Skin Tightening
Sofwave at OrangeTwist
Lift and firm. No surgery. Sofwave uses advanced ultrasound to remodel collagen at depth, with results that build over three months and no downtime to recover from. One session. Real, visible change. Available at our Tustin Center in the OC and at Highland Village in Dallas.
About the treatment

Lift and firm. No surgery.
Sofwave is one of two ultrasound-based skin tightening platforms offered at OrangeTwist. It delivers controlled ultrasound energy into the mid-dermis, precisely heating the tissue layer where collagen and elastin live. The heat triggers the body’s natural repair response, gradually rebuilding structural support without breaking the surface.
- Non-invasive collagen remodeling
- FDA-cleared lift and firm
- One session, no downtime
What is Sofwave and how does it work?
Sofwave is an FDA-cleared non-invasive skin tightening device that uses Synchronous Ultrasound Parallel Beam (SUPERB) technology. The device delivers controlled ultrasound energy deep into the skin where collagen and elastin sit, heating the tissue to the temperature that triggers collagen remodeling without damaging the surface skin above.
As the body responds, fibroblasts produce new collagen and elastin, gradually rebuilding the structural support of the skin. Results build over three months as the new collagen matures. The treated area becomes firmer, slightly lifted, and visibly smoother.
Sofwave is FDA-cleared for lifting brow, submentum (under chin), and neck, and for improving fine lines and wrinkles. It is one of the most studied non-invasive tightening platforms available today, with a built-in cooling mechanism that protects the surface skin throughout the treatment. Most clients describe the experience as warm and tolerable, with the spicy moments quick and contained.
OrangeTwist also offers Ultherapy, a different FDA-cleared ultrasound tightening platform that works at multiple depths including the deeper SMAS layer. The two treatments suit different goals and treatment areas, and your provider will recommend the right one for you at your You Review.

Prep 101
What can Sofwave Treat?
Sofwave is most often used to lift and tighten the brow, smooth lines on the forehead and around the eyes, refine the look of the jawline and under chin, and improve crepey texture on the neck and décolleté. No needles, no downtime, and visible firming that builds over the months following treatment.
Fine Lines and Wrinkle
Soften Expression Lines
Skin Laxity Treatment
Firmer, lifted skin
Acne Scar
Smoother Skin Texture
The OrangeTwist Difference
Sofwave delivers ultrasound tightening at a single, precise depth, so every session goes exactly where it needs to. Your provider will map your areas and pacing at your You Review, then build a plan around your goals.
A built-in cooling mechanism protects the surface of your skin while the energy does its work underneath. Most clients describe it as warm pulses, not white-knuckle, no numbing required.
Every Sofwave session is performed by a licensed provider with device-specific training, supervised by our Medical Advisory Board. No shortcuts, no guesswork.
Sofwave often works best as part of a broader skin quality plan that may include microneedling, RF, or biostimulators. Your provider will design a treatment sequence at your You Review, not push a single product.
Sofwave is available at OrangeTwist Tustin in the OC and Highland village in Dallas.
Prep 101
Your Treatment Timeline
You Review
Your provider will assess your skin, examine the area you want to address, and confirm whether Sofwave is the right tool for the result you want. They will explain how the treatment works, walk through realistic expectations, and discuss whether Sofwave alone is enough or whether a combination approach may suit your goals better. Choose your Center below.

Onboarding
There is very little to do beforehand. Avoid sun exposure and self-tanner for two weeks before your session. Come in with clean skin, no makeup or skincare products. Hydrate well in the days leading up. Avoid blood thinners where possible to minimize the risk of bruising.

During treatment
Your provider will apply ultrasound gel and pass the Sofwave handpiece across the treatment area in a systematic pattern. The built-in cooling protects the surface skin, while the ultrasound energy heats the mid-dermis below. Each pulse is spicy for a moment as the heat builds, then resolves. Total treatment time is typically 30 to 45 minutes.

