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Sofwave FAQ

Sofwave Frequently Asked Questions (FAQ)

These Q&A are from our Webinar attendees who asked questions following the live treatment.

General Questions

What is Sofwave?

Sofwave is a non-invasive ultrasound treatment that stimulates the body’s natural collagen production to lift and tighten skin with virtually no downtime. It uses controlled ultrasound energy to target the skin’s collagen layer while leaving the surface of the skin largely unaffected.


Is Sofwave safe for all skin types?

Yes. Sofwave is considered “colorblind,” meaning it can safely treat all skin types because the ultrasound energy bypasses the outermost layer of skin and delivers heat into the deeper collagen layer.


Can men and women both receive Sofwave treatments?

Yes. Sofwave is appropriate for all.


Is there an age limit for treatment?

No. Patients ranging from their 20s to their 70s and even 80s have been treated successfully. Treatment recommendations are based more on skin quality and goals than chronological age.


Treatment Schedule

How many treatments do I need?

Treatment plans are individualized, but common recommendations include:

  • Most patients begin with one treatment.
  • Results are evaluated after 3–6 months.
  • Some patients choose a second treatment if additional collagen stimulation is desired.
  • Annual maintenance is commonly recommended.

Who might benefit from two initial treatments?

Patients who:

  • Have more advanced aging
  • Have never had collagen-stimulating treatments
  • Need additional skin tightening

A second treatment may be advised approximately three months after the first.


How often should Sofwave be repeated?

Many patients maintain their results with:

  • Once yearly
  • Twice yearly (depending on skin condition and treatment goals)

Is there ever a point where Sofwave stops working?

Not exactly. As we naturally age, every non-surgical treatment produces diminishing returns over time. Regular maintenance can continue slowing visible aging, but it does not replace the results of surgical procedures.


Results

How does Sofwave stimulate collagen?

The treatment creates controlled heating within the collagen layer of the skin. This controlled injury activates the body’s natural healing response, encouraging the production of new collagen and improving skin firmness over time.

A common analogy is strength training:

  • Exercise creates tiny muscle tears.
  • The body repairs them with stronger muscle.
  • Sofwave similarly creates microscopic collagen injury that leads to stronger collagen production.

When will I see results?

Results develop gradually as new collagen forms, typically over several months.


Does Sofwave work on jowls?

Yes. Sofwave can improve mild to moderate jowling by tightening skin.


Does Sofwave help neck laxity?

Yes. The neck is one of the most commonly treated areas.


Does it improve platysmal bands?

It can help, especially when combined with neuromodulators (such as Botox) for optimal neck rejuvenation.


Does Sofwave improve upper lip lines?

It may provide some improvement, and studies have shown benefit, but providers generally recommend other treatments specifically designed for deep lip lines. UltraClear is a new ablative laser that is an excellent option for those lip lines.


Areas That Can Be Treated

What areas can Sofwave treat?

Facial treatments include:

  • Face
  • Neck
  • Lower face
  • Brow
  • Jawline

Body treatments include:

  • Upper arms
  • Abdomen
  • Thighs
  • Knees
  • Legs

Can only one area be treated?

Yes. Patients can choose:

  • Neck only
  • Lower face only
  • Neck and lower face
  • Full face
  • Body areas individually

Treatment plans are customized.


Can Sofwave treat the eyelids?

Not directly.

It can treat the brow, which may provide a subtle lifting effect that improves the appearance of the upper eyelids.

For direct upper or lower eyelid treatment, providers may recommend Thermage instead.


Comfort During Treatment

Does Sofwave hurt?

Most patients experience temporary discomfort during treatment, but it is generally well tolerated.


What pain management options are available?

Common comfort measures include:

  • Topical numbing cream (approximately 30 minutes before treatment)
  • Cold air cooling during treatment
  • Pro-Nox (nitrous oxide) for patients who want additional comfort

Oral pain medications are generally not necessary.


Downtime & Recovery

Is there any downtime?

Virtually none.

Patients can immediately return to:

  • Work
  • Exercise
  • Social activities
  • Normal daily routines

Are there dietary restrictions?

No.

Patients may eat and drink normally before and after treatment.


Comparing Sofwave to Other Treatments

Sofwave vs. Ultherapy

Sofwave:

  • Treats approximately 1.5 mm beneath the skin
  • Higher treatment density (50–75% coverage)
  • Particularly effective for superficial skin tightening and crepey skin

Ultherapy:

  • Treats multiple depths (approximately 1.5 mm, 3 mm, and 4.5 mm)
  • Lower coverage per treatment area
  • Often preferred for heavier tissue and more significant jowling

Many patients benefit from both treatments at different times.


