Skin laxity, also known as sagging skin, is a common sign of ageing where the skin loses its elasticity and firmness, leading to a loss of tightness and a more drooping appearance. This happens as we age because the skin produces less collagen and elastin, proteins that provide structure and elasticity. Besides ageing, extrinsic factors like excessive sun exposure, smoking, and weight fluctuations can contribute to skin laxity. Further loss of volume from supporting facial bone and fat pads with ageing compounds the effect (refilling lost volume treatments).
Rejuvenation of your skins cellular mechanisms to essentially firm is best achieved through a multi-modality approach as the normal ageing process is complex and multi-factorial. By replacing the essential elements missing in the various layers of your skin, rejuvenation and firming can improve. Results are completely natural, retaining your unique identity, as the firming occurs across your own supporting frame work.
Neck
The ageing neck is characterized by wrinkles, sagging skin, and a loss of firmness and elasticity. Often an area of concern due to advanced signs of ageing not in keeping with the more youthful maintained face.
Common signs include:
- Horizontal lines and wrinkles
- Sagging skin
- Vertical bands
- Loss of volume
- Uneven skin tone
Décolleté
The Décolleté is prone to signs of ageing due to excessive sun exposure, skin thinning, and lifestyle factors. This area can develop wrinkles, uneven skin tone, and a loss of elasticity. Ageing signs are often compounded in Full-breasted women as sleeping on their sides increases the wrinkle formation.
Hands
Ageing hands are characterized by a loss of volume and elasticity, leading to prominent veins and tendons, wrinkles, and age spots. These changes are often more noticeable on hands due to thinner skin and frequent sun exposure.
Scalp
Scalp ageing is a real and often overlooked process that mirrors the changes seen in facial skin as we age. It involves a decline in collagen and elastin production, leading to a thinner, drier, and less elastic scalp. The hair follicles themselves can weaken, leading to thinner hair strands and a slower growth cycle.
CaHA redraping / firming treatments
CaHA Hybrid Biostimulator
CaHA is a hybrid biostimulator designed to treat skin laxity and restore youthful firmness. It combines hyaluronic acid (HA) and calcium hydroxyapatite (CaHA) to deliver both immediate and long-term rejuvenation. This unique formulation provides instant hydration and volume from HA, while CaHA microspheres stimulate natural collagen production for lasting lift and structure. The tightening and firming effects can last up to 18 months or longer.
CaHA treatments work by encouraging your skin to rebuild its own collagen and elastin, improving elasticity, firmness, and overall skin quality. The results are entirely natural — enhancing your features without altering your expression.
The procedure involves a single needle entry with a fine cannula, offering excellent comfort and minimal downtime. Patients often report that, beyond the lifting effect, their skin texture and luminosity improve significantly in the weeks following treatment.
Treatment Techniques
C Technique
In the “C” technique, injections are strategically placed along the jawline, in front of the ears, and across the cheeks, following a gentle curved “C” pattern.
R12,000 for 2 syringes
C+ Technique
The “C+” technique extends the treatment area to include the pre-jowl sulcus and mid-cheek (submalar) region, offering a more comprehensive rejuvenation using the same entry point.
R16,000 for 3 syringes
Treatment Planning
Treatment requirements are always tailored to your individual skin condition and desired outcome. Your results are reviewed during follow-ups, and complementary treatments such as hydration therapy, PRP, or Dermalux LED may be recommended to enhance your overall rejuvenation.
To maintain firm, youthful skin, a yearly or biennial session using the 2-syringe “C” or 3-syringe “C+” technique is ideal.
For more advanced skin laxity, accelerated rejuvenation may require 4–6 syringes in the first year. This can be completed as:
- One full treatment session
- Two 3-syringe sessions, 4 months apart
- Or three 2-syringe sessions, every 4 months
Each treatment plan is reviewed and refined according to your progress and results.
For targeted collagen stimulation, a single syringe (R6,000) can be used to focus on specific areas. This approach allows for gradual, affordable collagen induction by alternating treatment zones — for example, mid-face in one session and lower face in the next, spaced 4–6 months apart. Single-syringe top-ups are also ideal for maintaining results or refining previously treated areas that may age faster than others.
