What is Titan®?

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Many people who are looking for non-invasive ways to tighten sagging skin have likely come across Titan skin tightening treatments or Titan Laser at one point or another. These treatments, which use infrared lights to penetrate the skin and boost collagen production, usually require little to no healing time and lack the kind of side effects that are common with other types of cosmetic surgery. Titan skin tightening treatments may be a possible option for people who want to tighten the skin on their face, abdomen, or neck without the use of artificial collagen. This procedure is often claimed to deliver the same results as medical-grade wrinkle fillers and collagen injections without damaging deeper muscle tissue but we treat those sorts of claims with suspicion.

The first non-invasive treatment cleared by the FDA for dermal heating, it provides a natural, chemical-free and non-surgical approach to treat lax skin, without any downtime or injections. During the treatment session, the top layer of skin is continuously cooled with a hand piece while the deeper layers are being heated, to minimize any discomfort.

Before & After (Slider)


*Individual results may vary. Unretouched photos of actual patient.


*Individual results may vary. Unretouched photos of actual patient.

What to Expect During Titan Skin Tightening


Titan skin tightening requires little preparation; however, those who use prescription retinoid creams to treat severe acne should speak to their dermatologist before undergoing the procedure, or discontinue use of such creams at least six months before getting the treatment, as the infrared energy may react with the medication and cause further problems. Skin that is tattooed cannot be treated with Titan skin tightening treatments, as the ink will interfere with the level of penetration by infrared light.

Before treatment, patients should ensure that the skin to be treated is clean. This is especially important if they will be using Titan skin tightening treatments for their face, as makeup or other heavy cosmetics may increase the risk of skin irritation.

If you have sensitive skin, or just don’t like pain, a numbing gel can be applied beforehand, but must be removed again when the treatment begins, which many lengthen treatment time. During treatment, the Titan skin tightening wand delivers the infrared energy and a cooling sensation simultaneously, which keeps the epidermal layer from becoming overheated. The length of Titan skin tightening treatments may vary depending on which part of the body is treated.

What to Expect After Treatment


Titan skin tightening treatments are designed to be minimally invasive so that those who undergo the procedure can return to work and resume other normal activities as quickly as possible. Many skin care experts assert that this infrared treatment has fewer side effects than other kinds of laser therapy, as the energy does not penetrate deeply enough to cause muscular atrophy. However, any patient who experiences redness or mild skin irritation can use cold packs to ease the irritation, which should resolve itself within several hours. Those who offer the Titan skin tightening treatment report that it will take up to four treatments for results to be noticeable.

Titan Skin Tightening Side Effects


Few side effects have been reported with Titan skin tightening treatments. In rare cases, patients with thin skin have developed mild wounds that required the application of antibiotic ointment, but this is not believed to be a common occurrence. Some people reported feeling a heated sensation at the treatment area, as if they had gotten a mild sunburn. Cool packs and ice are recommended in this instance, and the sensations should then subside. Nonetheless, talk to your dermatology specialist physcian extensively before getting the Titan skin tightening procedure to ensure that you’re not exposing yourself to unnecessary risk.

Frequently Asked Questions

How do I know if I need Titan?

Titan is perfect for anyone who is looking to tighten and lift their jowls, neck, cheeks, and forehead. You should not have treatment if you are pregnant or have been on Accutane within the past 3 months. If you have a pacemaker, internal defibrillator, or metal implants you may not have radiofrequency treatments, but you may be treated with the Titan. If you are diabetic, have autoimmune disease, have recently been treated with chemotherapy, or are over 65, you may need more treatments to achieve less effect due to possible slow collagen production. We can prescribe prophylactic medications prior to treatment.

How does Titan work?

Titan has been FDA indicated for the temporary relief of minor joint pain associated with arthritis, temperature increase in local circulation where applied, and relaxation of muscles. Tissue tightening is not meant to replace surgical procedures such as face, eyelid, and neck lifts, but it is a good option for people who have mild-moderate changes and who understand that the results are noticeable but modest. These procedures represent an important and recent advance allowing dermasurgeons to achieve 3-dimensional rejuvenation of the face and body without surgery. The Titan utilizes a pulsed broadband infrared source of 850-3000nm. Thermage uses radiofrequency. These procedures can be somewhat uncomfortable during treatment but are not unusually so after. It can feel like a "hot pinch" toward the end of each pulse. You need to feel some warmth and a little bit of discomfort but not outright pain in order for the proper energy to be delivered. Occasionally oral pain pre-medication may be taken for someone who is especially fearful or intolerant of discomfort.

What benefits can I expect?

Certain light energies and radiofrequency energy can be used to heat deeper layers of the skin while protecting the surface of the skin. This heating activates fibroblasts signaling new collagen to form and existing collagen to tighten over time. It is important that you understand that the results may take up to 6 months to be appreciated and that they are not expected to achieve the same degree of improvement as surgical procedures. Improvement with Titan may be seen in three to five treatments. Although in some patients the results from a treatment are seen immediately, in most patients they will appear gradually over 2-6 months.

What are the risks and side effects?

The mild discomfort and lack of definite immediate improvement are the most commonly noted negatives for tissue tightening. The protocol methods for performing tissue tightening treatments have changed since the release of these devices. The discomfort has decreased with these changes and the chance for more immediate improvement has increased. To evaluate results, we have patients come in for follow-up evaluations visits six months following the treatments. Short-term immediate risks include prolonged redness at the area being treated, although this usually dissipates before you leave the office or within a couple of hours. Swelling can occur and could last for a few days to a week. In some rare instances, swelling and redness have lasted several weeks. The treatment area may also become temporarily white (blanching) following a treatment. Blanching typically resolves within 24 hours. Nobody is sure how long the effects last. We know that most people get at least 1-2 years of effect from their procedure but no definitive studies on long-term effect have been undertaken. There is a very low chance (less than 1%) that other side effects may be experienced. The potential other side effects are bruising, skin wound, infection and scarring, hypo (too little) and hyper (too much) pigmentation, alter sensation, and surface irregularities.

How will I look and feel during and after the treatment?

Tissue tightening treatments have no downtime and you can return to your normal activities the same day. Immediately after the treatment(s), there may be some redness or swelling at the area being treated, which usually dissipates within the hour or by the end of the day but rarely persists for a few days. You are able to apply makeup or sunscreen immediately after the procedure and go back to your daily activities.

Is there another way to get the same effect?

The main alternatives to tissue tightening are surgical (blephroplasty or eyelift, face-lift, and other surgical skin tightening options), injectable fillers, BOTOX Cosmetic, and the PanG Lift (muscle stimulation device). These treatments help to firm and tighten skin laxity by allowing for new collagen production and tightening. Alternative methods will help tighten and lift muscular atrophy (the Pan G Lift), plump and fill in lines and folds (injectable fillers), relax depressive muscles to achieve a brow-lift (BOTOX Cosmetic). Surgical procedures cut through excess tissue and remove it, suturing the remaining back in place.

Can this be combined with other treatments?

These treatments may be combined with other treatment methods or may be done individually. BOTOX Cosmetic and injectable fillers are commonly combined to achieve a more dramatic effect than by itself. Virtually any procedure (even post or pre-surgery) may be combined with tissue tightening. Also tissue tightening does not preclude you from having additional treatments in the future or undergoing surgery.