Dr. Xu's real skin sagging treatment cases
The following four cases were personally assessed and treated by Dr. Dan Xu at our Markham (Greater Toronto) clinic, and are shown with signed Media Release Form authorization. Treatment plans are determined by the tissue layers involved in skin laxity. Individual responses vary; actual outcomes depend on in-person consultation.
Case 1 · Real skin sagging record
- Client profile
- Asian female · Fitzpatrick I · ongoing for nearly 3–5 years
- Concerns
- 3D Imaging-Based Assessment · Sagging Skin · Collagen Loss + SMAS Laxity
- Treatment plan
- Sofwave™Sofwave™ + Thermage® CPT™ + Ultherapy® (first-generation) (1 session)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Sofwave/Ultherapy 18-24 month maintenance + at-home care
Case 01: Skin Laxity Before & After · Asian female · Fitzpatrick I · 3–5 year duration · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham
Case 2 · Real Skin Laxity Documentation
- Client profile
- Asian female · Fitzpatrick I · ongoing for nearly 3–5 years
- Concerns
- 3D Imaging-Based Assessment · Sagging Skin · Collagen Loss + SMAS Laxity
- Treatment plan
- Sofwave™Sofwave™ + Thermage® CPT™ + Ultherapy® (first-generation) (1 session)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Sofwave/Ultherapy 18-24 month maintenance + at-home care
Case 02: Skin sagging before-treatment comparison · Asian female · Fitzpatrick I · ongoing for nearly 3–5 years · multimodal combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham
Case 3 · Sagging Skin Real Record
- Client profile
- Asian female · Fitzpatrick I · ongoing for nearly 3–5 years
- Concerns
- 3D Imaging-Based Assessment · Sagging Skin · Collagen Loss + SMAS Laxity
- Treatment plan
- Sofwave™Sofwave™ + Thermage® CPT™ + Ultherapy® (first-generation) (1 session)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Sofwave/Ultherapy 18-24 month maintenance + at-home care
Case 03: Sagging Skin Before & After · Asian Female · Fitzpatrick I · 3–5 Year Duration · Multimodal Combination Plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham
Case 8 · Real Skin Laxity Documentation
- Client profile
- Asian Female · Fitzpatrick I · 2–3 Year Duration
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Hyaluronic acid filler + eye rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- 6–12 month follow-up · re-treatment if needed + home eye-cream maintenance
Case 08: Sagging Skin Before & After · Asian Female · Fitzpatrick I · 2–3 Year Duration · Multimodal Combination Plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham
Case 10 · Real skin sagging record
- Client profile
- Asian Female · Fitzpatrick I · 2–3 Year Duration
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Hyaluronic acid filler + eye rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- 6–12 month follow-up · re-treatment if needed + home eye-cream maintenance
Case 10: Skin sagging before-treatment comparison · Asian female · Fitzpatrick I · ongoing for nearly 2–3 years · multimodal combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham
Case 1 · Real skin sagging record
- Client profile
- Asian Female · Fitzpatrick IV
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Dual Pico combination therapy + Pico® brightening & rejuvenation + PicoSure® Honeycomb + PicoSure Pro® — 5 modalities total (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Routine sun protection + monthly at-home care + quarterly assessment
Case 01: Skin sagging before-treatment comparison · Asian female · Fitzpatrick IV · multimodal combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham
Case 1 · Real skin sagging record
- Client profile
- Asian Female · Fitzpatrick I · 2–3 Year Duration
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Hyaluronic acid filler + eye rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- 6–12 month follow-up · re-treatment if needed + home eye-cream maintenance
Case 01: Skin sagging before-treatment comparison · Asian female · Fitzpatrick I · ongoing for nearly 2–3 years · multimodal combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham
Case 1 · Real skin sagging record
- Client profile
- Asian Female · Fitzpatrick IV
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® + Ultherapy® and 17 other treatments (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- 9-12 Top up HA filler after a few months
Case 01: Skin sagging before-treatment comparison · Asian female · Fitzpatrick IV · multimodal combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham
Case 2 · Real Skin Laxity Documentation
- Client profile
- Asian Female · Fitzpatrick IV
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Thread double-eyelid + Botox® + neuromodulator wrinkle reduction + HA fillers and 14 other treatments (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Botox Low-dose 4-month maintenance + HA reinforcement along the lip border
Case 02: Skin Laxity Before & After · Asian female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham
Case 2 · Real Skin Laxity Documentation
- Client profile
- Asian Female · Fitzpatrick I · 2–3 Year Duration
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Hyaluronic acid filler + eye rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- 6–12 month follow-up · re-treatment if needed + home eye-cream maintenance
Case 02: Sagging Skin Before & After · Asian Female · Fitzpatrick I · 2–3 Year Duration · Multimodal Combination Plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham
Case 2 · Real Skin Laxity Documentation
- Client profile
- Asian Female · Fitzpatrick I
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Juvéderm® + HA lip augmentation + HA non-surgical rhinoplasty + Restylane® and 7 other treatments (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Routine sun protection + monthly at-home care + quarterly assessment
Case 02: Sagging Skin Before & After · Asian Female · Fitzpatrick I · Multimodal Combination Plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham
Case 3 · Sagging Skin Real Record
- Client profile
- Asian Female · Fitzpatrick I · 2–3 Year Duration
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Hyaluronic acid filler + eye rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- 6–12 month follow-up · re-treatment if needed + home eye-cream maintenance
Case 03: Skin Laxity Before & After · Asian female · Fitzpatrick I · 2–3 year duration · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham
Case 3 · Sagging Skin Real Record
- Client profile
- Asian Female · Fitzpatrick IV
