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Jason Emer, MD, FAAD, FACS

When the buttock sags and surgery is not the plan.

Tightening The Lower Buttock Roll Without Surgery: Alloclae Plus Micro Needling Radio Frequency

How Dr. Jason Emer tightens sagging skin on the lower buttock after weight loss or pregnancy using regenerative filler combined with deep micro needling radio frequency, with zero downtime.

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THE DETAIL IS THE DIFFERENCE.See the results ↓

Dr. Jason Emer MD · FAAD · FACS

Dr. Emer tightens the lower buttock roll after weight loss or pregnancy using deep micro needling radio frequency combined with regenerative filler, with zero downtime and clearance to train the next day.

Your plan starts with Dr. Emer.

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From the filmed session

Inside the treatment. With Dr. Emer.

Tighten The Buttock Roll Without Surgery: Alloclae + Micro Needling Radio Frequency | Dr. Jason Emer

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What Dr. Emer did · MAXORIS

Every procedure. In order.

  1. 01

    Deep micro needling radio frequency

    Needles placed at precise depth to contract tissue under the skin, tighten laxity on the buttock roll, and improve texture, tone and color without causing fat loss.

  2. 02

    Alloclae regenerative filler placement

    Cadaver extracellular matrix filler placed to add volume and shape to the buttock, molding into the muscle as the patient moves and trains.

    “we need this to mold. This is clay. We need it to mold into the muscle.”

    Dr. Emer, in the film
  3. 03

    Topical and injectable numbing

    Topical numbing combined with injectable numbing administered at the same time as the filler to reduce pain during the micro needling radio frequency treatment.

Why patients fly in

What Dr. Emer does differently.

Combines micro needling radio frequency with regenerative filler in one session

Most providers offer micro needling radio frequency alone. Dr. Emer layers it with Alloclae or fat grafting to contract tissue and add volume simultaneously, addressing both laxity and shape.

“one of the treatments we've been doing that's gotten actually really good results is doing micro needling radio frequency with alo clay or some filler to the buttock whether it's fat grafting or of a cadaabver ECM which is the alo clay.”

Precise depth control to tighten without fat loss

Micro needling radio frequency can cause unwanted fat loss if placed too deep. Dr. Emer uses exact depth placement to contract tissue and tighten skin while preserving volume.

Comprehensive plan includes peptides, supplements and training protocol

The outcome depends on what the patient does between sessions: working out to mold the filler into the muscle, taking peptides and supplements to improve collagen production, and following skin care to prevent hyperpigmentation in darker skin tones.

“if you're not explained comprehensively what you need, you don't get the best outcome. So it's very important you go to someone that knows what they're talking about.”

Zero downtime with immediate return to work and next-day training clearance

Patients return to work the same day and are cleared to work out the next day if desired, or wait three days conservatively. One patient did the treatment in a mini skirt and went back to work in high heels.

THE THINKING BEHIND THE TREATMENT

The story.
The decisions.
The details.

Follow Dr. Emer’s approach through the stages described in this case.

Back to the video ↗
  1. 01Before

    The starting point

    Looseness and laxity on the buttock roll after weight loss, addressed in sessions with zero downtime.

    The patient came in with sagging on the lower part of the buttock, the kind that appears after weight loss, after having children, or after previous procedures. That looseness on the buttock roll is one of the hardest areas to address without surgery.

    “So many people come in, I have lots of girls that come in saying that they notice sagging on the lower part of their buttock after weight loss, after having kids, um especially with GLPS. And sometimes there's really nothing you could do except for surgery.”DR. JASON EMER · FROM THE VIDEO
  2. 02The plan

    What Dr. Emer decided to do

    “So, one of the treatments we've been doing that's gotten actually really good results is doing micro needling radio frequency with alo clay or some filler to the buttock whether it's fat grafting or of a cadaabver ECM which is the alo clay.”DR. JASON EMER · FROM THE VIDEO
  3. 03The session

    In the room, in order

    Dr. Emer combined deep micro needling radio frequency with Alloclae to contract the tissue from underneath and add volume. The radio frequency uses needles to tighten skin and improve texture, tone and color. The regenerative filler molds into the muscle as the patient moves and trains.

    • Assess and numb
    • Deep micro needling radio frequency
    • Place regenerative filler
    • Back to work the same day
    “So, what we're doing right now is we're doing our deep micro needling radio frequency and then I'll show you guys really quickly how much the buttock has improved because it tighten up on the buttock roll and this allows us to go deep and contract the tissue.”DR. JASON EMER · FROM THE VIDEO
  4. 04The result

    What changed

    This was the patient's second or third session, and the improvement from the first treatment was already dramatic. He was cleared to work out the next day, and the treatment took about the same amount of time as a regular workout.

    “So, again here. Can't see it there. And now show them. Gorgeous. Wow. Huge improvement.”DR. JASON EMER · FROM THE VIDEO
  5. 05What comes next

    Recovery and what to expect

    There is no real downtime. Dr. Emer clears patients to work out the next day if they want, or to wait three days if they prefer to be conservative. One patient came in wearing a mini skirt, had the treatment done, and went right back to work in high heels.

