Precise skin tightening with lasers, from the SmartLipo Triplex System.

PrecisionTX is a cutting-edge laser treatment that heats and tightens skin from below, for skin thickening, toning, and tightening. The laser works to induce new collagen production, which creates bouncy, youthful skin, naturally.

About PrecisionTX

PrecisionTX is part of the Smartlipo system that’s specifically designed to create deep skin tightening by remodeling and rebuilding the collagen support mesh at the bottom-most layers of the skin. This is a great alternative to body lift and tummy tuck surgeries for those with mild to moderate sagging or loose skin, or for those who simply do not wish to undergo invasive skin-tightening or body lift surgery, whether because they do not want the scars, don’t want to go under general anesthesia, or don’t have the ability to take time off from work or family duties for the long recovery afterward.


What Does PrecisionTX Treat?

PrecisionTX can be used to tighten loose skin throughout the entire body, including the neck. For loose facial skin, we tend to recommend other technologies and treatments, the most similar of which is ThermiTight.

Loose Belly Skin

Loose belly skin is a common complaint, especially after pregnancy and/or significant weight loss. When skin has been stretched and loses its ability to bounce back, the underlying problem is the damage that’s been done to the collagen support fibers that lay in the deepest layers of the skin. To make matters worse, we know that the body naturally reduces its collagen production with age, so the collagen fibers tend to already be weaker with less frequent repair occurring by the body by this time.
What PrecisionTX does is to trigger the body to repair and replace this collagen support, to create a natural and lasting tightening of the skin.

Loose Neck Skin

For many people, the skin of their necks becomes loose much faster than other parts of the body. This leads to a “turkey wattle” effect, with loose skin gathering in a series of wrinkles underneath the skin. This kind of loose skin without a lot of excess fat can be easily and effectively treated using PrecisionTX.
Precision TX treatment of the neck

Inner Thighs

Our Inner Thigh skin is some of the thinnest skin on our bodies, and it doesn’t respond very well to rapid weight changes. Often we see stretch marks and cellulite here because the collagen support is already thin here. PrecisionTX helps to boost that collagen support and make this skin more robust, tighter, and smoother.


The skin around the knees often becomes wrinkled and loose as women enter perimenopause. Hormones affect our body’s collagen-building function, and the changes surrounding menopause seem to wreak havoc on a few key areas, with the knees being one that women often find particularly troubling. There truly aren’t very many treatment options for this particular concern, and PrecisionTX is one of the only ones that offers a significant improvement without creating large scars.

Bat Wings: Loose Upper Arm Skin

The upper arm is another area that naturally has poor collagen support, which is made worse by weight fluctuations and hormonal changes. With loose upper arm skin, for a long time, the only option for removing loose skin was a Brachioplasty, or arm lift surgery. This left large, noticeable scarring down the entire length of the arm. Most people aren’t interested in a surgery that leaves such large scars, and so PrecisionTX has really changed the landscape of options for arms. With PrecisionTX, upper arms can be naturally tightened and firmed, without scarring and without significant downtime.

What will the recovery and downtime be like? What should I expect?

PrecisionTX Smartlipo Healing Downtime
You should expect swelling and the possibility of bruising. This is generally mild and shouldn’t prevent you from enjoying most of your normal activities. Intense Exercise should be avoided for a week, since raising your blood pressure can contribute to extended swelling and increased bruising risk. You may be given a compression garment to wear, depending on the area treated. The doctor will give you exact instructions on when to wear it and for how long. Typically, we ask patients to wear compression garments full-time (24 hours a day) for the first week, and then reduce the wearing time for the next week or two. This does vary somewhat based on how well you are healing – everyone is a little different when it comes to swelling afterward.


Frequently Asked Questions

Why Choose Reflections for Your PrecisionTX Procedure

At Reflections, we know there is no one best technology that works well for all patients and concerns. That’s why we invest heavily in all of the best treatment technologies. We have over 70 different laser and non-laser treatment technologies at our disposal, so our physicians will have the best options to offer each individual patient.
We use this wide array of options to build a custom treatment plan that fits your lifestyle needs, including downtime and budget, and still offer the very best results for your skin tone and anatomy. Our physicians spend all day everyday immersed in the field of cosmetic medicine. This deep focus allows them to master the art and science behind creating natural results that highlight and enhance your beauty.

Alternative Procedures


ThermiTight and PrecisionTX are very similar technologies. Instead of heat-treating the skin from below with lasers, ThermiTight uses radiofrequency energy. Both systems deliver the same amount of heat in the same precise way, with the same advanced heat-sensing. They create nearly identical results. They are equivalently priced and offer the same downtime and recovery. The PrecisionTX laser is part of the SmartLipo Triplex system, so if we’re doing liposuction in addition to skin tightening, PrecisionTX is generally the better option.

Non-Invasive Skin Tightening Options

PrecisionTX is considered “minimally invasive”, meaning it does include some injections and minor cutting, it’s not full-scale surgery with stitches and scars. There are several non-invasive skin tightening technologies that offer a needle-free and scalpel-free experience. They do generally have less dramatic results, but for some patients, a moderate improvement with no downtime and no needles is more appealing. The best non-invasive skin tightening options are:

  • Ultherapy is an ultrasound technology generally used to tighten the face, neck, and decollete (chest).
  • Thermage is a radiofrequency treatment used to tighten the skin of the face or body.
  • ThermiSmooth is the non-invasive version of ThermiTight and we use this technology almost exclusively for the face and eyes. It is one of the only non-surgical eyelid lift procedures that meets our high expectations for consistently impressive results.
  • Exilis Ultra 360′ combines Ultrasound and Radiofrequency for fast, controlled skin tightening of the face or body. This newly release upgrade to the traditional radiofrequency-only Exilis is not only more effective, but just as comfortable and easy. This treatment is done in a series of 4 or 6, depending upon the area treated. It can be used almost anywhere on the face or body.

Ready to find out which options will work best for you? Scheduled a free consultation with one of our experienced cosmetic physicians today! Call (732) 356-1666 now.

Medical Director at Reflections Center

Dr. Mitchell Chasin founded Reflections Center for skin & body as a place where physicians specializing in cosmetic medicine could focus on helping empower patients to feel their most beautiful. Dr. Chasin believes strongly that the best cosmetic physicians are those who are dedicated to mastering their craft through continuing education and collaboration with the industry’s top doctors.