What Causes Skin Laxity?
Skin stays firm because of collagen and elastin in the dermis and the support of fat, muscle, ligaments, and bone beneath it. Laxity develops as those supports weaken:
- Collagen and elastin loss: Production declines steadily with age, beginning in early adulthood.
- Sun damage: Ultraviolet light breaks down collagen and elastin and is the leading external cause of premature laxity, as described on our Sun Damage page.
- Volume loss: As fat and bone diminish, the skin has less to drape over and begins to sag, covered on our Volume Loss page.
- Weight loss: Significant or rapid weight loss, including with GLP-1 medications, can leave skin that has not had time to contract.
- Smoking, genetics, and hormones: Smoking accelerates collagen breakdown, some people inherit thinner skin, and hormonal changes after menopause reduce collagen further.
Where Laxity Shows and How It Is Evaluated
Laxity commonly appears on the eyelids, cheeks, jawline, and neck. Dr. Parsa or a licensed member of his clinical team will assess skin thickness and elasticity, how much of the change comes from skin versus deeper tissue, and whether volume loss is contributing. Laxity is usually grouped as mild, moderate, or advanced, and that grade largely determines whether devices, surgery, or a combination makes sense. On the eyelids, excess skin that folds over the lashes or hangs over the lid crease often needs surgery rather than tightening. Team members are described on our Our Providers page.
Skin Laxity Treatment Options in Beverly Hills
Each linked page explains how the treatment works, its FDA status, and recovery:
- Radiofrequency tightening: Forma heats the deeper skin without needles, and Morpheus8 delivers radiofrequency through microneedles for a stronger collagen response.
- Ultrasound tightening: Ultherapy is FDA-cleared to lift the brow and lax tissue beneath the chin and on the neck and to improve lines on the chest.
- Resurfacing with tightening: CO2 Skin Resurfacing and the Duplex® Procedure improve crepey texture and mild laxity, including around the eyes.
- Collagen building injectables: Sculptra and Radiesse stimulate collagen gradually and can improve firmness where volume is also low.
- Surgery for advanced laxity: Upper Eyelid Blepharoplasty, Lower Eyelid Bags surgery, the Trifecta Lift™ & Quadfecta Lift®, and the Brow Lift remove or reposition tissue when devices are not enough.
Device results build over three to six months as new collagen forms and are typically modest, often best described as firmer and smoother rather than lifted. Most device plans involve a series of treatments and periodic maintenance. For loosening specific to the jawline, see our Jowling page.
Disclosure: Dr. Parsa has served as a consultant to InMode, the manufacturer of Forma and Morpheus8.
Risks and When to Seek Care
Energy based treatments commonly cause temporary redness, swelling, and warmth. Less common risks include blistering, burns, temporary numbness, and pigment changes, which are more likely in deeper skin tones. Contact the office for blistering, signs of infection, or any change in vision after treatment near the eyes. After injectable treatments, call the office right away and seek emergency care if you notice vision changes, severe or worsening pain, or skin that turns pale, blotchy, or dusky.
Why Choose Dr. Parsa for Skin Laxity Treatment
- Devices and Surgery Under One Roof: As a surgeon who also offers energy devices, he can recommend whichever approach fits your degree of laxity.
- Procedure Developer: He developed the Duplex® Procedure, which combines radiofrequency microneedling with CO2 resurfacing.
- Eyelid Expertise: Fellowship training at the Bascom Palmer Eye Institute guides safe treatment of the thin, delicate skin around the eyes.
- Teaching Appointment: He is an Adjunct Clinical Professor at the Keck School of Medicine of USC.
- Realistic Expectations: Candidacy is assessed honestly, including when surgery will serve you better than another device series.
Schedule a Skin Laxity Consultation in Beverly Hills
Your consultation takes place at our office at 465 N Roxbury Dr, Suite 1011, in Beverly Hills. Dr. Parsa and his team will grade your laxity, explain what each option can realistically achieve, and help you choose a plan. Contact our office to request an appointment.
Medically reviewed by Kambiz K. Parsa, M.D. on
