AirSculpt features built-in natural skin tightening attributes driven by the friction of the mechanical spinning instrument and subsequent healing responses that stimulate localized collagen production beneath the surface. For patients with good baseline skin elasticity, the skin retracts smoothly over the newly contoured shape. However, AirSculpt is fundamentally a precision fat removal procedure rather than a surgical skin excision; individuals with severe skin laxity or hanging folds require a surgical lift.