About Contouring

Minimally Invasive Contouring: Is This Real?

Minimally Invasive Contouring has been developed by Dr. Greg Ruff in collaboration with Physcient, Inc. Physcient develops radically different technologies for surgical instrumentation, and they created the technology behind Minimally Invasive Contouring: an instrument called the Differential Dissector™.

Dr. Ruff is a renowned, board-certified plastic surgeon. He was a Professor of Plastic and Reconstructive Surgery at Duke University and co-founded Quill Technologies where he invented the barbed sutures used for “thread” lifts. Dr. Ruff is currently in private practice in Chapel Hill, NC and has recently joined Physcient as their Chief Medical Officer.


Surgeons will tell you that a “lift” is the gold standard for reducing sagging skin. However, many people don’t want such invasive surgery. They don’t want weeks of downtime, the pain, or the scars that are common with lift procedures. Scarring is especially problematic for visible areas like your arms, your legs and your neck.

This has led to the development of many non-surgical treatments to reduce sagging skin. These procedures use heat, electricity, ultrasound, or radiation (or a combination of these) to reduce sagging. While these procedures typically require a 1 to 2 hour visit to a doctor or spa, some require repeat visits. Non-surgical treatments might be done by a nurse, not a doctor. Some non-surgical treatment patients have reported scarring, paralysis from nerve damage or, perplexingly, catastrophic loss of subcutaneous fat causing the face to look permanently gaunt and haggard… actually making sags worse.

Minimally Invasive Contouring is different from other treatments for skin laxity.  The many non-surgical treatments for skin laxity attempt to stimulate contraction by heating the patient’s skin with ultrasound, electricity or lasers.  Heating carries risk of thermal trauma, with reported adverse events including nerve damage, muscle damage, scarring and loss of facial volume.  In contrast, Minimally Invasive Contouring does not use heat.  The Differential Dissector is the only technology that can work directly under and against the skin, to allow the intact skin to begin to tighten.

Minimally Invasive Contouring is being developed to avoid the downsides of these non-surgical treatments and current surgical approaches, while combining the best of each: effectiveness, easy recovery, and none of the side effects of heat or radiation. Minimally Invasive Contouring requires only a 1-cm (about half an inch) incision closed with a single stitch that leaves no scar.

The procedure can be done in your surgeon’s office in about an hour or two under just local anesthesia. There will be light to moderate bruising, but this is usually gone in 1 to 2 weeks. Patients have experienced no numbness of the skin and only light pain the evening after the procedure.

In the months after Minimally Invasive Contouring, the body undergoes a natural healing process. As part of this healing, the dermis contracts, reorganizes and tightens the skin. Furthermore, the healing response appears to deposit new collagen against the skin, making skin feel firmer. The effect will develop slowly, discretely removing sags usually over about 3 to 4 months. You just look better and no one can tell why!

Minimally Invasive Contouring will not be performed in a spa. Only your surgeon can offer Minimally Invasive Contouring at this time, so ask your surgeon about Minimally Invasive Contouring.

Regulatory Disclaimer:
Physcient, Inc. is registered with the U.S. FDA. The Physcient device used for the procedures described in this website are listed on the FDA website as a Class I device. Registration of the company or listing of its device does not in any way denote approval of Physcient, Inc. or its device by FDA.