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- HArmonyCa™ hyaluronic acid–collagen stimulator + collagen (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Routine sun protection + monthly at-home care + quarterly assessment
Case 03: Sagging Skin Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham
Case 4 · Real skin sagging record
- Client profile
- Asian Female · Fitzpatrick I · 2–3 Year Duration
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Hyaluronic acid filler + eye rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- 6–12 month follow-up · re-treatment if needed + home eye-cream maintenance
Case 04: Skin sagging before-treatment comparison · Asian female · Fitzpatrick I · ongoing for nearly 2–3 years · multimodal combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham
Case 4 · Real skin sagging record
- Client profile
- Asian Female · Fitzpatrick IV
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Dual PicoLaser combination therapy + Pico® brightening & rejuvenation + PicoSure® + PicoSure Pro® and 8 other treatments (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Routine sun protection + monthly at-home care + quarterly assessment
Case 04: Skin sagging before-treatment comparison · Asian female · Fitzpatrick IV · multimodal combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham
Case 5 · Real Skin Laxity Documentation
- Client profile
- Asian Female · Fitzpatrick IV
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Dual Pico combination therapy + Pico® brightening & rejuvenation + PicoSure® Honeycomb + PicoSure Pro® — 9 modalities total (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Routine sun protection + monthly at-home care + quarterly assessment
Case 05: Skin Laxity Before & After · Asian female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham
Case 6 · Sagging Skin Real Record
- Client profile
- Asian Female · Fitzpatrick IV
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- BTL Exilis Ultra™ + BTL Exilis Ultra 360 + Fotona® 4D + Fotona® 4D Lift and 17 other treatments (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Routine sun protection + monthly at-home care + quarterly assessment
Case 06: Sagging Skin Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham
Case 7 · Real skin sagging record
- Client profile
- Asian Female · Fitzpatrick I · 2–3 Year Duration
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Hyaluronic acid filler + eye rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- 6–12 month follow-up · re-treatment if needed + home eye-cream maintenance
Case 07: Skin Laxity Before & After · Asian female · Fitzpatrick I · 2–3 year duration · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham
Case 8 · Real Skin Laxity Documentation
- Client profile
- Asian Female · Fitzpatrick I · 2–3 Year Duration
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Hyaluronic acid filler + eye rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- 6–12 month follow-up · re-treatment if needed + home eye-cream maintenance
Case 08: Sagging Skin Before & After · Asian Female · Fitzpatrick I · 2–3 Year Duration · Multimodal Combination Plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham
Case 8 · Real Skin Laxity Documentation
- Client profile
- Asian Female · Fitzpatrick IV
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Dual Pico combination therapy + Pico® brightening & rejuvenation + PicoSure® Honeycomb + PicoSure Pro® — 5 modalities total (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- PRP quarterly × 1 + Ultherapy® 18-month maintenance + strict sun protection
Case 08: Skin Laxity Before & After · Asian female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham
Case 10 · Real skin sagging record
- Client profile
- Asian Female · Fitzpatrick I · 2–3 Year Duration
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Hyaluronic acid filler + eye rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- 6–12 month follow-up · re-treatment if needed + home eye-cream maintenance
Case 10: Skin sagging before-treatment comparison · Asian female · Fitzpatrick I · ongoing for nearly 2–3 years · multimodal combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham
Case 11 · Real Skin Laxity Documentation
- Client profile
- Asian Female · Fitzpatrick I · 2–3 Year Duration
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Hyaluronic acid filler + eye rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- 6–12 month follow-up · re-treatment if needed + home eye-cream maintenance
Case 11: Skin Laxity Before & After · Asian female · Fitzpatrick I · 2–3 year duration · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham
Case 14 · Sagging Skin Real Record
- Client profile
- Asian Female · Fitzpatrick I · 2–3 Year Duration
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Hyaluronic acid filler + eye rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- 6–12 month follow-up · re-treatment if needed + home eye-cream maintenance
Case 14: Sagging Skin Before & After · Asian Female · Fitzpatrick I · 2–3 Year Duration · Multimodal Combination Plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham
Case 38 · Real skin sagging record
- Client profile
- Asian male · Fitzpatrick IV
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Dual Picosecond Combination Therapy + Pico® Brightening & Rejuvenation + PicoSure® + PicoSure Pro® and 7 other treatments (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Routine sun protection + monthly at-home care + quarterly assessment
Case 38: Sagging Skin Before & After · Asian Male · Fitzpatrick IV · Multimodal Combination Plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham
Case 40 · Real Skin Laxity Documentation
- Client profile
- Asian male · Fitzpatrick IV
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Dual Picosecond Combination Therapy + Pico® Brightening & Rejuvenation + PicoSure® + PicoSure Pro® and 7 other treatments (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Routine sun protection + monthly at-home care + quarterly assessment
Case 40: Skin sagging before-treatment comparison · Asian male · Fitzpatrick IV · multimodal combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham
Case 41 · Sagging Skin Real Record
- Client profile
- Asian Female · Fitzpatrick IV
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Dual Picosecond Combination Therapy + Pico® Brightening & Rejuvenation + PicoSure® + PicoSure Pro® and 7 other treatments (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Routine sun protection + monthly at-home care + quarterly assessment
Case 41: Skin Laxity Before & After · Asian female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham
