„We discussed my skin concerns after analyzing the results from my facial skin photos and developed a plan outlining the next steps to address those concerns."
Sekar I. AURA 3D skin analysis with Alexandra
Fresha
Skin sagging · Face · Zurich HB
Facial skin laxity: when your contours start to soften.
Jowls, a softer jawline, sagging cheeks — that's biology, not your failure. And it can be rebuilt in a targeted way, without anyone being able to tell.
Free AURA 3D skin analysis →CHF 0 · 60 mins · no sales pressure
View suitable treatments ↓
Does this sound familiar?
Perhaps you've been there:
Everything looks fine when you look in the mirror from the front — but the side view catches you off guard.
Your jawline used to be sharp. Now it tapers more gently down towards your neck.
Gently pull the skin on your cheeks upwards with your fingers and think: that’s it.
Make-up doesn't stay on like it used to — it settles into the fine lines instead of concealing them.
In photos, you look more tired or stern than you actually feel.
You’ve tried all those creams with "lifting" in the name. Nothing’s changed.
What's really behind it
Why skin sagging occurs
Sagging facial skin is not caused by a lack of skincare, but by the breakdown of supportive tissue. From the age of 25, the skin loses around 1 % of collagen each year, and there is also a decline in elastin, fat and even bone in the face.
You start to feel it at 40, and see it at 50 — which is precisely why sagging skin isn’t just a matter of finding the right cream. The face doesn’t lose its firmness on the surface. It loses it deep down, and from within.
What gives way
- Volume in the cheeks and midface — the fatty tissue decreases in volume and shifts downwards.
- The clean jawline — The skin and connective tissue lose their firmness, resulting in jowls.
- Stiffness in the neck and under the chin.
- The bony foundation — The eye sockets, upper jaw and jawbones recede over the years.
What helps — and what doesn't
What helps combat sagging skin — and what doesn’t
Creams work on the epidermis, the outermost layer of the skin. However, skin sagging begins deeper down — in the dermis and the supporting tissue beneath it. That is why skincare products cannot reach these areas, no matter how good they are.
What really makes a difference starts right there: it stimulates your body to produce its own collagen and restore volume. Not filled from the outside, not tightened surgically — regenerated from within. The result looks natural: it looks just like you, only firmer.
What we work with
How we treat sagging skin
It is rare for a single treatment to cause loss of contour. We tailor our approach to suit your skin’s specific needs. Listed by their role:
Core treatments
RF · Volume · Lifting
Volnewmer® RF
Monopolar radiofrequency lifting. Uses deep heat to build new collagen and restore volume from within — the key treatment for loss of facial contour. Not a course of treatments: usually a single session, with a touch-up once or twice a year; results develop over three to six months.
Find out more →RF Microneedling · Texture
Vivace® RF Microneedling
Radiofrequency delivered directly into the dermis. Tightens the skin, improves texture and reduces jowls — with a shorter recovery time than traditional microneedling.
Find out more →RF · Ultrasound · Jawline
BTL Exilis® Face
Radiofrequency and ultrasound combined. Mainly used to treat double chins and a soft jawline. Comfortable, with no downtime.
Find out more →In addition, depending on your skin type
- PolyPhil™ — Polynucleotides stimulate fibroblasts and make the skin firmer from within. This is particularly effective on thinner skin.
- Fillmed NCTF® — 59 active ingredients plus hyaluronic acid delivered directly into the tissue. Cell regeneration and hydration form the basis.
- SkinPen® Microneedling — purely mechanical collagen stimulation, suitable for all skin tones. Ideal for the neck and décolletage.
- PRX-T33® — A peel with a lifting effect and no downtime, ideal for sagging skin accompanied by a dull complexion and uneven texture.
- Stellar M22™ IPL — especially if redness or an uneven complexion are also noticeable.
- Dermadrop TDA® — Needle-free infusion of active ingredients containing hyaluronic acid and peptides, gentle maintenance between treatments.
Always included
Dermalux™ LED is included in every facial treatment — it supports fibroblasts and regeneration.
The free AURA 3D skin analysis will show you which combination is right for you. We measure wrinkles, volume and skin density and use this information to develop a personalised plan for you.
Free AURA 3D skin analysis →Your journey at alestetics®
Three steps to a more defined silhouette
01
AURA 3D skin analysis + Plan
We measure what you can’t see in the mirror: skin density, volume distribution and the first signs of sagging. This forms the basis of your personalised plan. CHF 0, with no pressure to buy.
02
Your combination of treatments
We start with what your skin needs most — often Volnewmer® as a base, tailored to your skin type.
03
Care & Maintenance
Building up collagen takes time. We’ll support you over the coming months and provide targeted top-ups — no more often than necessary.
Why alestetics®
Specialising in skin quality, not in a particular machine.
Specialisation
Pre-Aging is our focus, not a line on the treatment list. Our team has the expertise required according to V-NISSG.
A system rather than a single device
Contour is created through the interplay of equipment, active ingredients and the correct sequence. We have the system to achieve this — not just a single machine.
Honest advice
If there’s a reason why a treatment isn’t suitable for you, we’ll let you know — even if you don’t book anything today.
Frequently asked questions
You might be wondering
Am I too young or too old for a facelift?
We treat patients aged 18 and over. The sooner you start building up your collagen, the less you’ll have to make up for later — and even at 60, there’s still a lot you can achieve. It’s the condition of your skin that matters, not your age.
Can you tell that I've had something done?
No. Our treatments stimulate your body’s own collagen production rather than adding volume from the outside. The result looks natural — firmer, but still you.
What is the difference between this and Botox or fillers?
Botox relaxes muscles and smooths out expression lines. Fillers add volume from the outside, temporarily. Neither builds up the skin’s own structure. In cases of sagging skin, we instead stimulate the body’s own collagen and volume production — the results last longer and do not require touch-ups at short intervals.
Do I need an operation, or can I manage without one?
Many contouring treatments don’t require a scalpel. Radiofrequency and collagen stimulation can significantly tighten sagging skin — without surgery and with no downtime. If surgery would be a better option, we’ll tell you honestly; however, we don’t offer it.
How soon will I see results, and how long will they last?
The first results are often visible after just a few weeks, with full collagen production taking three to six months. Volnewmer® generally lasts for a year or longer, whilst Vivace® lasts for around six months per session. With targeted touch-ups, the results remain stable.
How many sessions will I need?
That depends on the treatment and your initial condition. Volnewmer® is usually effective after just one session, with a follow-up treatment once or twice a year. Vivace® works in a short course of treatments. We’ll determine what’s best for you during the consultation.
How much does a treatment for sagging skin cost?
This depends on the treatment and the area treated — you can find an overview on our Prices page →. Not ready for an on-site analysis just yet? Our Skin Quiz → gives you a quick overview in five minutes of which treatments are right for you — no appointment or email required.
Your first step
Before we treat you, we take a close look.
Sagging skin can be effectively treated — but only if we know the true condition of your skin. The AURA 3D skin analysis measures skin density, volume and early signs of sagging, and sets out your personalised plan. Free of charge, with no pressure to buy.
Free AURA 3D skin analysis →CHF 0 · 60 mins · Konradstrasse 1, 8005 Zurich Central Station
Medically reviewed by Alexandra Stroganova, Founder & Pre-Aging Expert · As of: October 2026
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Fresha„Ich möchte mich bei katja bedanken das sie mich so freundlich und kompetent beraten hat. Ich kann sie nur weiterempfehlen. Immer freundlich und aufgestellt. So etwas sieht man heutzutage selten. Danke für alles😊"
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Fresha„Alex was pleasant to speak with and was able to answer all of my questions about my treatments and future treatments."
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Fresha„Aleksandra was very professional, warm and friendly. I was given great advice for what I needed even though I booked a completely different treatment. All risks and considerations well explained and I never felt 'sold' too. Great consultation… I found my new treatment home."
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