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Remove Sagging Skin Without Surgery – Non-surgical solution for mid-to-lower face wrinkles and excess skin.

If you want visible, natural-looking results without the excessive pain and extended recovery time that may be associated with more invasive surgeries or procedures, Ellacor® may be your answer.


Awards and Certificates

How Does it Work?

Ellacor® uses hollow needles to remove micro-cores of skin…

Ellacor® uses hollow needles to remove micro-cores of skin, resulting in an improved appearance of moderate and severe wrinkles in the mid and lower face without the evidence of scarring.1,2



  1. Pivotal Study to Evaluate the Effectiveness of a Micro-Coring Device Treating Moderate to Severe Facial Wrinkles. NCT 03573271; submitted for publication. 51 subjects completed the pivotal study; subjects were treated 2-3 times with 7%-8% skin removal and up to 5mm needle coring depth. Each patient heals differently; mild to moderate side effects may still be present up to 30 days post-treatment per physician assessment. All clinical data, including patient healing, treatment pain on the 0-10 Wong-Baker Scale, Global Aesthetic Improvement Scale scores, and Subject Satisfaction is on file with Cytrellis.
  2. Champlain, A. et al. 2019. What is the Largest Size Full-Thickness Skin Injury That Can Heal Without a Scar? Lasers in Surgery and Medicine, 50(S30), S30-31.
  3. Cytrellis data on file.
  4. Cytrellis studies using OCT (Optical Coherence Tomography) have demonstrated absence of holes, approximately 10 minutes post procedure (2017)

Body Area(s) & Procedure(s)

1. Mid-to-Lower Face Wrinkles..

More info on Body Area/Treatment

1. Mid-to-Lower Face Wrinkles and Excess Skins

What to Expect

Before and after your procedure…

Here's what to expect:

  • Dr. Pierone will start by injecting local anesthesia into the treatment area or applying a strong topical numbing cream, to minimize discomfort. 
  • Once you’re numb, your provider will move a mechanical hand piece methodically across the treatment area, creating the micro-cores in a grid-like pattern (similar to a microneedling procedure).
  • Each of the three hollow needles in the device is extremely thin—about .02 inches in diameter—and the needles move rapidly, to treat a 10mm x 10mm square area in less than 3 seconds.
  • When a core is made, a vacuum system in the device provides suction that immediately removes the micro-cores of skin from the needles.
  • Dr. Pierone can specify the percentage of skin removed, up to 8% of the total surface area of skin.
  • Pinpoint bleeding is common immediately afterward, but it should stop once some pressure is applied with a damp, sterile cloth.
  • The remaining skin also helps the micro-cores heal more quickly. 
  • Results should continue to improve over the coming months, as new collagen develops.



How many procedures will you need?

As every patient has different needs, please speak with Dr. Pierone to determine the treatment plan that is right for you. In the clinical trial, most patients underwent a series of three procedures spaced approximately 30 days apart.

How long is a typical procedure?

The procedure itself takes about 30 minutes, but we recommend you set aside 90 minutes for pre and post procedure activities.

Is the procedure painful?

Dr. Pierone will provide you with appropriate anesthesia prior to the procedure to make you more comfortable. Most patients in our clinical trial reported pain during the procedure as less than 2 on a 0-10 scale.

Is the recovery time long?

Recovery time ranges from a few days to weeks, which can vary by patient and treatment settings. Since every patient heals at different rates, patient results and experience may vary. Please consult with Dr. Pierone for more information.

How is ellacor® different from other procedures?

Ellacor® removes micro-portions of excess skin to achieve an improvement in the appearance of wrinkles, whereas many other skin revitalization devices use heat generated by laser, radio frequency and ultrasound energy to induce intentional thermal injury to the skin.

Does ellacor® use laser, radio frequency, or ultrasound energy?

The ellacor® system is able to remove skin on the microscale without the use of thermal energy.

Can I receive ellacor® if I have a darker skin tone?

Because darker skin types (V and VI) may react differently to aesthetic treatments than lighter skin types (I-IV), a separate clinical study is needed to evaluate the proper protocols for using ellacor on darker skin types.

How is ellacor® different from microneedling or facelifts?

Microneedling uses small needles to injure the tissue, but skin is not removed during this procedure – the tissue is temporarily displaced. Typically, microneedling is recommended for fine lines and wrinkles.

A facelift is a surgical procedure with more dramatic results but can come with longer downtime.

Ellacor is different because it uses Micro-Coring technology with hollow needles to remove up to 12,000 tiny micro-cores of excess skin. The micro-cores are so miniscule, it doesn’t leave any scars. The process triggers collagen production and the skin’s natural healing process, which results in the improved appearance of wrinkles.

Many ellacor patients want better results than what microneedling can offer but don’t want or aren’t ready for a facelift. That’s where ellacor can be the right solution for them.

5 Star Reviews

Real Patients

  • The staff are very professional and knowledgeable. All of my questions were answered and the pain level was minimal. I have had great treatment, and would recommend them highly.

  • Great staff. They're very knowledgeable and you'll love the results.

  • Dr. Pierone and his staff are so kind and welcoming. His compassionate and conservative approach never leaves you feeling "overdone." He is very knowledgeable and patient while discussing your desired results and is very sincere with his approach. He takes the time to listen to what your goals are and is excellent at explaining the options and details of what is needed to achieve them. It is important to him that all of his patients are pleased with their results and is willing to go above and beyond, when necessary, to make that happen. You rarely find that anywhere, folks! I am glad and grateful to have found him. Thank you, Dr. Pierone!

  • I've been in the healthcare profession for over a decade and Dr. Pierone is by far the most compassionate, dedicated physician in his field. Always warm, friendly and willing to try new things, Dr. Pierone makes you feel safe and comfortable while discussing the latest advancements in non-invasive facial rejuvenation. His results are beautiful, and he goes out of his way to accommodate your schedule. I strongly recommend Dr. Pierone to keep you young and ageless!

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