
Laser-assisted facial contouring and tightening—using thermal energy to stimulate collagen contraction for non-surgical facial definition. Performed with surgical anatomical precision for safe, effective outcomes.
Lipolas® uses tiny optical laser fibres to deliver thermal energy just under the skin that to heat dermal tissue to trigger contraction. This creates skin tightening from collagen thermal remodelling and has an additional side effect, often reducing small pockets of fat if there is an excess.
Professor MacKenzie applies Lipolas® to facial areas requiring tightening: submental area, jowl refinement, facial definition, neck skin tightening. Results are not comparable to a surgical facelift but will certainly improve skin tightness in the lower face and neck. It can even be used in the under-eye area.
The laser fibre (under 1mm wide) is inserted through tiny skin holes after injection of local anaesthetic, and it often takes longer to do the consultation than to perform the treatment.
Surgical advantage: Professor MacKenzie's anatomical knowledge ensures safe fibre placement—avoiding facial nerve branches, understanding tissue planes, preventing thermal injury to critical structures. Her surgical background allows recognition of when liposuction or facelift surgery is more appropriate than laser treatment.
WHAT TO EXPECT

There is an initial lift but expect progressive skin tightening over 3-6 months. Results are maximised by optimised systemic metabolic health, maintaining stable weight and the use of the correct skin products.
Expected outcomes
Lipolas® suits mild-moderate concerns. Significant skin laxity or excess requires surgical intervention—Professor MacKenzie's training ensures appropriate patient selection.
Realistic expectations
Bruising and swelling are common with some tenderness for a few days.
Side effects

Stage 1
Redness appears occasionally and is often triggered by hot drinks, spicy food, or exercise.

Stage 2
Redness becomes more consistent. Small visible blood vessels (telangiectasia) may appear.

Stage 3
Acne-like breakouts begin, without blackheads. Skin may feel sore or sensitive.

Stage 4
Skin may thicken, particularly around the nose (rhinophyma).

Stage 5
In rare cases, severe rosacea - called phymatous rosacea - can lead to the development of rhinophyma - a bulbous enlargement of the nose, most common in men. Rosacea can also be ocular when it is located on the eyelids, conjunctiva and cornea, manifesting itself as red, watery and very dry eyes.
Different stages of Rosacea:

