Restore firmness: loose facial skin treatment in Massapequa
Your face looks a little softer than it used to, especially through the cheeks and along the lower face, and pressing your skin upward in the mirror shows what's changed. At Skin Space in Massapequa, we help clients across Long Island restore firmness with non-surgical treatments that tighten skin and rebuild its support, with little to no downtime.
Also known as sagging skin, loss of firmness, skin laxity and sagging cheeks.
Medically reviewed by Dr. Jimenez, Medical Director. Last reviewed September 2026.
What loose facial skin is
A gradual change in firmness and support.
Loose facial skin, also called skin laxity, happens when the skin loses the collagen and elastin that keep it firm, while the volume underneath slowly decreases. Without that support, skin begins to settle lower and look softer, most noticeably across the cheeks and mid-face.
Non-surgical treatments work best for mild to moderate laxity. They tighten the skin, stimulate new collagen and restore some lost support, so the face looks firmer and more lifted. They can't replace a surgical facelift for significant sagging, and we'll tell you honestly what's realistic for your skin.
Softer cheeks
The cheeks look flatter and sit slightly lower than they used to.
Deeper folds
Lines from the nose to the mouth deepen as the mid-face settles.
Less defined contours
The face looks less sculpted, with softer edges along the cheekbones and jaw.
Sagging along the jawline has its own page: jowls and sagging jawline. For the neck, see loose neck skin, and for lost fullness, hollow or sunken cheeks.
What causes it
Support breaking down above and below the skin.
Facial firmness depends on collagen and elastin in the skin, and on fat and bone underneath. As all of these change with time, skin begins to loosen.
- Collagen and elastin loss, which starts in your 20s and speeds up in your 40s and 50s.
- Volume loss, as facial fat pads shrink and shift downward.
- Sun damage, which breaks down collagen faster than aging alone.
- Menopause, when the drop in estrogen thins the skin and reduces collagen.
- Significant weight loss, including with GLP-1 medications, which can reduce facial volume quickly.
- Smoking and genetics, which both influence how quickly skin loses firmness.
Firming treatments at Skin Space
Your Skin Space provider will combine treatments that tighten the skin with ones that restore support underneath.
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Skin Tightening
Radiofrequency energy gently heats the deeper layers of the skin, tightening existing collagen and stimulating new collagen for firmer-looking skin over time.
- Best for
- Mild to moderate laxity on the cheeks and lower face
- Format
- A series of sessions
- Downtime
- None; skin may look flushed briefly
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Revision BioStim
A professional skin treatment series designed to support firmness and resilience, improving skin quality alongside tightening treatments.
- Best for
- Overall firmness and skin quality
- Format
- A series of three sessions
- Downtime
- None to minimal
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Tribella
Combines radiofrequency, nano-fractional resurfacing and light-based treatment to firm the skin while improving texture and tone.
- Best for
- Laxity with sun damage, fine lines or uneven texture
- Format
- A series of sessions
- Downtime
- Minimal to a few days
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Radiesse
An injectable that adds structural support and stimulates the body's own collagen, helping firm and lift areas that have lost volume.
- Best for
- Loss of support in the cheeks and along the jaw
- Format
- Usually one appointment, with results building over months
- Downtime
- Swelling and possible bruising for a few days
- Good to know
- Performed by a licensed medical provider
Also used alongside these
- MicroneedlingBuilds collagen to improve skin thickness and firmness over time.
- Buccal Massage FacialA sculpting facial that relieves tension and helps define the cheeks and jaw.
What to expect at Skin Space
From your first visit in Massapequa to firmer skin.
Consultation
We assess skin quality, volume and laxity, and talk honestly about what non-surgical treatment can achieve for you.
Your plan
Your provider recommends a combination, often pairing a tightening treatment with something that restores support.
Treatment series
Sessions are spaced a few weeks apart, since collagen takes time to build.
Maintenance
Firming results develop for months. Annual maintenance helps them last as your skin continues to age.
Supporting firmer skin at home
Protect collagen every day.
- Wear sunscreen daily. Sun is the biggest outside cause of collagen loss.
- Use a retinoid at night to support collagen production over time.
- Eat enough protein and stay hydrated to support healthy skin.
- Avoid smoking, which speeds up skin aging.
- Plan around weight changes. If you're losing a significant amount of weight, starting treatment early can help support skin as volume changes.
- Protect your skin year-round on Long Island. Summer sun at the beach and on the water is the biggest driver of early lines, and winter wind and dry indoor heat dehydrate skin and make lines more visible. Adjust your routine with the seasons.
When to check with your doctor
Gradual sagging is normal. Sudden change isn't.
Check with your doctor if you:
- Notice sudden drooping on one side of your face, which needs emergency care
- Have significant sagging and want to know about surgical options
- Are pregnant or breastfeeding, since some treatments aren't recommended
- Have metal implants, a pacemaker or other implanted devices, which may affect radiofrequency treatments
Every Skin Space consultation includes a review of your health history so we can choose treatments that are safe for you.
Common questions
Can loose facial skin be tightened without surgery?
Yes, for mild to moderate laxity. Non-surgical treatments can firm and tighten the skin, though they can't match the lift of a surgical facelift for significant sagging.
How long do skin tightening results last?
Results build over several months as new collagen forms and can last a year or more, with maintenance treatments to keep them going.
What's the best age to start?
Many people start in their 40s, when they first notice softening. Starting earlier can help slow the process, while later starts still see meaningful improvement.
Is Radiesse the same as filler?
Radiesse adds support like a filler, but it also stimulates your own collagen over time, which makes it useful for firming as well as volume.
Can I combine treatments?
Yes, and most people get the best results by combining a tightening treatment with one that restores support or improves skin quality.
Where can I get loose skin treated near Massapequa?
Skin Space is a med spa in Massapequa, NY, serving clients from across Long Island. Every plan starts with a consultation so we can assess your skin in person.
Related concerns
Other concerns we treat at Skin Space in Massapequa.
- Jowls and sagging jawlineA softer, less defined jawline
- Loose neck skinLoose, lined or crepey neck
- Hollow or sunken cheeksCheeks that have lost fullness
- Deeper wrinklesLines that stay visible at rest
- Crepey skinThin, finely wrinkled skin
- Loose skin after weight lossSkin that hasn't tightened after weight loss
Reviewed by Dr. Jimenez
Medical Director at Skin Space in Massapequa, NY. This page was reviewed for medical accuracy in September 2026.