Non-Surgical Skin Tightening

Model shown, not actual patient

Non-Surgical Skin Tightening

Loose and sagging skin can detract from both your appearance and comfort, but surgical options that excise and tighten skin are not always ideal for the area or for a patient’s needs. At Fiala Aesthetics, we offer FDA-approved nonsurgical skin tightening treatments designed to safely and effectively stimulate collagen and elastin production, allowing skin texture and tone to improve with little to no downtime.

If you live in the Orlando area and would like more information about nonsurgical skin tightening, call Fiala Aesthetics at 407-339-3222 to schedule a consultation at our Altamonte Springs office.

About Radiofrequency Tightening

Radiofrequency (RF) energy has shown the ability to therapeutically warm deep layers of skin where it stimulates collagen and elastin production. Because it is nonsurgical, RF skin tightening may require more than one treatment, typically spaced a few weeks apart. This helps your skin’s natural framework strengthen and grow, allowing the skin to become thicker, firmer, and more youthful in appearance naturally, over the course of just a few months.

RF skin tightening has been safely used since 2001 and is safer today than ever. New technologies allow for precise control over both the treatment area and level of warming, greatly reducing the risk of overheating. Gentle and effective, RF skin tightening requires almost no downtime and comes with very few risks. During your initial consultation, we will answer any questions you have to help you determine if one of the non-surgical skin tightening treatments we offer is the right choice for you.

Morpheus8 and Fractora

These are both treatments that use the combination of micro-needling of the skin together with RF energy.  The RF energy is thought to heat the dermis, stimulating dermal healing and improvements in laxity.  Usually a series of several treatments are performed.  It is safe for all skin types and colors.  While commonly used on the face and neck, Dr. Fiala was also been using it on the breast, tummy and other areas where mild skin laxity might be a patient concern.

It is also excellent for acne scars and maybe combined with fractional laser resurfacing for this.


ThermiTight RF is a minimally invasive procedure designed to firm and tighten mildly lax skin in various areas of the body. Slightly different than over-the-skin or microneedling-type RF tightening, ThermiTight utilizes an FDA-approved energy probe passing underneath the skin, to deliver energy deep into the dermis where it can potentially shrink tissue at the source.

Requiring no large incisions, the procedure is performed under local anesthesia and takes about 30-40 minutes. ThermiTight procedures are performed in our accredited in-office surgical suite.

Recovery from ThermiTight is easy – most patients don’t need anything stronger than a Tylenol – and results are often finalized within just a few short months.


ThermiSmooth is an external (over the skin) RF treatment that is effective at treating mild to moderate facial wrinkling and skin laxity. With a built-in temperature probe the precisely regulates the level of therapeutic warmth delivered, ThermiSmooth treatment is both safe and effective. Gently encouraging collagen production, the maximum improvement in skin texture and tone is typically found over the course of three to four treatments spaced about a month apart.

ThermiSmooth requires no incisions and is so gentle it requires no sedation or anesthesia. This makes it an ideal treatment for sensitive areas such as the:

  • Forehead
  • Lower eyelids
  • Skin surrounding the lips
  • Chin
  • Jawline
  • Neck
  • Recovery is quick with ThermiSmooth, requiring no significant downtime and without the risks of bruising or swelling.

    ThermiSmooth 250

    At Fiala Aesthetics, we also have the larger, more powerful ThermiSmooth 250 unit for body treatments. Identical in form and function to the smaller ThermiSmooth unit, this more powerful nonsurgical skin tightening option can be used to address mild skin laxity and texture irregularities in the chest and breasts, along the sides, on the abdomen, throughout the back, on the buttocks, hips, and thighs, and anywhere on the legs. As with facial skin laxity, maximum improvement may require three to four sessions. We can discuss this with you in greater detail during your one-on-one consultation where we can assess your problem areas and provide you with more personalized information about treatment length and expected results.

    Venus Viva Microneedling

    The Venus Viva system is a combination microneedling/RF tightening treatment that is entirely customizable for every skin type, tone, and color. This unique combination allows Venus Viva to produce many of the improvements associated with laser skin resurfacing, but with a significantly reduced downtime. Most patients recover fully within 24 hours, though a few days may be required for some treatment areas. We will discuss this with you in greater detail during your initial consultation.

    Venus Viva stimulates collagen production with the one-two punch of micro-wounds and RF energy. This makes it especially effective for the treatment of:

    • Fine lines and wrinkles
    • Acne scars
    • Large pores

    Depending on your needs and the treatment area, Venus Viva may be performed under topical anesthesia, but the procedure is not painful. Most people require three to four 15-30 minute sessions spaced about a month apart for maximum results. As with all specifics, this may change based on your needs and desires and is best discussed during your initial consultation at our Altamonte Springs Med Spa.


    Aging affects our bodies in different ways, sometimes in ways that cannot be seen. The effects of aging and childbirth can be particularly troublesome for the female anatomy. Over time, the vaginal walls lose their elasticity, sometimes making intimacy more difficult and less satisfying. Laxity of the vaginal muscles can also lead to issues like mild urinary incontinence, which can be not only inconvenient but also embarrassing.

    At Fiala Aesthetics in Altamonte Springs, Florida, we address these issues with ThermiVa, a non-surgical and minimally invasive treatment that uses radiofrequency to gently heat the affected tissues, stimulating the natural healing process and activating your body’s collagen production to:

    • Tighten and tone vaginal muscles that have been stretched through childbirth, menopause, or other causes
    • Reduce the appearance and discomfort of an enlarged labia
    • Reduce instances of mild urinary incontinence
    • Improve sexual sensation and ability to achieve orgasm
    • Reduce vaginal dryness by reviving natural lubricants

    Vaginal rejuvenation is a sensitive subject to discuss with anyone, even your doctor. We at Fiala Aesthetics have experienced professionals who have been helping women turn back the clock on aging and other body changes with discretion and respect for years. We are committed to your experience is safe, thoughtful, and discreet.

    Comfortable and gentle, ThermiVa treatment can be applied to both internal and external vaginal tissue to restore form and function to the vulva and labia. Often likened to a warm massage, each session lasts for about 30 minutes and, while improvement may be noticeable immediately, three treatments are recommended for maximum improvement.

    There is no recovery or downtime with ThermiVa. Normal activities, including intercourse, can be resumed immediately and without fear of discomfort for most patients. We will personalize your ThermiVa treatment to ensure both optimal results and comfort.

    Contact Fiala Aesthetics

    Fiala Aesthetics is comprehensive plastic surgery and medspa practice located in Altamonte Springs, Florida. Dr. Thomas Fiala is a board-certified plastic surgeon with decades of experience helping men and women achieve their goals through targeted aesthetic procedures. Experienced, skilled, and attentive, Dr. Fiala welcomes an opportunity to meet with you to listen to your concerns and help you choose the best service for your needs.

    Please call us at 407-339-3222 to schedule your consultation today. We welcome patients from Orlando, Maitland, Lake Mary, and all surrounding areas.


    220 East Central Parkway
    Suite 2020
    Altamonte Springs, FL 32701
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