Skin tightening devices that are safe and don cause fat loss?
A. I have used TITAN by Cutera for 4 years now. I have never seen a patient with fat loss secondary with this procedure. Pearl as well does not cause fat loss as the very long erbium wavelength does not get near the subcutaneous tissue. I have seen fat loss in the cheeks with RF (Thermage) and unfortunately I myself had this problem. I have resolved it well with Sculptra injections. I also found the procedure more painful than the Titan. CO 2 Fraxel also is useful for skin tightening, but I like TITAN for its comfort and its no downtime aspects. Pearl has a 3-4 day social downtime, but only requires one treatment.