Newsweek ran a story in August on GLP-1 use driving plastic surgery demand. I sent the reporter my answer in July. Here is the med spa half of it: what freezing, radiofrequency and ultrasound can do for loose skin after weight loss, and the point where I send you to the operating room instead.

Barry Keoghan’s facialist posted his second needle-free radiofrequency session last week, and the price made headlines: about $6,000 for two. Dr. Frank Agullo on what RF without needles can do, where it stops, and the ladder of options above it at Southwest Plastic Surgery, from Morpheus8 Cool to the operating room.

A celebrity’s arms at Vogue World sent the internet to the comment section. Southwest Plastic Surgery hears the same question in the consult room every week: can the loose skin on my arms be tightened, or does it need an arm lift? Dr. Frank Agullo’s answer, in his own words.

Patients ask Southwest Plastic Surgery about at-home radiofrequency devices almost every week. Dr. Frank Agullo’s answer is that they are safe, that the results are mild, and that the reason for both is the same: they do not heat the skin to the temperature that remodels collagen. Here is what the office series does differently, and when a lift is the honest answer.

Every non-surgical line in the ISAPS 2025 global survey fell except one. Non-surgical skin tightening rose 23.3 percent in a year and 52.3 percent since 2021 while fillers fell a quarter and fat freezing fell by almost half. Dr. Frank Agullo runs four tightening devices and explains what the numbers are saying.

Morpheus8 is one of the most popular treatments at the Southwest Plastic Surgery med spa. Its one drawback was the pain. Morpheus8 Cool keeps the power and the depth and takes most of the pain away. Dr. Frank Agullo tried it on himself before offering it, and explains who should book it, what it feels like, and what it costs.

One energy, many doors: Morpheus8 in the med spa, FaceTite and Renuvion J-Plasma in the OR. How Dr. Agullo and the team match the treatment to the patient.