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Sofwave Skin Tightening in Houston, TX

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Transform Your Skin Without Surgery: Sofwave at Dermatology & Laser Surgery Center

Aging skin doesn’t have to mean accepting wrinkles, sagging, or loss of firmness. At Dermatology & Laser Surgery Center in Houston, our board-certified dermatologists offer Sofwave™—an FDA-cleared, non-invasive ultrasound treatment that stimulates your skin’s natural collagen production to deliver visible lifting and tightening results. 

Our team of experienced dermatologists have been at the forefront of energy-based aesthetic treatments for over two decades. We’re proud to have participated in clinical trials for Sofwave technology and continue to refine our approach to deliver natural-looking results tailored to each patient’s unique skin concerns.

 

 

What Is Sofwave? Understanding the Technology

Sofwave is an FDA-cleared, non-invasive skin tightening treatment that uses Synchronous Ultrasound Parallel Beam (SUPERB™) technology to deliver precise ultrasound energy to the mid-dermis—the layer of skin where collagen and elastin reside. Unlike surface-level treatments, Sofwave penetrates to a depth of approximately 1.5 millimeters, stimulating your body’s natural collagen remodeling process without damaging the skin’s surface.

The treatment incorporates Sofcool™ integrated cooling technology, which protects the epidermis (outer skin layer) while the ultrasound energy works deeper within the dermis. This dual-action approach means you get maximum collagen stimulation with minimal discomfort and no risk of thermal injury to the skin.1

How Sofwave Works: The Science Behind the Results

When ultrasound energy is delivered to the dermis, it creates controlled thermal zones that trigger your body’s natural healing response. This stimulates fibroblasts—the cells responsible for producing collagen and elastin—to generate new, organized collagen fibers. Over the following weeks and months, this newly formed collagen tightens and firms the skin, reducing the appearance of wrinkles and restoring lost volume and elasticity.

Clinical Evidence:

According to research published in Dermatologic Surgery, the high-intensity parallel beam ultrasound technology used in Sofwave is clinically safe and effective for skin tightening in the lower face and neck areas, with visible improvements in skin laxity and texture. In clinical trials evaluating Sofwave for upper armskin laxity, 93% of subjects demonstrated measurable improvement in skin firmness and appearance.2

Treatment Areas: Where Sofwave Works Best

Sofwave is versatile and can be used on multiple areas of the face and body:

Who Is a Good Candidate for Sofwave?

Sofwave is ideal for patients with mild to moderate skin laxity who want visible results without surgery or significant downtime. The best candidates typically:

Important Note: Sofwave is designed to address skin laxity. Depending on the individual, additional procedures may be recommended to complement treatment with Sofwave, such as dermal fillers, resurfacing lasers, and/or neuromodulator injection. 

During your consultation at our Houston practice, our dermatologists will assess your skin concerns, discuss your goals, and determine whether Sofwave is the right choice for you—or if a combination approach would be more beneficial.

The Sofwave Procedure: What to Expect

Before Your Treatment

On the day of your appointment, arrive with clean skin free of makeup, sunscreen, and skincare products. We recommend avoiding sun exposure for 24 hours before treatment. Most patients do not require anesthesia, though we can apply a topical numbing cream if you prefer additional comfort.

During the Procedure

Your Sofwave treatment typically takes 30 to 45 minutes, depending on the size and number of areas being treated. Here’s what happens:

  1. Cleansing: We cleanse the treatment area thoroughly to remove any residue.
  2. Coupling Gel: A thin layer of ultrasound coupling gel is applied to facilitate energy delivery.
  3. Handpiece Application: Our clinician glides the Sofwave handpiece over the treatment area in a systematic pattern. You’ll feel gentle warmth and mild vibration—most patients describe the sensation as comfortable and tolerable.
  4. Sofcool™ Cooling: The integrated cooling system activates between passes to keep your skin comfortable and protected.
  5. Post-Treatment Assessment: We assess the treated area and provide aftercare instructions.

The procedure is non-invasive with no needles or incisions, making it an excellent option for patients who want results without the risks associated with surgery.

Recovery and Downtime: Return to Your Life Immediately

One of Sofwave’s greatest advantages is the minimal to zero downtime. Unlike surgical facelifts or ablative laser treatments, Sofwave requires no recovery period.

Immediately After Treatment:

Potential Side Effects:

Sofwave is well-tolerated with minimal side effects. In clinical trials, the most commonly reported effects were:

Post-Treatment Care:

Results Timeline: When Will You See Improvement?

