Skin Tightening: Good, Better, Best

Outdoor shot of smiling young female model in bikini standing against blue sky. Woman having fun out on a summer day. Smooth, radiant, firm. These are qualities that we’d like to see in our skin when we look in the mirror. Unfortunately, they get more and more difficult to maintain as we age. While aging is inevitable, we at least now know the factors that contribute to skin laxity and loss of volume. Because we know, we can address these issues in effective ways, and we’re not talking about plastic surgery. At Bucay Center for Dermatology and Aesthetics in San Antonio, we provide options that can meet each patient where they’re at. Here, we discuss these options in terms of Good, Better, and Best. 

GOOD Facial Tightening Options

Dermal Fillers 

Injectables are some of the most popular treatments performed today. It should be said that, generally, dermal fillers like our RHA Collection, Juvederm, Restylane, and others are not designed to tighten the skin. The way that these products work is by increasing the volume of the skin. Youthful looking skin is plump and smooth. Dermal fillers made with hyaluronic acid restore the plumpness by trapping water molecules in a target area. 

One injectable that is designed to help the skin regenerate itself through dermal remodeling is Sculptra. This injectable is referred to as a dermal filler but it is more of a biostimulator. When introduced to deeper layers of the skin, Sculptra instigates a flurry of collagen production. Since collagen is the protein known to make the skin firm and supple, patients may notice some degree of tightening over time. 

BETTER Facial Tightening Options

Laser Treatments

A multitude of laser devices have been developed in the past decade. Each may target a specific set of concerns and many of them do so by affecting merely a portion of the skin at a time. Fractional laser treatments are very popular because they achieve significant improvements with little downtime, if any. Because lasers deposit controlled thermal energy into the dermis, patients who choose this treatment may notice mild to moderate skin tightening over time as collagen fibers are strengthened. 

BEST Facial Tightening Options

Innovative technologies have been refined over time to provide us with facial rejuvenation options that might just rival plastic surgery. Patients interested in nonsurgical facelift-type treatments should understand that, while results can be more profound, they typically do not last as long as a procedure like a facelift. The following procedures, all offered in our San Antonio offices, are designed specifically for collagen remodeling that results in noticeably tighter, younger-looking skin. 

  • Silhouette Instalift, a nonsurgical facial rejuvenation treatment that utilizes dissolvable, coned sutures for both immediate and long-term tightening. 
  • RF Microneedling tightens the skin by stimulating significant collagen proliferation that continues for several weeks. 
  • Ultherapy is a non-invasive treatment that stimulates collagen tightening and remodeling utilizing ultrasound waves. 

We are proud to serve San Antonio from two convenient locations, Sonterra and La Casita. Contact us today to schedule your consultation.

Schedule A Consultation



01. Get to know Dr. Bucay, Dr. Bhandari and Dr. Noorily.

02. Help her understand you and your goals.

03. Learn about our services and specialties.

“Very comfortable environment, all staff very were very professional, and Dr. Bucay was a delight. She is an artist with the skills and compassion that focus specifically on the clients needs. Dr. Bucay is amazing.”

–Jorie K.


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Talia Noorily MD

A Message from Dr. Bucay: Champions for Change Gala

This year I am honored to join the committee for the Champions for Change Gala, taking place on May 10, 2023 at Ziegfield Ballroom in NYC.

Champions for Change Gala
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