Robert Whitfield MDAmerica's Breast Implant Illness Expert™

No-Cut Facelift Without Surgery? Dave Asprey Asks Dr. Robert Whitfield

22 Jun 2026 · 1 min

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In this interview, Dave Asprey talks with Dr. Robert Whitfield about the FDA‑approved NoCut facelift, a non‑surgical skin‑removal technique cleared in the first quarter of 2022. The procedure uses tiny hollow needles to extract small cores of skin—similar to microneedling but with the added step of suctioning out the tissue. Dr. Whitfield explains that roughly 26,000 cores are removed, representing 7‑8% of the treated area, which translates to about 1 to 1.5 square inches of skin. The removal creates a tightening effect as the skin heals, offering a scar‑free result. They discuss the initial post‑procedure appearance (a week or two of visible changes), the ability to treat the face, neck, and other flat body surfaces, and the specific challenges of the three‑dimensional neck region. The conversation emphasizes the mathematical basis of the technique, its clinical significance, and its potential as a less invasive alternative to traditional facelifts.

It was super exciting when this finally got through and FDA approved in Q1 of '22, because now you can take skin out with no scarring.
For the NoCut Facelift, what you're doing is you're using tiny hollow needles to suck out little cores of skin, and you do it all over the face. So it's very much the same effect as microneedling, but instead of just poking the skin to make it grow, you're poking the skin and sucking out a tiny almost like a blackhead's worth of skin, a tiny little sliver. But if you do it all over the face, yeah, you're going to not look so great for the first week or two, which is common in a lot of the facial resculpting things. But what it does then is instead of the skin just healing like it would from microneedling, it's tighter when it heals, right?
It's just doing math. So unless you think the world's flat, it'll work. So if we take out 26,000 cores at 7 to 8%, typically we're going to remove between 1 and 1.5 inches. Square inches of skin.
And you can do this all the way down to the neck?
You can do it on the body, and especially all over, um, surfaces that are more flat. The, the neck is probably the most complex due to its three-dimensional character. So the Adam's apple's in the way, and I have to turn your head, if you remember, a certain direction to help get it taken care of. But it was super exciting when this finally got through and FDA approved in Q1 of '22, because now you can take skin out with no scarring.