Innovative ways to treat loose skin around neck without surgery

Innovative ways to treat loose skin around neck without surgery

The neck often begins to show signs of age long before the face does, but there are now new ways to treat loose skin around the neck without surgery. In recent years, several non-invasive cosmetic procedures that can improve skin quality and rejuvenate the skin have emerged, and Exilis is one of the best.  Exilis is a fast, powerful device that has been used to successfully tighten neck skin.

Exilis for skin tightening

Exilis is a safe and reliable skin tightening technique that uses radio frequency (RF) energy. It can also be used to eliminate pockets of fat that accumulate in areas like the chin and neck. Exilis is a hand-held device, and this makes it very easy to manoeuver, and get to areas that are difficult to reach.

How Exilis tightens the skin

Exilis heats the underlying tissue in the skin’s dermal layer. The heat provides the stimulus needed for collagen production, and this in turn leads to the tightening of the skin as new collagen forms. This significantly reduces sagging, and also minimizes jowls.

Benefits of Exilis

Exilis is a comfortable treatment that is virtually pain free, and needs no downtime. It is therefore the ideal solution for people who want to look their best, but don’t have a lot of time to be off work. Exilis tightens the skin and reduces fat at the same time, making it an excellent option for those wishing to rejuvenate the neck.

If you’d like to achieve tighter, firmer neck skin without surgery, Exilis is a great option for you. Contact Cobb Wellness & Aesthetics in Roswell GA, to find out more. You can call Dr. Linda Kelley at (770) 649-0094, or fill out an online form by going to

Legal nuances private practice physicians should be aware of

Under the federal health care programs, certain types of referrals are not allowed. The self-referral prohibitions were put in place to prevent physicians or their immediate families, from benefiting from certain transactions. These are some of the legal nuances or distinctions that private practice physicians should be aware of, if they are to operate effectively, and remain complaint.

Although specific referrals are expressly prohibited under the federal Stark Law, ‘safe harbors’ do exist that would allow exceptions. However, most health practitioners are often confused about these provisions. The situation is often compounded when there are also state laws regulating self-referrals. This is the case in California with the Speier Act.

In-Office Ancillary Services
Exceptions to the state and federal compensation relationships exist under the ‘in-office Ancillary Services’ (IOAS). IOAS does provide some protection under the law, but again there are legal nuances that private practice physicians should be aware of.

IOAS was instituted to allow physicians to provide ancillary services in their practices that would be reimbursed by Medicare. These services include radiology and physical therapy. Some physicians mistakenly assume that if they co-own a company that provides ancillary services, and the company is situated in their office building, they automatically qualify for IOAS exemption.

However, this is not the case; therefore some of them are in violation of the laws prohibiting self-referrals. Unfortunately they are often not aware of this until they are audited by Medicare, or Medi-Cal, (in the case of California).

If you are a private practice physician and would like to ensure that your in-office ancillary services arrangements meet Medicare requirements, contact us at Nelson Hardiman, LLP, in Los Angeles. You can call us at 310-203-2800 to set up a consultation.