What’s Next?
There is no real downtime. You can return to work, exercise, and your normal routine immediately. Some clients see mild redness or warmth in the treatment area for a few hours. Stay hydrated, apply SPF daily, and your provider will share any additional aftercare specific to the area treated. More information on aftercare is in our FAQ section below.
The slow lift. The long pay-off.
Sofwave works on a biological timeline. You may notice some immediate tightening from the initial collagen response, but the meaningful change builds over three months as new collagen matures. Most clients see visible lifting and firming at six to 12 weeks, with continued improvement through month four.
Most clients see best results from a single session.
Some opt for a second session at three to six months to amplify the response, particularly for more significant laxity. Results typically last around a year, with annual maintenance recommended for sustained improvement. Lifestyle factors, sun exposure, and the natural aging process continue to act on the skin, which is why maintenance keeps results consistent.

Ready to lift without surgery?
Book your complimentary, no-pressure You Review at OrangeTwist Tustin and let’s talk about what Sofwave can do for you. Easy to reach from Newport Beach, Irvine, Costa Mesa, and across Orange County.
Frequently Asked
Questions and Answers
Sofwave is an FDA-cleared non-invasive skin tightening device. It uses Synchronous Ultrasound Parallel Beam (SUPERB) technology to deliver controlled ultrasound energy into the mid-dermis, triggering collagen and elastin remodeling. The result is lifted, firmer skin without surgery, needles, or downtime.
The device delivers ultrasound energy precisely into the layer of skin where collagen and elastin sit, heating the tissue to the temperature that triggers a remodeling response. As the body responds, fibroblasts produce new collagen and elastin, gradually rebuilding the structural support of the skin. A built-in cooling mechanism protects the surface skin during the treatment.
Sofwave is FDA-cleared for lifting brow, lifting submentum (under chin) and neck tissue, and for improving facial fine lines and wrinkles. Your provider will discuss what is appropriate for your goals at your You Review.
Yes. OrangeTwist offers both Ultherapy and Sofwave. Both are FDA-cleared ultrasound platforms that stimulate the body’s own collagen and elastin to lift and firm the skin, and both deliver real, non-surgical results. The two treatments work slightly differently, suit different anatomies and goals, and your provider will recommend the right one for you at your You Review.
Both treatments use focused ultrasound energy to trigger collagen and elastin remodeling, with no surgery and minimal downtime. Ultherapy delivers ultrasound at multiple depths, including the deeper SMAS layer, which can suit clients with more advanced laxity or deeper structural goals. Sofwave delivers parallel ultrasound beams at a consistent mid-dermal depth, with a built-in cooling mechanism throughout the treatment. Neither is better in the abstract. They are different tools, both available at OrangeTwist, and the right one depends on your skin, your goals, and your treatment area. Your provider will assess and recommend honestly at your You Review.
No. CoolSculpting Elite freezes and eliminates fat cells permanently. Sofwave heats the mid-dermis to remodel collagen and elastin for skin lifting and firming. Different mechanisms, different goals.
Sofwave is most effective for early to moderate skin laxity, brow heaviness, submental (under-chin) laxity, neck crepiness, and fine lines. It is a good option for clients who want non-surgical lifting and have realistic expectations about what non-invasive treatments can achieve.
Yes. Sofwave works best for specific concerns and degrees of laxity, and the right approach depends on your individual case. Every OrangeTwist client starts with a complimentary You Review where your provider will assess your skin, discuss goals, and confirm Sofwave is the right tool.
Good candidates have early to moderate skin laxity, want non-surgical lifting, and have realistic expectations about gradual results. Sofwave is not a substitute for surgical facelift for clients with significant laxity, and your provider will tell you honestly if a different approach suits your goals better.
Let your provider know about any medical conditions, medications (especially blood thinners), previous skin tightening or laser treatments, history of cold sores in the treatment area, and any recent cosmetic procedures.