    Pain level is higher on the buttock than on other areas, but when done with topical numbing and injectable numbing at the same time as the filler, it is much less. The injected numbing that comes with the filler makes the micro needling radio frequency feel less painful.

    “Down time for this is zero. I mean I tell people I know the company tells people to wait like a week before working out. I tell people you work out the next day if they really want you just take it easy or if you want to be conservative, wait 3 days, but there's no real downtime.”DR. JASON EMER · FROM THE VIDEO
Explore the full treatment details +

Lower buttock roll, tightened without surgery / Patient story

Sagging on the lower buttock. Tightened without surgery.

Looseness and laxity on the buttock roll after weight loss, addressed in sessions with zero downtime.

The patient came in with sagging on the lower part of the buttock, the kind that appears after weight loss, after having children, or after previous procedures. That looseness on the buttock roll is one of the hardest areas to address without surgery.

Dr. Emer combined deep micro needling radio frequency with Alloclae to contract the tissue from underneath and add volume. The radio frequency uses needles to tighten skin and improve texture, tone and color. The regenerative filler molds into the muscle as the patient moves and trains.

This was the patient's second or third session, and the improvement from the first treatment was already dramatic. He was cleared to work out the next day, and the treatment took about the same amount of time as a regular workout.

When the lower buttock sags and surgery is not the plan

The patient in this video came in with looseness and laxity on the lower part of the buttock, the kind that appears after weight loss, after having children, or after previous procedures. That sagging on the buttock roll is one of the hardest areas to address without surgery.

Dr. Emer built a treatment that contracts the tissue from underneath: deep micro needling radio frequency combined with Alloclae or fat grafting to the buttock. The radio frequency goes deep enough to contract the skin and improve texture, tone and color, while the regenerative filler adds volume and shape.

What the treatment actually does

Micro needling radio frequency uses needles to contract tissue under the skin. Placed at the right depth, it tightens without causing fat loss. Alloclae is a regenerative filler made from cadaver extracellular matrix that integrates with surrounding tissue and molds into the muscle as you move and train.

Done together in one session, the combination lifts the buttock roll and firms the skin. The patient in this video is on his second or third session, and the improvement from the first treatment was already dramatic.

How a session is built

Four moves. Zero downtime.

Planned around a work schedule: tighten the buttock roll in one session, and go right back to your day.

  1. 01

    Assess and numb

    The area is assessed and numbed with topical and injectable numbing so the treatment feels less painful.

  2. 02

    Deep micro needling radio frequency

    Needles contract tissue under the skin to tighten and improve texture, tone and color.

  3. 03

    Place regenerative filler

    Alloclae or fat grafting is placed to add volume and shape, molding into the muscle as you move.

  4. 04

    Back to work the same day

    There is no real downtime. Patients return to work immediately and are cleared to train within days.

The treatment, explained

What is non surgical buttock tightening?

Also called buttock lift without surgery, lower buttock roll tightening, micro needling radio frequency buttock, Alloclae buttock, Sculptra buttock lift, PLLA buttock tightening, regenerative filler buttock, buttock skin tightening, glute tightening.

What it is
Non surgical buttock tightening is a procedure that addresses sagging and laxity on the lower buttock roll, the area that loosens after weight loss, pregnancy or previous procedures. Dr. Emer uses deep micro needling radio frequency to contract tissue under the skin, combined with regenerative filler such as Alloclae or fat grafting to add volume and shape. The treatment tightens the buttock roll, improves skin texture and tone, and lifts the lower buttock without surgery or downtime.
How it works
Micro needling radio frequency uses fine needles to deliver controlled energy at a precise depth beneath the skin. This contracts the tissue, tightens laxity, and stimulates collagen production without causing fat loss. Alloclae, a cadaver extracellular matrix filler, or fat grafting is then placed to add volume and contour. The filler molds into the muscle as the patient moves and trains. Topical and injectable numbing are administered at the same time as the filler to reduce pain. The session takes about the same amount of time as a regular workout.
Who it is for
Candidates include men and women with sagging or laxity on the lower buttock after weight loss, pregnancy, or previous procedures such as Brazilian butt lift. The treatment is ideal for patients who want tightening and lift without surgery, those who work out regularly and can follow a training protocol to mold the filler, and anyone who needs a plan that fits a work schedule with zero downtime. Patients with darker skin tones may need skin care afterwards to prevent hyperpigmentation.
Recovery
There is no real downtime. Patients return to work the same day and are cleared to work out the next day if desired, or wait three days conservatively. Training the hamstrings and glutes helps the filler mold into the muscle. Peptides and supplements are recommended to improve collagen production. Patients with darker skin tones may need skin care to prevent hyperpigmentation. Recovery and training protocols are set during consultation.
When results show
Improvement is visible after the first session. Most patients need two to three sessions of micro needling radio frequency to see the full tightening effect. The filler may need maintenance a couple times a year depending on how much the patient works out and how the body responds. For muscular patients, Dr. Emer recommends two to four syringes of Sculptra per buttock a couple times a year to maintain the result. The outcome depends on following the training, peptide and skin care protocols between sessions.

