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

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

NonSurgical Skin Tightening Options

When it comes to tightening skin, Tummy Tucks and Body Lifts aren’t your only options. Dr. Wix-Harris is a body contouring specialist who knows how to get the very best results, whether you want to skip surgery altogether, or just avoid the prominent scarring and long recovery of a surgical skin reduction.

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.

PrecisionTX Quick Facts

  • Tightens and tones skin without surgery
  • Triggers creation of collagen and elastin in the skin
  • Little downtime

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.

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.

How Does PrecisionTX Laser Treatment Work?

PrecisionTX For Skin Tightening

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.

  • Recovery & Downtime: Minimal
  • Numbing: Yes
  • Cost: Schedule a consultation
  • Candidates: Patients looking to tighten skin without surgery and prolonged downtime
  • Duration: 2-3 years
  • Why We Love It: Alternative to body lift surgery

View PrecisionTX Treatment Before & After Images

Why Choose Reflections Center
For PrecisionTX Treatment

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 only work with proven treatments and technologies to ensure that our patients receive the best results.

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.

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 to get started.

Frequently Asked Questions About Precision TX Procedure

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




    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.

  • Will PrecisionTX leave scars?

    PrecisionTX is performed through a few very small openings, which are strategically created along natural skin folds on the body. Typically, these openings leave no visible scarring after they heal. Healing to the point of disappearing can take one or several months, depending on the individual. Some individuals will have visible scars, as they are simply more predisposed to scars in general. Those are the same individuals who might scar from a biopsy or small acne blemish, or those who have a history of keloid scarring. Generally, people know if they are prone to scarring in this way.

  • How is the procedure actually performed? What happens during the treatment procedure?

    On the day of your PrecisionTX treatment, you’ll start with a pre-operative check-in with your treating physician. We’ll check your vital signs, walk you through the procedure and answer any lingering questions, making sure you’re completely comfortable before we begin. You’ll be given the option to have some relaxing medication by mouth (this is generally decided upon before the day of surgery, since you’ll need to arrange a ride home if you do decide to, like most of our patients do, to have this medication). Next, the doctor will mark out your treatment area, make a few small numbing injections, create the small entry points, and begin the actual procedure. During PrecisionTX a thin wand is passed underneath the skin to heat the collagen to a very precise temperature. The wand is about the thickness of spaghetti and emits a laser light. The laser heats the skin with a sensor to ensure just the right temperature is reached. You’ll hear the machine beeping to alert the doctor as to how much energy has been emitted and what temperature has been reached.

  • If there's no general anesthesia, will it hurt? How do you numb for this treatment?

    PrecisionTX does not require general anesthesia, and many patients find this to be a great benefit. We do use local anesthesia or numbing injections, and we also offer relaxing medication by mouth, sometimes called sedation. The numbing injections are just that – injections – so there will be a few pinpricks. But beyond that, you really shouldn’t feel anything at all. Patients may feel somewhat sore due to swelling the next day or two, but this should be easily managed by Tylenol or other over-the-counter pain medication.

  • When will I see results from my treatment?

    PrecisionTX works to first create a shrink-wrap-like effect by heating the collagen, and then over a longer period encourage the growth of new collagen. Most patients see a small improvement within a few weeks, with much more pronounced results see at 3-6 months later, when compared to before photos. Because these results develop slowly over time, the treatment is very discreet. Meaning the procedure is easily concealed and kept private.

  • How long will my results last? Will I need more treatments in the future?

    Your results are the direct effect of new cell growth. These cells will behave like all your other cells did when they were new – that is, they will act and age just like the rest of you, over time. Patients typically find they are happy and do not consider retreating within at least 2-3 years.

  • How much of a difference can I expect after my treatment?

    PrecisionTX offers more definition, firmness, tone, and tightness for loose skin. It cannot provide any improvement in muscle laxity. It can be combined with liposuction for removing excess fat. One treatment will provide the very best results available without invasive surgery, for tightening loose skin. Because the procedure relies on the individual body’s response to the stimulation to grow new collagen, the amount of change you will see varies by the individual. Some bodies respond better and faster than others.

  • What are the risks or possible complications?

    PrecisionTX has very few risks, and they are the risk of numbness or loss of feeling, swelling, bruising, and redness. None of these risks have ever been reported to be permanent, and they are generally experienced as very mild and short-term with this procedure.

  • Is PrecisionTX safe? Is it safe for my skin tone?

    Most people have heard that lasers aren’t safe for dark or tanned skin tones, and while there is some truth to this taboo – some lasers, especially on certain settings, are not safe for all skin tones – PrecisionTX is a different kind of laser that is safe for all skin types and tones, even if you’re tanned. Because PrecisionTX delivers its laser from beneath the skin, treating only the deeper layers of the skin, there is no risk of pigmentation change due to your skin type or tone.

Read Our Blogs About PrecisionTX


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Dr. Mitchell Chasin is a Cosmetic & Laser Physician at Reflections Center. 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.