Elasticity
What shows up as sagging and slackness.
Start here
- What it is
Skin losing the force that returns it after it is pressed, and drifting downward. It overlaps with wrinkles but is measured differently.
- Why it happens
Collagen and elastin in the dermis decline, the fat beneath redistributes, and the ligaments that hold the face up stretch. It is not only about skin.
- Where to start
There is only so much a topical can reach. Sagging often originates below the skin rather than in it, so for this concern the procedures layer carries more data. Even so, procedures lift only so far; a change beyond that belongs to surgery.
There are no numbers and no citations in this box. What has been established, and how far, is below.
Elasticity is where the procedures cluster most heavily on this site. And those procedures share one problem.
Read the Thermage, Ulthera, thread lift and Onda pages together and you find that the control arm in every randomised trial is another device — or there is none at all. Thread lifting has no randomised controlled trial whatsoever.
The ingredient side is quieter. There is no notified active aimed at elasticity, and most of the evidence is carried over from wrinkles or moisturisation.
Clinical procedures related to this concern
Procedures are not listed alongside topical ingredients. They are not something you use at home.
- Moderate evidenceBotulinum toxinInjection
- Moderate evidenceMonopolar radiofrequencyDevice-based
- Moderate evidenceMicrofocused ultrasoundDevice-based
- Moderate evidenceCalcium hydroxylapatite (Radiesse)Injection
- Moderate evidencePolycaprolactone (PCL)Injection
- Moderate evidenceHuman acellular dermal matrix (hADM)Injection
- Moderate evidenceHyaluronic acid fillerInjection
- Moderate evidencePoly-L-lactic acid (Sculptra)Injection
- Moderate evidenceMicroneedle radiofrequencyDevice-based
- Moderate evidenceMicroneedling (dermapen, dermaroller)Device-based
- Moderate evidencePlatelet-rich plasma (PRP)Injection
- Moderate evidenceNitrogen plasmaDevice-based
- Moderate evidenceSynchronised radiofrequency and HIFEM (EMSculpt-type)Device-based
- Moderate evidenceCarboxytherapy (carbon dioxide injection)Injection
- Early researchAbsorbable thread liftImplant
- Early researchMicrowave energy deviceDevice-based
- Early researchExosome treatmentDevice-based
- Early researchPDLLA skin booster (Juvelook)Injection
- Not establishedMicro-coringDevice-based
Surgery related to this concern
Surgery is not the same as a procedure. Most of it cannot be undone, and this site does not yet grade evidence for this layer — these are not measured with the same ruler as the lists above. Reversibility is shown in place of a grade.
- Brow liftCannot be undone
- FaceliftCannot be undone
- Neck liftCannot be undone
- Thigh liftCannot be undone
- Upper blepharoplastyCannot be undone
- Arm liftCannot be undone