Immediate tightening with zero visible mark
The treatment produces visible skin contraction immediately after the session with no redness, swelling or surface damage. Celebrity clients go directly to filming after treatment.
Jason Emer, MD, FAAD, FACS
The Hidden Treatment Men Use To Tighten Skin While Losing Weight: Softwave Plus Microneedling RF
How Dr. Jason Emer combines Softwave acoustic wave therapy with microneedling radiofrequency to tighten facial skin for men who are losing weight, with no downtime and immediate visible results.

Dr. Jason Emer MD · FAAD · FACS
Softwave acoustic wave therapy combined with microneedling radiofrequency tightens facial skin during active weight loss, with visible results immediately and no downtime, allowing patients to return to the gym the same day.
Your plan starts with Dr. Emer.
Schedule ConsultationReserve online. West Hollywood and New York.
From the filmed session
What Dr. Emer did · RE:SKN
High-intensity acoustic pulses delivered approximately 1.5 millimeters deep into the upper surface of the skin, stimulating tissue contraction and collagen production across the face and jawline, applied area by area without sedation.
“This device is on the skin and in 5 seconds it's pulsing, pulsing, pulsing a ton of energy into the upper surface.”
Dr. Emer, in the film
Microneedling RF applied immediately after Softwave to tighten both the surface and below the surface, working the face and neck while numbing is still active, creating tissue contraction and improving skin quality.
“This combination gets both the surface and below the surface.”
Dr. Emer, in the film
Why patients fly in
The treatment produces visible skin contraction immediately after the session with no redness, swelling or surface damage. Celebrity clients go directly to filming after treatment.
Dr. Emer uses this combination to maintain facial structure as patients continue losing weight, preventing skin laxity before it becomes severe rather than correcting it after the fact.
“He lost a bunch of weight. He's planning to lose more weight. This is one of the best treatments for him to maintain his face while he's on his journey.”
Dr. Emer uses active massage during treatment to manage discomfort without nerve blocks or oral sedation, which keeps swelling minimal and allows immediate return to all activities.
Patients with darker skin tones and genetic predisposition to strong collagen production see superior results with this protocol.
THE THINKING BEHIND THE TREATMENT
Follow Dr. Emer’s approach through the stages described in this case.
Back to the video ↗He has already lost a significant amount of weight and plans to lose more. This treatment keeps his face from lagging behind.
The patient arrived more than halfway through his weight loss journey. His skin was already thinner, which made him a strong candidate for the treatment. The goal was not to add volume or lift sagging tissue. The goal was to keep the skin tight and responsive as his body continued to change.
Planned around a schedule that does not stop: immediate results, no downtime, back to the gym the same day.
Dr. Emer combined Softwave acoustic wave therapy with microneedling radiofrequency, working the face and jawline area by area. The treatment was uncomfortable during the pulses, but the patient chose to go through the session without sedation. When the session ended, there was no visible mark on the skin, and he was cleared to return to the gym immediately.
One of Dr. Emer's celebrity clients had this treatment done and went directly to filming. There is no visible mark on the skin when the session ends, and patients can return to the gym immediately.
The treatment is uncomfortable during the pulses, and some areas are more sensitive than others. Nerve blocks can reduce pain but cause more swelling. Pills can manage discomfort but leave patients out of it for the day. Most men choose to go area by area and get through the session without sedation, which is exactly what this patient did.
“He's going to be able to work out immediately. He's going to have a really nice outcome he sees right away and he's got his skin's going to look better.”DR. JASON EMER · FROM THE VIDEO
The treatment celebrities use before they film / Patient story
He has already lost a significant amount of weight and plans to lose more. This treatment keeps his face from lagging behind.
The patient arrived more than halfway through his weight loss journey. His skin was already thinner, which made him a strong candidate for the treatment. The goal was not to add volume or lift sagging tissue. The goal was to keep the skin tight and responsive as his body continued to change.
Dr. Emer combined Softwave acoustic wave therapy with microneedling radiofrequency, working the face and jawline area by area. The treatment was uncomfortable during the pulses, but the patient chose to go through the session without sedation. When the session ended, there was no visible mark on the skin, and he was cleared to return to the gym immediately.
The patient in this video is in the middle of a weight loss journey. He has already lost a significant amount of weight and plans to lose more. That creates a specific problem: as the weight comes off, the skin can lag behind, especially around the face and jawline.
Dr. Emer built this session around maintaining facial structure during that process. Softwave acoustic wave therapy combined with microneedling radiofrequency tightens skin from the surface and below, with results visible immediately and no recovery that interferes with training or work.