Sofwave is currently available exclusively at OrangeTwist Tustin. The Tustin Treatment Shop serves clients from Tustin, Newport Beach, Irvine, Costa Mesa, Santa Ana, and across the wider Orange County area.
OrangeTwist Tustin is approximately a 15-minute drive from Newport Beach, with easy access from the 55 and 405 freeways. Most clients across central and south Orange County find the Tustin location convenient for Sofwave appointments.
Pricing depends on the treatment area and any combination protocols. Your provider will walk through exact pricing at your You Review before anything is agreed. TwistUp members receive exclusive pricing benefits on all treatments.
Most sessions take 30 to 45 minutes for a single area. Larger or multiple areas may take up to 60 minutes.
Most clients see best results from a single session, with the full effect building over three months. Some clients opt for a second session at three to six months to amplify results, particularly for more significant laxity. Your provider will recommend a realistic plan at your You Review.
Yes. OrangeTwist offers financing through CareCredit, Alle Cherry, and PatientFi. Ask your provider about options at your You Review.
Some clients notice mild immediate tightening from the initial collagen response. The meaningful change builds over three months as new collagen matures. Most clients see visible lifting and firming at six to 12 weeks, with continued improvement through month four.
Results typically last around a year. Annual maintenance sessions help sustain improvement over time. Lifestyle factors, sun exposure, and the natural aging process continue to act on the skin, which is why maintenance keeps results consistent.
Sofwave delivers subtle to moderate non-surgical lifting. It is not equivalent to a surgical facelift, and it cannot reverse significant laxity. For early to moderate concerns, most clients see meaningful improvement that reads as refreshed and lifted rather than dramatically transformed. Your provider will set honest expectations at your You Review.
Yes, and many clients combine it. Sofwave works well alongside Botox, dermal fillers, biostimulators like Sculptra, RF microneedling, and skincare. Your provider will design a treatment sequence that suits your goals at your You Review.
Most clients describe Sofwave as warm and tolerable, with the spicy moments quick and contained. The built-in cooling protects the surface skin and improves comfort meaningfully compared with older ultrasound devices. Topical numbing is available for clients who prefer it.
There is no real downtime. Most clients return to normal activities immediately, including work and exercise. Some clients see mild redness or warmth in the treatment area for a few hours, which resolves on its own.
Stay hydrated and apply SPF daily. Avoid prolonged direct sun exposure for the first few days. Avoid harsh exfoliants and active skincare ingredients for 48 hours. There are otherwise very few restrictions, which is part of what makes Sofwave attractive.
Immediately. Most clients leave their session and continue their day with makeup applied gently over the treated area.
Yes. Sofwave is FDA-cleared and has a strong clinical safety record. The built-in cooling mechanism reduces risk of surface skin damage, and the parallel beam technology delivers precise energy at a consistent depth. At OrangeTwist, every session is performed by a licensed provider trained on the device.
Sofwave is generally not recommended if you are pregnant or breastfeeding, have an active infection in the treatment area, have an implanted electrical device (pacemaker, defibrillator), have severe or cystic acne in the treatment area, or have an active cold sore outbreak in the treatment area. Always disclose your full medication and health history at your You Review.
Common side effects include temporary redness, mild swelling, or warmth in the treated area, all of which resolve within hours. Rare side effects include temporary nerve sensation changes, which typically resolve on their own. Your provider will walk through specific risks at your You Review.
Yes. Sofwave works on collagen and elastin, not skin pigment, and is safe across all skin tones and types. It is one of the more versatile non-invasive tightening platforms in that respect.
All Sofwave treatments at OrangeTwist are performed by licensed professionals with specific training on the device platform and supervised by our Medical Advisory Board. To find out more about the team at OrangeTwist Tustin, visit our Tustin center page or get in touch directly.
Our Reviews
Something Else?
Related treatments
Got Goals?
We’re Listening.
Book your no-pressure, no-cost You Review and let’s talk about your vision.