In this episode of More Than A Pretty Face, Dr. Azi sits down with board-certified dermatologist,
Dr. Arisa Ortiz, to break down the science behind skin tightening and today's most popular
non-invasive treatments. They discuss how collagen changes with age, how ultrasound
technology like Softwave works, and how it compares to other options like Ultherapy and RF
microneedling. The conversation also covers combination treatments, common patient concerns
about fat loss and filler, and how dermatologists approach natural-looking rejuvenation without
surgery. Dr. Arisa also shares insights on her AI platform designed to help educate patients
before their appointments, plus a rapid-fire round of skincare favorites.

Timeline of what was discussed:
00:00 - Intro + Meet Dr. Arisa Ortiz
01:02 - Why Skin Tightening Is So Popular
01:54 - What Skin Tightening Actually Means
04:00 - Softwave vs Ultherapy
05:03 - How Ultrasound Targets Collagen
08:01 - Areas You Can Treat With Softwave
08:42 - AziMD Skincare Break
09:49 - Combining Softwave + Radiesse
11:30 - When You'll See Results
12:13 - Science Behind Softwave
15:43 - Best Age to Start Skin Tightening
18:21 - Threads: Pros & Risks
21:49 - FDA Warning on RF Microneedling
24:00 - Favorite Treatments Dr. Arisa Does
25:33 - AI Platform: Your Pre-Visit
29:27 - Rapid Fire Skincare Questions
30:38 - Final Thoughts + Outro
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Follow Dr. Arisa Ortiz on Instagram: @arisaortizmd
Dr. Arisa Ortiz is a board-certified dermatologist and the Director of Laser and Cosmetic
Dermatology at UC San Diego. She specializes in laser treatments, skin rejuvenation, and
non-invasive cosmetic procedures. A nationally and internationally recognized expert, Dr. Ortiz
has published numerous peer-reviewed articles and lectures on advanced dermatologic and
aesthetic technologies. Known for her research-driven approach, she focuses on safe, effective
treatments that deliver natural-looking results.


Follow Sofwave on Instagram: @sofwavemed
SofwaveTM is an FDA-cleared, non-invasive ultrasound treatment designed to improve skin
laxity and reduce fine lines and wrinkles. Using advanced ultrasound technology, Sofwave
delivers controlled heat to the mid-dermis to stimulate collagen and elastin production—helping
to tighten and lift the skin over time. The treatment is safe for all skin types, requires little to no
downtime, and is commonly used on the face, neck, and other areas where skin firmness and
texture need improvement.
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Submit your questions for the podcast to Dr. Azi on Instagram @morethanaprettyfacepodcast,
@skinbydrazi, @nurselacie, on YouTube, and TikTok @skinbydrazi. Email
morethanaprettyfacepodcast@gmail.com.
Shop skincare at https://azimdskincare.com and learn more about the practice at
https://www.lajollalaserderm.com/
The content of this podcast is for entertainment, educational, and informational purposes and
does not constitute formal medical advice. © Azadeh Shirazi, MD FAAD.

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