Softwave is a high-intensity acoustic wave device that pulses energy into the upper layers of the skin, about 1.5 millimeters deep. The pulses stimulate tissue contraction and collagen production. Microneedling radiofrequency follows immediately after, working both the surface and below the surface to tighten and improve skin quality.
The treatment addresses laxity, one of the six categories Dr. Emer evaluates when assessing facial aging: movement lines, volume loss, laxity, texture, color, and tone. This fits the laxity category and works especially well for men and for patients with darker skin tones, who produce stronger collagen responses.
How a session is built
Planned around a schedule that does not stop: immediate results, no downtime, back to the gym the same day.
High-intensity acoustic pulses are delivered about 1.5 millimeters deep into the skin, stimulating tissue contraction and collagen production. The pulses are uncomfortable, and some areas are more sensitive than others.
Immediately after Softwave, microneedling radiofrequency is applied to tighten both the surface and below the surface. This combination addresses laxity from multiple layers.
Dr. Emer uses massage during the treatment to distract and help manage discomfort. The goal is to get through the session without sedation, which keeps swelling minimal and allows patients to return to normal activity immediately.
When the session ends, there is no visible mark on the skin. One celebrity client went directly to filming after treatment. Patients can return to the gym, work, or any other activity the same day.
The treatment, explained
Also called microneedling radiofrequency, non-invasive skin tightening, acoustic wave skin tightening, RF microneedling, skin tightening during weight loss, male facial skin tightening, no downtime skin tightening.
Signature procedures
Peptides / biologic optimization
Peptide and biologic protocols for recovery, body composition and longevity, with epigenetic testing. RECODEX™ peptides are available to purchase through the practice after consultation.
Why Dr. Emer
Two decades of results, a global patient base, and techniques other physicians travel to learn.
Dr. Emer built his reputation on outcomes that read as natural at rest and unmistakable in motion. He pioneered body sculpting and facial contouring 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: men losing weight who want to maintain facial structure, athletes protecting skin quality during training, and people who have been elsewhere and want it done right.
Softwave delivers high-intensity acoustic pulses that stimulate tissue contraction and collagen production. The device works about 1.5 millimeters deep, tightening skin from the upper layers.
Microneedling RF works both the surface and below the surface, tightening and improving skin quality. The combination of Softwave and microneedling RF addresses laxity from multiple layers.
Patients with darker skin tones tend to produce better collagen and see stronger results. Dr. Emer notes that his African-American patients and mixed ethnicities do the best with this treatment.
For patients losing weight, this treatment maintains facial structure as the body changes. It can be repeated two to three times a year to keep skin tight throughout the weight loss journey.
Asked plainly, answered plainly
The pulses are uncomfortable, and some areas of the face are more sensitive than others. Nerve blocks can reduce pain but cause more swelling. Oral sedation can manage discomfort but leaves you out of it for the day. Most men choose to go area by area without sedation. Dr. Emer uses massage during treatment to distract and help manage discomfort.
There is no downtime. When the session ends, there is no visible mark, redness or swelling on the skin. One celebrity client went directly to filming after treatment. You can return to the gym, work or any other activity immediately.
You see skin tightening immediately after the session. The result continues to improve as collagen builds over the following weeks. The immediate outcome is one reason performers and public figures use this treatment before filming or events.
Smaller areas and thinner skin respond best. The face, neck, jawline, knees, elbows and the roll above the buttock are all good candidates. Larger areas like the full abdomen or buttock may not see as much improvement from Softwave alone, though microneedling radiofrequency can cover those areas effectively.
Dr. Emer recommends two to three times per year to keep skin tight. For men who are actively losing weight, repeating the treatment quarterly helps maintain facial structure as the body changes. The frequency is determined during consultation based on your weight loss timeline, training schedule and skin quality.
Yes. Dr. Emer can combine Softwave and microneedling RF with threads to lift the skin, fillers to create contour, or laser treatments for texture and tone. The combination depends on your goals and which of the six categories of facial aging need to be addressed: movement lines, volume loss, laxity, texture, color and tone.
Patients with thinner skin, darker skin tones and genetic predisposition to strong collagen production see the best results. Men who are actively losing weight and want to maintain facial structure are ideal candidates. This patient had already lost a significant amount of weight and planned to lose more, making him a strong candidate for the treatment.
Yes. Women can have Softwave and microneedling RF for skin tightening. After the session, women can wear makeup immediately. Dr. Emer recommends a BB cream with SPF after applying skincare products.
A consultation with Dr. Emer covers your weight loss plan, your goals, and whether Softwave plus microneedling radiofrequency fits your timeline.
Schedule ConsultationWest Hollywood and New York City