Signature procedures

Only at Emer.

Body / AETHRAFORM top tier

MAXORIS™ APEX

The top tier of MAXORIS™ body sculpting: high-definition liposculpture, fat grafting and internal tightening, planned as one masculine geometry rather than separate areas.

Book MAXORIS™ APEXExplore

Peptides / biologic optimization

RECODEX™

Peptide and biologic protocols for recovery, body composition and longevity, with epigenetic testing. RECODEX™ peptides are available to purchase through the practice after consultation.

Book RECODEX™Explore

Face / jaw

MAX-JZ

Dr. Emer's male jaw and face sculpting: a sharp mandibular line and defined angles, built with structural filler, debulking liposuction with internal heating, and hidden-scar neck lifting when the anatomy calls for it.

Book MAX-JZExplore

From Dr. Emer's Instagram

The work, as he shows it.

@jasonemermd @recodexsystem

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Why Dr. Emer

Sculpting is a craft. He set the standard.

Two decades of results, a global patient base, and techniques other surgeons travel to learn.

Dr. Emer built his reputation on outcomes that read as natural at rest and unmistakable in motion. He pioneered high-definition body sculpting approaches that are now taught internationally, and he personally performs every procedure in his practice.

Patients come to him when the result has to be precise: people who want tightening without surgery, those who have been elsewhere and want it done right, and anyone who needs a comprehensive plan that includes what to do at home.

  • MD, FAAD, FACS: board-certified dermatologist and cosmetic surgeon
  • Former Chief Resident in dermatology, Mount Sinai, New York
  • More than 10,000 patient encounters
  • Male facial sculpting longer than anyone in the United States
  • The highest filler volume on the West Coast
  • West Hollywood and New York
About Dr. Emer Schedule Consultation
EMER METHOD™×RECODEX™

Two to three sessions

Most patients need two to three sessions of micro needling radio frequency to see the full tightening effect.

Work out to mold the filler

The filler is clay: it needs to mold into the muscle. Training the hamstrings and glutes helps it firm into the contour.

Peptides and supplements

Taking peptides and supplements improves collagen production and helps the skin tighten over time.

Skin care for darker tones

If you have darker skin tone, you may need skin care afterwards to prevent hyperpigmentation.

Asked plainly, answered plainly

What patients ask before they book.

Is there downtime after buttock tightening with micro needling radio frequency?+

No real downtime. You can go back to work the same day. Dr. Emer clears patients to work out the next day if they want, or to wait three days if they prefer to be conservative. One patient did the treatment in a mini skirt and went right back to work in high heels.

Does buttock tightening with micro needling radio frequency hurt?+

Pain level is higher on the buttock than on other areas, but when done with topical numbing and injectable numbing at the same time as the filler, it is much less. The numbing medicine is injected during the filler placement, so the micro needling radio frequency feels less painful.

How many sessions does it take to tighten the buttock roll?+

Most patients need two to three sessions of micro needling radio frequency to see the full tightening effect. The filler may need maintenance a couple times a year depending on how much you work out and how your body responds. For muscular patients, Dr. Emer recommends two to four syringes of Sculptra per buttock a couple times a year.

Will micro needling radio frequency cause fat loss on the buttock?+

No, when placed at the right depth. Micro needling radio frequency can cause fat loss if you go really deep, but when placed at the correct depth, it contracts the tissue and tightens the skin without fat loss. Dr. Emer uses precise depth control to preserve volume while tightening laxity.

What do I need to do at home to get the best result?+

You need to work out to mold the filler into the muscle. The filler is clay and needs to mold as you move and train. Training the hamstrings and glutes helps it firm into the contour. Taking peptides and supplements improves collagen production and helps the skin tighten over time. If you have darker skin tone, you may need skin care afterwards to prevent hyperpigmentation.

Can I combine buttock tightening with other body contouring procedures?+

Yes. Buttock tightening with micro needling radio frequency and Alloclae can be combined with liposculpture, cellulite treatment, or other body contouring procedures. If you have cellulite, you may need a treatment that breaks apart the cellulite in addition to the tightening. Your plan is determined during consultation.

How long does a buttock tightening session take?+

The treatment takes about the same amount of time as a regular workout. The session includes assessment, numbing, micro needling radio frequency, and filler placement. Because there is no downtime, patients often schedule the treatment around their work day.

What is Alloclae and how does it work for buttock tightening?+

Alloclae is a cadaver extracellular matrix filler that adds volume and shape to the buttock. It molds into the muscle as you move and train, firming into the contour over time. Dr. Emer also uses fat grafting or Sculptra depending on the patient's goals and body response. The filler is placed at the same time as the micro needling radio frequency to address both laxity and volume.

Find out what your body can carry.

A consultation with Dr. Emer covers your goals, your skin, and whether non surgical buttock tightening fits your plan.

Schedule Consultation

West Hollywood and New York City

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