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A Measured Approach to Skin Laxity at Hessler Plastic Surgery

At Hessler Plastic Surgery, Dr. Jill Hessler, MD, a double board-certified facial plastic surgeon, approaches skin laxity in the context of underlying structure rather than just surface change. Treatments like Sofwave are selected when they can improve support without disrupting natural expression. Each recommendation is based on how the skin is aging and how it can be improved with precision. Schedule your consultation to determine whether this approach is appropriate for you.

What Is Sofwave?

Sofwave is an FDA-cleared, non-invasive ultrasound treatment that addresses mild to moderate skin laxity. It uses parallel-beam ultrasound energy to heat the mid-dermis to a consistent depth, triggering collagen remodeling without affecting the outer skin layer.

This controlled delivery allows for measurable tightening in areas where structural support has begun to weaken, particularly along the brows, lower face, neck, and select areas of the body.

Benefits of Sofwave

  • Non-surgical lifting: Improves skin laxity without incisions or recovery protocols.
  • Mid-dermal targeting: Delivers energy at a consistent depth where collagen remodeling occurs.
  • Minimal downtime: Allows return to normal activity immediately after treatment.
  • Face and body versatility: Treats areas such as the brows, jawline, neck, upper arms, and above the knees.
  • Controlled outcomes: Produces gradual improvement that remains consistent with natural anatomy.
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Dr. Hessler and her office staff are top drawer. I have had a variety of light and laser facial treatments that re effective and reasonably comfortable, as well as Botox injections. The results are natural. Very pleased with the results and services.

S. W.

Hessler Plastic Surgery

Am I a Good Candidate for Sofwave?

Sofwave is appropriate for individuals with early to moderate skin laxity who want to improve definition without surgery. It is commonly used when there is softening along the jawline, mild brow descent, or early looseness in areas of the body.

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Why Choose Hessler Plastic Surgery for Sofwave?

Hessler Plastic Surgery’s approach to non-surgical care is guided by facial anatomy and long-term balance. Collagen-stimulating treatments, including ultrasound-based options, are evaluated within a broader plan, with selection and oversight directed by Dr. Hessler and performed as appropriate by the clinical team.

Hessler Plastic Surgery

Your Consultation

Consultation includes an assessment of skin thickness, elasticity, and structural support. Based on these findings, appropriate treatment pathways are outlined, including where non-surgical options may fit within a broader plan.

How Much Does It Cost?

Cost varies based on the number of areas treated and the extent of correction required. Pricing is determined after evaluation, as treatment is adjusted to specific regions rather than applied as a standard package.

What to Expect During Sofwave Treatment

Sofwave is performed in-office and typically takes 30 to 60 minutes. A topical anesthetic may be used prior to treatment. The device delivers controlled pulses of ultrasound energy beneath the skin, which may be felt as brief heat.

The skin surface remains intact throughout the procedure. Patients typically leave the office and resume normal activity without restrictions.

Sofwave Recovery and Results

Mild redness or swelling may occur immediately after treatment and typically resolves quickly. Collagen remodeling progresses over several weeks, with continued improvement in firmness and definition.

Complementary Non-Surgical Treatments

  • BOTOX: Relaxes targeted facial muscles to reduce dynamic lines and support smoother skin.
  • Dermal fillers: Restore volume in areas where structural loss contributes to contour changes.
  • IPL: Improves uneven pigmentation and redness to enhance overall skin clarity.
  • Skin resurfacing: Refines surface texture and tone using laser-based technology.
  • Microneedling: Stimulates collagen production to improve skin thickness and texture.
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Sofwave FAQ's

How does Sofwave differ from other ultrasound treatments?

It delivers energy at a consistent mid-dermal depth using parallel beam technology, rather than targeting deeper layers, which allows for focused collagen stimulation with minimal surface disruption.

Can Sofwave be used after previous treatments like fillers or BOTOX?

Yes, it can be incorporated into an existing treatment plan, though timing and sequencing are determined during consultation.

Is there any risk of fat loss with Sofwave?

The treatment targets the dermis and is not designed to affect deeper fat layers when performed appropriately.

How consistent are the results across different areas?

Response can vary based on skin thickness and degree of laxity, which is why treatment is adjusted by area.

Can Sofwave replace a surgical procedure?

It does not replace surgery, but may be appropriate for earlier stages of laxity or for patients not pursuing surgical options.

How long should I wait before repeating treatment?

Timing depends on how the skin responds and long-term goals, and is determined during follow-up evaluation.

Is Sofwave affected by sun exposure?

Because it does not target pigment, it is less sensitive to sun exposure than some other treatments, though general skin protection is still recommended.

Can Sofwave be used on thinner skin areas?

Treatment can be adjusted for thinner skin, but suitability depends on the specific area and degree of laxity.

Hessler Plastic Surgery

A More Considered Approach to Skin Tightening


Hessler Plastic Surgery evaluates each treatment in the context of facial and body structure, ensuring that Sofwave is used where it can provide meaningful improvement. Schedule your consultation to determine the right approach for you.

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