Sofwave results develop gradually as your body produces new collagen. Here’s what to expect:

Weeks 1-2: You may notice initial skin tightening and improved texture as the treatment area begins its healing response.

Weeks 2-4: Fine lines appear softer, and skin texture continues to improve. The skin may feel firmer to the touch.

Weeks 4-12: Collagen remodeling continues, and results become increasingly visible. Wrinkles appear reduced, skin laxity improves, and overall facial contours appear more defined. Most patients see their best results around the 12-week mark.

Beyond 12 Weeks: Results continue to improve subtly as collagen reorganization completes. Many patients report that their skin continues to look better even months after treatment.

According to clinical data, patients typically see visible improvement in skin laxity and fine lines within the first 2-4 weeks, with optimal results achieved by 12 weeks post-treatment.

How Long Do Sofwave Results Last?

Sofwave results are long-lasting but not permanent. Most patients enjoy visible improvements for 6 to 12 months following a single treatment. The longevity of results depends on several factors:

To maximize and extend your Sofwave results, we recommend:

Sofwave vs. Other Skin Tightening Options

Patients often ask how Sofwave compares to other non-invasive treatments. Here’s a quick comparison:

Treatment Technology Depth Down- time Results Timeline Longevity
Sofwave Ultrasound (SUPERB™) 1.5 mm None 2-4 weeks 6-12 months
Ultherapy Ultrasound (focused) 4.5 mm None 2-3 months 6-12 months
Thermage Radiofrequency Variable None 2-6 months 6-12 months
Microneedling Mechanical + RF 0.5-2.5 mm 3-5 days 4-6 weeks 6-9 months
Surgical Facelift Surgical lift Deep tissue 2-3 weeks Immediate 7-10 years

 

Why Choose Sofwave?

Combining Sofwave with Other Treatments

Sofwave works beautifully as a standalone treatment, but many patients achieve even more dramatic results by combining it with complementary aesthetic procedures. Our dermatologists can customize a treatment plan that addresses all your concerns:

Sofwave + Dermal Fillers: Fillers add volume to hollow areas (cheeks, lips, under-eye) while Sofwave tightens and firms the skin for a comprehensive facial rejuvenation.

Sofwave + Botox or Dysport: While Sofwave addresses skin laxity and texture, injectables smooth dynamic wrinkles caused by facial expressions for complete wrinkle reduction.

Sofwave + Laser Skin Rejuvenation: Combine Sofwave’s collagen-stimulating benefits with laser treatments like Fraxel or Clear + Brilliant for enhanced skin texture, tone, and clarity.

Sofwave + Microneedling: For patients with significant scarring or textural concerns, combining Sofwave with RF microneedling can deliver superior results.

Sofwave + Professional Skincare: A professional-grade skincare regimen with retinoids, vitamin C, and peptides amplifies and extends Sofwave results.

Our Houstondermatologists will discuss combination options during your consultation to create a personalized treatment plan that maximizes your results.

Sofwave for All Skin Types

A significant advantage of Sofwave is its safety and efficacy across all skin types, including darker skin tones. Unlike some laser treatments that carry a higher risk of complications in patients with darker skin, Sofwave’s ultrasound technology bypasses the epidermis entirely, eliminating concerns about hyperpigmentation or hypopigmentation.

Whether you have fair, olive, brown, or dark skin, Sofwave can help you achieve tighter, more youthful-looking skin without the risks associated with surface-level treatments.

Frequently Asked Questions About Sofwave

Does Sofwave hurt?

No. Most patients describe Sofwave as comfortable. You’ll feel gentle warmth and mild vibration as the handpiece glides over your skin. There may be a mild, tolerable pinching sensation with each pulse of the device. The integrated Sofcool™ cooling system keeps your skin comfortable throughout the procedure. 

Can I get Sofwave if I have darker skin?

Yes, absolutely. Sofwave is safe and effective for all skin types, including darker skin tones. Unlike some laser treatments, Sofwave’s ultrasound technology doesn’t target melanin, so there’s no risk of hyperpigmentation or hypopigmentation. This makes it an excellent choice for patients of color seeking skin tightening without complications.

How many Sofwave treatments do I need?

Most patients see significant results from a single treatment. However, some patients choose to have 2-3 treatments spaced 4-6 weeks apart for more dramatic results, particularly if they have significant skin laxity or are combining Sofwave with other treatments. Your dermatologist will recommend the optimal number of treatments during your consultation.

Can I combine Sofwave with other treatments?

