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Are you bothered by loose skin on your neck and around the jowls? Precision Tx™ laser is a minimally invasive procedure that improves these areas of fat and skin laxity on the lower face and neck.


This technology provides a knifeless facelift and neck lift. While the results are more subtle than surgery, it can help you put off surgery and is an alternative for those who do not want a surgical facelift or neck lift.

The procedure does require tiny incisions, but they are so small that no sutures are needed. Precision Tx also stimulates your body to create new collagen, which further tightens your skin over the months following the treatment.

Precision Tx uses heat to tighten the skin with a temperature-controlled system called ThermaGuide that allows the laser to provide a more reliable result and avoid any risk of overheating.

At Cheng Plastic Surgery, our board-certified facial plastic surgeons approach every procedure individually. We spend time with you to understand what you wish to correct, and we examine you carefully to determine the best plan to achieve your goals.

Your Precision Tx Procedure

Precision Tx can be done using a local anesthetic. Tiny incisions – so small that they don’t even require a single stitch – are made behind the ears and under the chin. A tiny cannula (tube) is inserted, and laser fibers are threaded through it to melt the excess fat cells using a thermal and photochemical effect. The liquefied fat is suctioned out similar to liposuction through the cannula.

The entire procedure takes about one hour, and you will go home with dressings on the incisions.

PrecisionTx San Jose
PrecisionTx San Jose

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Alternate Number: (408) 255-3223  |  Privacy Policy

Practice Policy Update from Cheng Plastic Surgery Regarding COVID-19 View Update Virtual Consultation

Practice Policy Update Regarding COVID-19

Monday, April 6, 2020:

Even with social distancing, we're still here for you.

Dr. Elbert, Dr. Jacqueline and all the staff at Cheng Plastic Surgery continue to wish you health and happiness during these challenging and unprecedented times. ⁣

In compliance with the updated Shelter In Place Order from the Santa Clara County Health Officer, our office will remain closed and will reopen on Monday, May 4th. Of course as we navigate through uncharted territory, we will continue to keep you updated. Although we miss seeing all of you every day, health and safety is our priority!

If you have an appointment scheduled between April 7th - May 3rd, we will be doing our best to reach out and reschedule you for a later date. If you know you have an appointment within these dates - feel free to call us at (408) 255-3223 or email us at [email protected] to help this process.

We will continue to see emergent appointments on a patient-by-patient basis, and are continuing to offer Virtual FaceTime/Phone Appointments with both Dr. Elbert and Dr. Jacqueline. This can be time to simply say hello, get medical advice on the current pandemic, or plan for future treatments and surgeries. Whatever you may need, we're here for you.

We thank you for your continued support as we get through these difficult times and can't wait to come out of this stronger, together.

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Kindest Regards,,

Dr. Elbert, Dr. Jacqueline and staff at Cheng Plastic Surgery


Monday, March 16, 2020:

Even with social distancing, we're still here for you.

As the current situation with COVID-19 is rapidly evolving, we are continuing to make decisions regarding our practice to keep ourselves and our community healthy. As the future of this virus is uncertain, it is mandated by Santa Clara County Public Health Department Officials that all non-essential businesses close their doors and shelter in place.

Because of this region-wide order, our office will be closed as of Tuesday, March 17th, 2020 and will be rescheduling all non-emergent treatments, follow up appointments and surgeries after Tuesday, April 7th, 2020.⁣ All future in-office events for March and April have been postponed until further notice.

To those patients that need to be seen urgently for post-operative or emergent appointments - please call our office phone number. Your call will be forwarded to an employee that can best help you as we will still have remote access to our schedule. They will make the necessary arrangements to ensure you receive the proper care. ⁣

We are confident that we will make it through this and become a stronger and smarter community because of it. Yes, most people do not die from COVID-19 and many can be asymptomatic - but the sooner we isolate from one another, the sooner we can make sure those statistics do not change.⁣

As physicians, we hold health to the utmost importance so we please ask those of you who can - work from home when possible, do not go to restaurants or bars, limit your public exposure and be cognizant of those who are sick, elderly or immunocompromised. In this time, we have to not only think of ourselves, but think of those that can be directly affected and do all we can for the sake of our community, our state, and our country.⁣

We do not believe this is a time to panic - but rather the opposite. It is time to be rational and act with extreme purpose. By preventatively closing our doors for the next 3 weeks - we may be helping change the course of a potentially life-changing event in history.⁣

We look forward to a future of health and happiness with you at Cheng Plastic Surgery!⁣

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Caring and cautious regards,⁣

Dr. Elbert & Dr. Jacqueline Cheng

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