Sofwave vs. Thermage

Thermage

  • Uses radiofrequency energy
  • Can safely treat eyelid skin
  • Excellent option around the eyes

Sofwave

  • Uses ultrasound energy
  • Focuses on lifting and tightening facial skin

Both technologies have distinct strengths and may even be combined.


Sofwave vs. Halo

Halo primarily treats:

  • Pigmentation
  • Texture
  • Fine lines
  • Pore size

Sofwave primarily treats:

  • Skin lifting
  • Skin tightening
  • Collagen stimulation

The treatments are complementary rather than competitive.


Sofwave vs. Fraxel

Fraxel treats the skin surface for:

  • Texture
  • Pigment
  • Fine lines

Sofwave treats deeper collagen layers for tightening.

Many practices perform both treatments during the same visit for comprehensive rejuvenation.


Sofwave vs. Microneedling

Microneedling stimulates collagen in more superficial skin layers.

Sofwave stimulates collagen at a deeper level.

The treatments may be combined.


Sofwave vs. Ellacor

Ellacor removes small portions of skin tissue to treat true skin laxity.

Sofwave stimulates collagen through heat without removing tissue.

Some patients benefit from one treatment, while others may benefit from both.


Facial Fat & Fillers

Does Sofwave melt facial fat?

Facial fat loss is considered extremely uncommon with Sofwave because the treatment depth remains above the facial fat layer.

We have not observed this complication in our practice and are unaware of published reports specifically documenting it with Sofwave.


Does Sofwave dissolve fillers?

No.

Sofwave does not negatively affect existing fillers when performed appropriately.


How long should I wait after fillers?

Common recommendations include:

  • Sofwave followed immediately by filler on the same day (common practice)
  • If fillers were placed first, waiting approximately 2–4 weeks before Sofwave allows fillers to settle.

Can Sofwave be combined with Sculptra?

Yes.

Because both treatments stimulate collagen production, they are often combined, sometimes during the same appointment.


Can Sofwave be combined with Botox?

Yes.

It is routine practice to perform both treatments on the same day.


Body Treatments

How effective is Sofwave on the body?

Common treatment areas include:

  • Abdomen
  • Arms
  • Knees
  • Thighs

Body treatments often require:

  • At least two treatments
  • Annual maintenance

Results on the body are generally less dramatic than on the face and neck.


Sun Exposure

Can I have Sofwave during the summer?

Yes.

Unlike many laser treatments, Sofwave does not target pigment in the skin, making it appropriate even after recent sun exposure, although general sun protection is always recommended.


Collagen Supplements

Should I take collagen supplements after Sofwave?

There is currently no clear evidence showing collagen supplements improve Sofwave results.


Surgical Considerations

Can I still have a facelift later if I’ve had Sofwave?

Yes.

Many patients have undergone successful facelift surgery after receiving Sofwave and other collagen-stimulating treatments.

If surgery is planned in the near future, it’s best to discuss timing with your surgeon.


Cost

Is Sofwave more expensive than Ultherapy?

Pricing is generally similar, so cost is not the deciding factor when choosing between technologies.


Choosing the Right Treatment

How do I know which treatment is best for me?

The appropriate treatment depends on several factors, including:

  • Skin laxity
  • Skin thickness
  • Degree of jowling
  • Texture concerns
  • Pigmentation
  • Previous treatments
  • Overall aesthetic goals

A personalized consultation is recommended to determine the most appropriate treatment plan.


Practice Questions

How long has Sofwave been available?

  • We have offered Sofwave for over two years.
  • Sofwave was introduced commercially shortly before 2020.
  • The underlying ultrasound technology has been used in aesthetic medicine for well over a decade.

Is there a consultation before treatment?

Yes. A consultation helps determine:

  • Whether Sofwave is appropriate
  • Which treatment areas to address
  • Whether combination treatments would provide better results
  • A personalized treatment schedule

Can Sofwave be combined with other procedures?

Yes. Frequently combined treatments include:

  • Botox
  • Dermal fillers
  • Sculptra
  • Fraxel
  • Halo
  • Microneedling
  • Thermage
  • Ultherapy (in select patients)

Combination therapy is often used to address multiple layers of aging simultaneously.