Skin can lose firmness with time, pregnancy, and weight changes. Collagen and hyaluronic acid decline, which reduces elasticity and volume. While we cannot stop aging, today’s non-surgical technologies can tighten lax skin and improve contours without significant downtime. At Dr. Beth Comeau’s practice in Ellicott City, we offer targeted options for the face, neck, body, and intimate wellness.
Non-Surgical Skin Tightening: What It Does
Non-surgical skin tightening uses controlled energy to gently heat the dermis. This heat triggers collagen remodeling and new collagen formation. As collagen strengthens, skin looks firmer and smoother with better definition. Results appear gradually and look natural.
Who Is a Good Candidate?
These treatments work well for mild to moderate laxity. Ideal candidates see early jowling, softening of the jawline, crepey texture, or loose skin on the neck, abdomen, thighs, or upper arms. If you have severe laxity or significant excess skin, we will discuss whether another approach is a better fit. We personalize every plan after an in-office evaluation.
Common Treatment Areas:

- Face and jawline
- Under the chin and neck
- Upper arms and above the knees
- Abdomen, flanks, and thighs
- External vaginal tissues and pelvic floor support (see ThermiVa)
Thermi Skin Tightening
Thermi systems use radiofrequency energy to warm the dermis in a precise and controlled way. The goal is collagen remodeling that improves firmness and texture with little to no downtime. Treatments are comfortable and take about 30 to 45 minutes per area. Many patients return to normal activities right away.
ThermiSmooth for Face and Body
ThermiSmooth addresses fine lines and laxity on the face and body. A handheld device moves across the skin while built-in temperature controls keep treatment consistent. Patients often describe a warm, relaxing sensation. Sessions are quick and typically scheduled in a short series for best results.
Common ThermiSmooth areas include the forehead, around the eyes, cheeks, jawline, neck, upper arms, abdomen, and thighs. Results appear gradually as collagen rebuilds over several weeks.
ThermiVa for Feminine Wellness
ThermiVa uses gentle radiofrequency to improve laxity and comfort in the external vaginal tissues. Childbirth, hormonal changes, and aging can lead to tissue laxity and dryness. ThermiVa warms the tissue to support collagen remodeling. Many patients report improved support and comfort. Treatments are non-surgical and require no downtime.
What to Expect
Your visit begins with a consultation to review goals, health history, and areas of concern. We outline a plan that may include a series of sessions spaced a few weeks apart. Most appointments last under an hour per area. After treatment you may notice mild warmth or redness that fades quickly. You can resume normal routines the same day.
When Will I See Results?
Some patients notice a subtle tightening effect right away due to immediate collagen contraction. The most meaningful changes build over 8 to 12 weeks as new collagen forms. Results continue to improve with each session. We will discuss maintenance to help you protect and extend your outcome.
Safety and Comfort
Thermi devices include temperature monitoring for consistent delivery. Treatments are well tolerated and require no anesthesia. We adjust settings to your comfort and skin type. During your consultation we review expectations, safety, and aftercare so you feel informed at every step.
Schedule a Consultation
If you want firmer skin without surgery, request a visit with Dr. Beth Comeau in Ellicott City, MD. We will design a personalized plan that fits your timeline, budget, and goals.