Yes. Sofwave pairs beautifully with dermal fillers, Botox, laser skin rejuvenation, microneedling, and professional skincare. Many patients achieve their best results with a customized combination approach. We’ll discuss complementary treatment options during your consultation.

When can I see results from Sofwave?

You may notice initial skin tightening within the first 1-2 weeks, but optimal results typically appear around 8-12 weeks as new collagen continues to form. Results continue to improve subtly for several months after treatment.

How long do Sofwave results last?

Most patients enjoy visible results for 6-12 months following a single treatment. Results longevity depends on your age, skin quality, sun protection habits, and genetics. Many patients schedule maintenance treatments annually to sustain their results.

Is there any downtime with Sofwave?

No. Sofwave has zero downtime. Your skin may appear slightly flushed immediately after treatment, but this resolves within a few hours. You can return to work, exercise, and normal activities immediately.

Can I combine Sofwave with dermal fillers, BOTOX, and other aesthetic treatments?

Absolutely. In fact, many patients achieve their most dramatic results by combining treatments. Sofwave addresses skin laxity and texture, while fillers add volume, BOTOX smooths dynamic wrinkles, and laser treatments enhance skin tone and clarity. Our dermatologists will design a comprehensive treatment plan that targets all your concerns for optimal, natural-looking results.

Meet Our Board-Certified Dermatologists

Paul M. Friedman, MD – Founder and Director

Credentials & Board Certifications:

Leadership & Recognition:

Experience & Expertise:

Dr. Friedman’s extensive research and clinical experience in energy-based aesthetic treatments make him uniquely qualified to deliver exceptional Sofwave results. His contributions to the field have advanced the safety and efficacy of non-invasive skin tightening treatments.

Heather Richmond, MD – Board-Certified Dermatologist

Credentials & Board Certifications:

Recognition & Specialties:

Experience:

Dr. Richmond combines her Ivy League education with over a decade of hands-on experience to deliver personalized, results-driven care. Her specialization in laser treatments makes her an excellent choice for Sofwave and complementary aesthetic procedures.

Emily L. Guo, MD, FAAD – Board-Certified Cosmetic Dermatologist

Credentials & Board Certifications:

Education & Training:

Expertise:

Dr. Guo’s fellowship training in cosmetic dermatology and lasers, combined with her expertise in energy-based devices, positions her as an excellent provider for Sofwave treatments. Her commitment to natural-looking results aligns with our practice philosophy.

Megan Couvillion, MD, MS, FAAD – Board-Certified Dermatologist & Clinical Investigator

Credentials & Board Certifications:

Clinical Research & Expertise:

Experience & Recognition:

Dr. Couvillion’s extensive clinical trial experience with energy-based devices gives her deep knowledge of Sofwave technology and optimal treatment protocols. Her research background ensures evidence-based, scientifically-sound treatment approaches.

Why Choose Dermatology & Laser Surgery Center for Sofwave in Houston?

At Dermatology & Laser Surgery Center, we’re not just offering a treatment—we’re providing expertise, precision, and personalized care backed by decades of experience in aesthetic dermatology.

Our Advantages:

Your Sofwave Journey Starts Here

Aging skin is a natural part of life, but you don’t have to accept wrinkles, sagging, or loss of firmness. Sofwave offers a clinically proven, non-invasive solution that works with your body’s natural healing processes to restore youthful skin texture, tone, and tightness.

At Dermatology & Laser Surgery Center in Houston, our board-certified dermatologists are committed to helping you achieve your aesthetic goals with personalized care, advanced technology, and natural-looking results.

Ready to transform your skin?Schedule your Sofwave consultation today. During your appointment, we’ll assess your skin, discuss your goals, and create a customized treatment plan designed specifically for you.

 

Contact Us

 

Sources

1 Journal of Clinical Dermatology. Efficacy and safety of high-intensity, high-frequency, non-focused ultrasound parallel beams for facial skin laxity. https://pubmed.ncbi.nlm.nih.gov/38031530/. Accessed November 20, 2025.
2 Wang JV, Jairath N, Bajaj S, Taub A, Bernstein E, Geronemus RG, Kilmer S. High-Intensity, High-Frequency, Parallel Ultrasound Beam Device for Skin Laxity of the Upper Arms. Dermatol Surg. 2025 Mar 28;51(8):758-761. doi: 10.1097/DSS.0000000000004624. PMID: 40152327. Available: https://pubmed.ncbi.nlm.nih.gov/40152327/. Accessed November 20, 2025.