Would you like to tone, tighten, and lift your skin without surgery? Evolutions features two of the top non-invasive skin tightening procedures on the market today, Sublime (formerly ReFirme) and Titan. You may do either treatment separately, or together in a Total Tightening treatment!

Total Tightening

Utilizing superior technology and a protocol developed by Dr. Perkins, Evolutions is pleased to offer Total Tightening treatments. Total Tightening synergistically combines two of the top non-invasive skin tightening procedures on the market today, Sublime and Titan, into a single treatment that maximizes the benefits of both. Each treatment works to tighten existing collagen in your skin as well as stimulate new collagen production, resulting in a firmer, “fresher” look. Usually clients can see a difference after only one procedure, though because results are cumulative when the procedure is done 4-6 weeks apart, a package of four treatments is typically recommended.

Available exclusively at Evolutions Medical Spa, a Total Tightening package is the most effective way to address concerns of skin laxity without needles or surgery!  Read below for answers to frequently asked questions about Sublime and Titan.



Sublime (formerly called ReFirme) is a FDA cleared non-invasive Skin Tightening procedure that enables you to comfortably achieve a more youthful, toned and lifted appearance without enduring downtime.

Sublime is a complete anti-aging solution for targeting those telltale signs of aging, including, jowl and neck laxity, sagginess under the eyes, saggy brow lines, and nasolabial folds. Unlike conventional laser skin tightening treatments that are time and treatment intensive, and often too painful for many patients; Sublime offers virtually painless and fast treatment for sagging and wrinkled skin.

Sublime is a safe and effective industry-leading medical aesthetic technology, which has received national media exposure through The Rachel Ray Show, Carnie Wilson feature on Extra, Star Magazine and many more publications and television shows.

Sublime advantages translate to enhanced comfort, convenience, & satisfaction.

Sublime features the revolutionary elōs™ combination of Bi-Polar Radio Frequency and Light energies to precisely heat the dermal tissue within the targeted treatment area. The precise heating ensures a safe, effective, fast treatment with no downtime. Fine wrinkles are reduced, noticeable lifting can be observed on sagging skin and the texture of your skin becomes smoother, more luminous and toned. Unlike conventional lasers and IPL’s, Sublime uses significantly less optical energy, ensuring enhanced safety and a virtually painless procedure.

Sublime is a safe and effective industry-leading medical aesthetic technology for anti-aging.

Sublime is a safe, effective, virtually painless non-invasive solution for wrinkled and sagging skin. It can help improve skin laxity, sagginess, wrinkles and textural irregularities for areas such as:

• Face
• Neck
• Abdomen
• Upper Arms
• Knees

Sublime is an industry-leading medical aesthetic technology for anti-aging. Sublime enables you to comfortably and safely achieve a more youthful, toned and lifted appearance without enduring downtime.

Most patients see gradual and cumulative results throughout the treatment regimen. You can look forward to:

• Wrinkle reduction and smoother skin
• Improvement in skin laxity
• Tightened and firmed skin
• Improvement in skin texture

Further benefits are attributed to the precise heating of the dermal tissue in the targeted treatment area with the use of elōs™ technology (combination of bi-polar radio frequency and Light energies). This ensures a safe, effective and fast treatment with no downtime.

Here are some of the reasons why you can trust Sublime Skin Tightening procedure:

• FDA cleared for Skin Tightening via Wrinkle Treatment
• Virtually painless non-surgical and non-invasive treatment resulting in no downtime – you can return to your daily activities immediately following treatment
• The precise heating of the targeted treatment area ensures a safe and effective treatment
• Effective on all skin types and all skin colors
• Uses no drugs or needles

elōs is the first and only technology that simultaneously harnesses the power of bi-polar radio frequency (RF) and optical energy. Developed by Intense Pulse Light inventor/patent-holder, Dr. Shimon Eckhouse and master physicist, Dr. Michael Kreindel. This revolutionary technology platform effectively overcomes the safety and procedural limitations of intense pulse light (IPL) and conventional lasers.

The elōs Difference:
• Radio Frequency is a highly controllable energy heat source, works synergistically with optical energy
• Enables the use of light energy at a level that is safe for all skin types
• No additional risk to the epidermis
• Precisely targets areas “preheated” by optical energy
• Contact cooling on skin’s surface provides increased comfort and safety

Find out more about elōs technology

Sublime Skin Tightening procedure featuring the revolutionary elōs™ technology enables you to comfortably and safely achieve a more youthful, toned and lifted appearance without enduring downtime.

Does it hurt?

The procedure is considered comfortable by the majority of clients. Generally topical numbing cream is not necessary (though it is available for particularly sensitive clients).



The Titan Procedure™ is a safe, non-surgical process that uses an infrared light source to tighten skin and reverse the signs of aging.

Titan utilizes a safe infrared light to heat the dermis well below the skin’s surface. This heating contracts existing collagen and stimulates new collagen to be produced. During the procedure, the skin’s top surface (epidermis) is protected through continuous cooling with the Titan handpiece.

Both Titan and Sublime work by heating the dermis enough to contract existing collagen and stimulate new collagen production. However, they work in slightly different ways. Sublime uses two modalities, infrared light and bi-polar radiofrequency, to accomplish this goal.

Clients have been successfully treated on many areas of the body. The most common areas treated are the jawline, under the chin, and the abdomen.

Since the Titan procedure heats tissue under the skin’s surface, clients of any skin type or age can be treated. Your clinician can advise you if the Titan is right for you.

Although a single treatment may produce good results, the effects of the procedure tend to be cumulative and it is quite common for clients to have two to four treatments over a few months. Your clinician will advise you as to the number and frequency of treatments recommended for optimal results (and whether or not you should consider Total Tightening combination therapy).

Immediately following the treatment, you may notice some redness and mild swelling in the treated area. Both should dissipate within a few hours.

With each Titan pulse you will feel a brief heating sensation. Some clients are more comfortable taking a mild pain reliever beforehand. Many clients are comfortable without any medication.