What to do About a Sagging Face and Neck

While we may appreciate many of the changes that occur with age, some can be difficult to accept. Lines and creases and spots on the skin may be changes that we come to accept over time. Sagging skin? That’s another story. Sagging tissue coincides with a loss of contours in the midface. The cheeks flatten. The jawline droops. These changes do more than age the face; they make it look tired and generally lifeless. If sagging face and neck skin has become a frustrating problem for you, your search for solutions doesn’t have to be extensive. We’ve got a few suggestions.

Ultherapy

One way that sagging skin can be tightened is to target deep layers of tissue with Ultherapy. This FDA-cleared device has helped millions of people regain a more youthful appearance. One of the leading non-surgical approaches to facial and neck rejuvenation, Ultherapy works via ultrasound energy. This is similar to the ultrasound that is used in diagnostic imaging and physical therapy. During a session, ultrasound is first used diagnostically to observe the layers of tissue beneath the skin. This helps us determine where to deposit ultrasound waves. The second step in treatment is to adjust the device accordingly to emit ultrasound waves into the appropriate layer of tissue. This stimulates collagen tightening as well as ongoing collagen production. The healthy new collagen helps to rebuild existing fibers that have become loose and weak. The results of treatment appear gradually, improving for several months.

Fraxel Dual

Fraxel Dual is a laser treatment that gently resurfaces the outermost layer of the skin while also permeating through the epidermis to stimulate collagen production at a deeper level. Fraxel is a fractionated laser device, meaning that it creates microcolumns in the skin with bridges of untouched tissue in between. This encourages the skin to heal more quickly with fewer side effects than traditional laser resurfacing.

Aging skin cannot be prevented. However, you do have a lot of power over your aging process. In addition to practicing good sun care and skincare, you can visit one of our San Antonio offices for nonsurgical facial rejuvenation like Ultherapy or Fraxel. To learn more, schedule a consultation at an office near you.

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Exciting News – We’re Moving!

For 35 years, as a board-certified dermatologist, I have provided compassionate and exceptional care while offering the latest advancements in skin health and rejuvenation.

 

Health care continues to evolve toward regenerative medicine and longevity, and dermatology is no exception.

 

My core beliefs are that health and beauty are not mutually exclusive, but beauty must never come at the expense of health. Skin health is foundational to overall wellness, and my mission is to empower every patient with the education and tools to optimize skin health.

 

In this spirit, I am thrilled to announce that effective August 3, 2026, the Hardy Oak location of Bucay Dermatology and Aesthetics will have a new home at Stone Oak Physician’s Plaza II, where I will be sharing a wonderful space with Dr. Michelle Harden, MD, Concierge Women’s Health, Menopause, Lifestyle Medicine.

 

I cannot think of a better setting that reflects the future of comprehensive wellness, regenerative care, and healthy aging.

 

I look forward to welcoming both our longtime patients and those visiting us for the first time to our new location:

 

Stone Oak Physician’s Plaza II

540 Oak Centre Drive, Suite 280

San Antonio, TX 78258

 

Now accepting new patients

To schedule your appointment, please call 210.692.3000

 

I am grateful for your trust and confidence – Vivian Bucay, MD

 

P.S. Of course, we will continue to welcome patients to our “La Casita” Monte Vista location at:

La Casita

326 W. Craig Place

San Antonio, TX 78212

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