Loose Upper Arms & Crepey Chest
– Tighten with Sofwave™, Rebuild with Profhilo. No Surgery. Dr Nish Shah MD, Mayfair

Yes — mild to moderate looseness of the upper-arm skin can be tightened without surgery with Sofwave™, which is FDA-cleared for improvement of skin laxity on the upper arms. Ultrasound warms the layer where collagen is made and the skin rebuilds its own, tightening from within over 12 weeks and improving for 6 months. It is one session for both arms, about 45 minutes, with no downtime. Where the problem is a pocket of fat rather than loose skin, that is treated as fat first, and where the skin excess is significant, non-surgical treatment may not achieve what surgery can; Dr Nish Shah MD tells you which at consultation.

Yes — the FDA cleared Sofwave™ for improvement of skin laxity on the upper arms in December 2023 (510(k) K233104), following clearances for short-term improvement in cellulite (K223237, 2022) and acne scars (K231537, 2023), all consolidated in K250146 in April 2025, in adults aged 22 and over. It had already held clearances to lift the brow, under-chin and neck since 2021. Medisha is an official certified Sofwave™ partner clinic and every session is performed by Dr Nish.

Pinch the back of the upper arm: fat is a pocket that fills the pinch and moves; loose skin is a thin sheet that hangs and folds. Most arms over 45 are some of both, and Dr Nish assesses which at consultation by pinching and by looking. Loose skin is tightened with Sofwave™; a pocket of fat is shrunk with a course of fat-dissolving injections, with tightening afterwards if the skin has loosened over it. Treating one when the problem is the other is why arm treatments disappoint.

A crepey chest is treated with Sofwave™ to tighten the skin and Profhilo to rebuild the thin, sun-damaged skin that creases; most chests need both, in that order. Sofwave™ takes one session with no downtime and tightens for 6 months. Profhilo is injected across the décolletage in 2 sessions 4 weeks apart and rehydrates and remodels the skin, softening the vertical lines that show on waking. Both are suitable for every skin tone, which matters on sun-damaged chest skin where lasers are a risk.

At Medisha Clinic in Mayfair, Sofwave™ is £1,150 for both upper arms and £1,150 for the décolletage, one session each. Profhilo for the décolletage or hands is £350 per session or £700 for the course of 2. Fat-dissolving injections for the arms are priced per session on their own page, with the course planned at consultation. Reviews are included. Consultation with Dr Nish is £50, redeemable in full against treatment. The clinic is at 58 South Molton Street, Mayfair, London W1K 5SL, 3 minutes from Bond Street station.

Sofwave™ on the arms and chest is comfortable under numbing cream, feels like brief deep warmth, and has no downtime: mild redness for a few hours, then sleeves or a low neckline straight back on. Profhilo leaves small bumps at the injection points for a day. Heavy upper-body exercise, saunas and sun are avoided for 48 hours. Dr Nish gives written aftercare and his direct contact details on the day.

Sofwave™ results on the arms and chest last a year or more and are maintained with a yearly session, because the result is your own collagen. Profhilo lasts 6–9 months and is repeated. Results are visible at 12 weeks and keep improving for 6 months, so the review is at 12 weeks against your first photographs. Dr Nish sets out a maintenance schedule at review.

Yes — Sofwave™ areas are combined in one visit, so the arms, chest and face or neck are often treated together in one session of about an hour and a half. Profhilo for the chest or hands can be added at the same visit or afterwards. Dr Nish maps each area separately at consultation and treats them in one plan.

Yes — Sofwave™ uses ultrasound, not light or laser, so it does not target pigment and is suitable for every skin tone, including sun-damaged chest skin where light-based treatments carry a pigmentation risk. Profhilo is suitable for all skin tones. Strict SPF on the chest and arms is part of the aftercare for everyone.

Not at Medisha: Sofwave™’s clearances cover the face, brow, under-chin, neck and upper arms, with short-term improvement in the appearance of cellulite, and those are the areas Dr Nish treats. Where loose skin on the stomach or thighs is the concern, he will tell you plainly what non-surgical treatment can and cannot do there, and refer you where surgery is the honest answer.

Dr Nish will tell you at consultation, plainly, and refer you for a surgical opinion. Sofwave™ tightens skin but does not remove it, so where the excess is significant it may not achieve what an arm lift can. Medisha does not sell a treatment that will not change your arms. You leave the consultation knowing exactly where you stand.

Medisha Clinic is an official certified Sofwave™ partner clinic where the upper arms and décolletage are treated by Dr Nish Shah MD himself, with Profhilo and fat dissolving under the same roof so loose skin is tightened and fat is treated as fat. He is the Senior International Clinical Trainer at Derma Medical, the Official UK Trainer for Sunekos, and with over 30,000 non-surgical treatments one of the most experienced aesthetic doctors in the UK and London. He tells you which your arms need, performs it himself, and says plainly if surgery is the answer. Rated 5.0 on Google from 128 reviews. 58 South Molton Street, Mayfair, London W1K 5SL, serving Mayfair and Marylebone.