PLLA or Poly-L-Lactic acid redraping / firming treatments
PLLA Collagen Stimulator
PLLA (Poly-L-Lactic Acid) is renowned for its ability to stimulate collagen production, resulting in gradual, natural-looking improvements in skin volume, firmness, and texture. It offers a subtle, progressive rejuvenation rather than an immediate change, as new collagen develops over the weeks and months following treatment.
The results of PLLA treatments can last for up to two years or more, making it a highly effective long-term option for restoring youthful skin structure and elasticity.
Treatment Overview
R12,000 for two vials of PLLA
R7,000 for one vial of PLLA
Depending on the degree of skin laxity, a repeat treatment at month 3 is recommended for advanced sagging. For the face, the best results are achieved using two vials in a single session, while areas such as the neck, décolleté, and hands typically benefit from one vial of PLLA.
Consultation & Treatment Planning
During your consultation with Dr. Lahey, a personalised plan will be created to address both initial active rejuvenation and long-term maintenance for specific areas of concern. This ensures a tailored, natural, and lasting enhancement of your skin’s tone and structure.
Redraping treatment through hydration
Hyaluronic Acid Skin Boosters
Correct use of hyaluronic acid (HA) skin boosters results in noticeable improvements in hydration, tightness, and firmness of your skin. This is a key component of firming as it not only stimulates collagen production but also enables the existing collagen and elastin to provide better support, essentially plumping the skin.
If your HA levels are depleted, early repeat treatments at month 4 may be required to rebuild natural reservoir levels. Thereafter, ongoing maintenance can be performed every 9–12 months for preventative care.
Pricing
Face: R7,000 for 2 syringes
Neck, Décolleté, Hands: R3,500 for 1 syringe
Redraping treatment using 60 essential ingredients for collagen production
Revitalization and Hydration of tired or dull skin
Redensification of mature or slack skin
Filling of superficial wrinkles
- Free Hyaluronic acid (+/-) to hydrate and activate cells
- 12 vitamins essential for fibroblast cell stimulation and collagen synthesis. Antioxidant Vitamin C & E neutralizing free radicals and protecting skin from oxidative stress.
- 24 Amino acids essential for synthesis of collagen and elastin.
- 6 Co-enzymes regulating metabolic reactions for skin cell metabolism.
- 5 Nucleosides for regulating genes responsible of collagen and elastin production.
- 6 Minerals involved in metabolic reactions for collagen production
- Glutathione a strong powerful antioxidant.
Treatment protocol involves 3 sessions. Provided in the superficial epidermis of sensitive thin skin regions as well as the deep epidermal layer.
- Initialization (session 1) D-Day
- Correction (session 2) D-Day + 3 weeks
- Stabilization (session 3) D-Day + 6 weeks
Cost 4,000 Rand per treatment
Redraping treatment through PRP and PRP EZ Gel therapy
PRP and PRP EZ Gel are treatments that use a concentration of a patient’s own platelets which is crucial for the body’s natural healing process. The combined effect of intense growth factor release from PRP and sustained long-term release from PRP EZ Gel specifically placed at various skin depths stimulate cell regeneration and tissue repair. Specific to skin rejuvenation, it stimulates new collagen production as well as new vessel growth. The PRP EZ Gel also acts as a natural filler, providing gentle volume for 4 months, in which time a frame work of new collagen growth can be built on for long-term sustainable results.
- PRP Eyes - 4,000 Rand
- PRP Eyes/Face - 6,000 Rand
- PRP mouth - 6,000 Rand
- Neck/Décolleté - 6,000 Rand
Skin bio-remodeling through Dermalux LED light therapy
Dermalux LED Light Therapy
The number of LED light treatments needed varies based on your skin concerns and goals.
Intensive Treatment Phase
Long-term optimal results for treatment of skin conditions and collagen stimulation are achieved through an intensive phase consisting of 12 treatments, performed 2–3 times per week. Cost: R4,000. Sessions include a cleanse and a 30-minute Dermalux LED treatment.
For medical-related conditions such as pigmentation, acne, redness, psoriasis, wound healing, and musculoskeletal pain, a series of 12–16 sessions is recommended. Cost: R4,000–R6,000.
Consultation & Treatment Planning
After a full consultation and treatment plan, a series of Dermalux LED treatments will be customised to your specific skin condition.
Benefits & Recovery
Dermalux LED light therapy is non-invasive and the perfect accompaniment for recovery from laser treatments, chemical peels, and microneedling. It accelerates healing