Skin Laxity & Sagging
Firm, Lift and Tighten — Without Surgery
Loose or crepey skin on the face and neck is one of the first signs of ageing that makes people consider surgery. We offer powerful non-surgical treatments that firm and lift by rebuilding your own collagen with no incisions and no downtime.
Why it happens?
Collagen and elastin — the proteins that keep skin firm and springy — decline steadily with age, sun exposure and lifestyle, and significant weight loss can also leave skin loose. As these proteins break down, skin loses its tautness and begins to sag. Energy-based treatments heat the deeper layers to contract existing collagen and stimulate new growth.
Skin loses firmness as collagen and elastin — the proteins that keep it taut and springy — decline with age, sun exposure and lifestyle. The deeper support structures also weaken over time, and significant or rapid weight loss can leave skin loose because it may not fully retract. Because laxity is driven by changes in the deeper layers, treatments that reach and stimulate those layers tend to be most effective.
The SŌMA Approach
SŌMA approaches skin laxity with medical, doctor-performed treatments and honest expectations. Energy-based firming can meaningfully tighten mild to moderate laxity by rebuilding your own collagen, and we're transparent when a concern would be better served by surgery. We prioritise safe, appropriate treatment over aggressive promises. Your plan is decided with your doctor.
How We Choose for You
As a general guide, mild to moderate laxity often responds to energy-based firming or collagen-stimulating approaches, sometimes combined with lifting for areas of descent. Very heavy, hanging skin is usually better suited to surgery. Your doctor assesses your degree of laxity in person before recommending a path.
Treatments for Skin Laxity & Firming
Non-surgical energy and lifting treatments to firm and tighten.
How the treatments compare
Treatment | Best For | Downtime | Full results take up to | Longevity of results |
|---|---|---|---|---|
XERF Skin Tightening | Firming mild-moderate laxity | None (mild redness) | Immediate + 3-6 months | 12-18 months |
RF Microneedling | Firming with texture improvement | 1-3 days | 4-6 weeks | 6-12 months |
Thread Lifting | Lifting areas of descent | Several days | Immediate | 12-18 months |
Profhilo | Skin firmness & elasticity | Minimal | 2-4 weeks | 6-12 months |
Why Choose SŌMA
Doctor-Performed Firming
Energy-based firming requires medical training to deliver safely, so every treatment is doctor-performed. Led by Dr. Andrew Uidjaja (A4M-accredited, Master's in Anti-Aging Medicine), our team has treated thousands of patients and sets honest expectations.
Accredited & Licensed
As the only fully licensed specialist longevity clinic on the Bukit Peninsula, SŌMA holds the highest level of specialist clinic license in Indonesia and is the only clinic in Bali following Singapore standards of care, under the medical direction of Dr. Shirley Yuliana Kwee.
Personalised Care
Every treatment begins with a one-to-one doctor consultation to assess your concern and design a personalised plan — never a one-size-fits-all approach.
Results and expectations
Non-surgical firming gives meaningful but modest tightening for mild to moderate laxity, building over months and lasting around 12-18 months, with maintenance. It won't replace surgery for advanced sagging. Individual response varies, and your doctor will set realistic expectations for your skin.
Frequently Asked Questions
Can I tighten loose skin without surgery?
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For mild to moderate laxity, yes. Non-surgical treatments — radiofrequency and ultrasound energy, RF microneedling, biostimulators and thread lifts — firm loose skin and build collagen without cutting or removing tissue. Results are meaningful but modest compared with surgery, usually last 6-18 months, and most people need more than one session. They won't match a facelift for heavy, hanging skin.
How does energy-based skin tightening work?
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Energy treatments heat the deeper layers of the skin to around the temperature that makes collagen contract immediately, then trigger your body to build new collagen and elastin over the following months. The result is progressively firmer, tighter, lifted skin — without surgery or downtime. Different devices use radiofrequency or ultrasound to reach these deeper layers.
What causes loose, crepey skin?
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Collagen and elastin — the proteins that keep skin firm and springy — decline steadily with age, sun exposure and lifestyle. Significant or rapid weight loss can also leave skin loose because it may not fully retract after being stretched. As these proteins break down, skin loses tautness and begins to sag, most visibly on the cheeks, jawline and neck.
Is non-surgical firming as good as a facelift?
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For mild to moderate laxity, non-surgical treatments deliver visible firming with no incisions or downtime, and can delay or reduce the need for surgery. However, they're not a full replacement for a surgical facelift in cases of advanced, heavy sagging. We give you an honest assessment of what's realistic for your skin at consultation rather than overselling.
How long do skin firming results last?
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Energy-based firming typically lasts 12-18 months, with results developing over 3-6 months as new collagen forms. Thread lifts last around 12-18 months. Because ageing continues, a maintenance session every 12-18 months helps sustain the effect. Your doctor will recommend a schedule based on your skin and goals.
Is there downtime after skin firming treatments?
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Most energy-based firming has little to no downtime — you may have mild redness or a warm flush for a few hours. RF microneedling can cause redness and minor swelling for a day or two, and thread lifts may cause mild bruising or tightness for several days. All are holiday-compatible with a little planning around your trip.