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

Practice Policy Update Regarding COVID-19

Friday, May 22, 2020:

We are officially back!

It’s been a long 9 weeks and we cannot wait to see all of our loyal and supportive patients back in our office! We are currently working with a more limited schedule than before, so please be patient as we navigate through this, together.

There are a few key changes we’ve made to our appointment protocol to ensure we are maintaining social distancing and following strict COVID-19 health and safety protocols - for you AND for us.

  1. Call from your car once you’ve arrived at the office for your appointment. A staff member will come out to greet you, take your temperature and conduct a short COVID-19 health screening to make sure you are in good health prior to entering the building. Our doors will remain locked during normal business hours to ensure only those who have been screened can enter.
  2. Please arrive at your appointment wearing a mask or protective face covering. We will not be able to bring you inside the office without one.
  3. We will then bring you inside, offer you hand sanitizer and bring you straight back into your designated room. We will at no point have any patients waiting in the lobby!
  4. You will be greeted by Dr. Elbert or Dr. Jacqueline wearing their Personal Protective Equipment deemed necessary by your specific treatment. (N95 mask, gloves, face shield or protective eyewear, etc.) We ask that you leave your mask on during the procedure, and only take it off if necessary to complete the treatment.
  5. All necessary transactions will be done in the room your treatment is being performed. This will avoid unnecessary back ups in the lobby.
  6. You will then be walked out through the back door of the office. This is the best way to keep all staff and patients socially distanced while maintaining one steady flow of traffic throughout the building.

And of course, all rooms will be heavily disinfected immediately after you leave just as we have always done prior to the pandemic. We will place a major focus on high-contact areas such as chairs, doorknobs, counter tops, mirrors and more.


Watch us take you through what your next appointment will look like:

We are still continuing to conduct Virtual Consultations if you prefer a quicker and no-contact experience.

Virtual Consultation


Thank you for your continued support and we can't wait to see you again!

Kindest Regards,,

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

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