The science of skin tightening is far from exact. If anyone knows the secret they are welcome to share it with me, as of yet nothing totally tightens skin in one easy treatment. Skin can be tightened by use of micro-needling, please see the article on micro-needling, or it can be done by thermal means or ablative peels. When I say thermal means I mean we heat the tissue under your skin, in the lower levels of your live skin, dermis, and it in turn activates a response to tighten the elastin coils and produce more collagen. It is not a miracle cure it takes time and patience. The most common way we tighten skin at De Vries Cosmetic Centre, if we are not treating any other underlying issue, is we use our laser and literally “paint” your skin with heat that reaches the dermal layer. You will not feel any real pain but rather will feel warmth. Over a series of treatments we can successfully treat crepe paper skin, fine wrinkles and sagging skin. Alternate ways, including ablative peels, which are most commonly used on the face and rarely the décolleté and hands, or incidental tightening which occurs during QuantaShape treatment or laser hair removal or IPL, which incidentally also treats skin discoloration caused by ageing and sun damage. These are all thermal methods and work quite well.