Skin laxity develops because collagen and elastin production gradually decline with age. Sun exposure, environmental stress, and lifestyle factors accelerate this breakdown, weakening the skin’s internal support system.

Physician-Guided Skin Tightening
Skin laxity develops as collagen and elastin decline with age and environmental exposure. At Roy Geronemus, M.D., we treat facial and neck laxity with laser and energy-based technologies that support gradual tightening and long-term skin strength.



Expert Solutions for Skin Laxity

Facial Skin Laxity
Sagging along the cheeks, jawline, and midface.

Neck Laxity
Lost firmness beneath the chin and along the neck.

Fine Lines & Wrinkles
Early textural changes linked to collagen decline.

General Skin Thinning
Reduced density and resilience over time.

Facial Skin Laxity
Sagging along the cheeks, jawline, and midface.

Neck Laxity
Lost firmness beneath the chin and along the neck.

Fine Lines & Wrinkles
Early textural changes linked to collagen decline.

General Skin Thinning
Reduced density and resilience over time.
World-Renowned Results

The Geronemus Method
We assess your skin thickness, the severity of your laxity, your facial structure, and your treatment goals to determine the most appropriate treatment approach.
CO2 Laser Resurfacing
Supports skin tightening by stimulating collagen remodeling through controlled laser resurfacing.
Sofwave Ultrasound
Uses focused ultrasound energy to stimulate collagen production in deeper layers of skin without surface disruption.
Fraxel Dual
Encourages gradual tightening by promoting collagen renewal while improving texture and skin quality.
Genius RF Microneedling
Delivers radiofrequency (RF) energy beneath the skin’s surface to support firmness and structural improvement.
MIRIA RF Technology
Targets collagen and elastin production with controlled energy delivery to improve skin strength over time.
In Good Hands
450 +
Publications on dermatology, including hundreds on laser treatment.
30 +
Years of experience with laser technology.
10000 +
Laser skin resurfacing treatments delivered.

The Experience of a Pioneer
With over 450 publications and a leading role in developing many of today’s laser devices and related technologies, Dr. Roy Geronemus offers a level of expertise rarely found in cosmetic dermatology and birthmark treatments. Dr. G performs all procedures, safely combining laser, injectable, and energy-based treatments when clinically appropriate.

Frequently Asked Questions
Adults with mild to moderate skin laxity who want to experience gradual improvements without surgery often make good candidates. Individuals who notice early sagging, softening of facial contours, or loss of firmness may benefit most. A consultation helps Dr. G determine whether skin laxity treatment in NYC aligns with your goals, skin quality, and overall treatment plan.
Energy-based devices target certain layers of the skin to stimulate natural collagen and elastin production. This process strengthens the skin’s internal framework rather than simply tightening the surface. Over time, increased collagen support leads to firmer, more resilient skin.
The number of sessions depends on the technology selected, the degree of laxity, and how your skin initially responds to treatment. Some patients benefit from a single appointment, while others achieve better results through a planned series. Dr. Geronemus tailors care plans to each individual’s needs and their observed progress.
Downtime varies depending on the device we use. Some treatments allow patients to immediately return to their normal activities, while more intensive options, like resurfacing, may involve planned recovery. We review expected downtime in advance so you can plan confidently.
Results develop gradually over several weeks to months as new collagen forms, with many patients noticing subtle early improvements. Final results become more visible several months after skin laxity treatment in NYC as the skin continues to strengthen.
Yes. When appropriate, Dr. Geronemus may combine different collagen-stimulating technologies to address both skin laxity and overall skin quality. A combined approach often supports more balanced, natural-looking improvements.
Most patients tolerate treatment well. However, certain measures, such as topical numbing cream and cooling devices, can help minimize discomfort during the procedure. Sensations vary depending on the technology used and treatment area.
Results vary based on the treatment type, your age, and your individual skin biology. Ongoing collagen support, sun protection, and periodic maintenance treatments can help sustain improvements following skin laxity treatment in NYC.



