The Role of Fractional Radiofrequency in Long-term Acne Remission and Reduction of Acne Scar Load

 

Abstract:

Dynamic definition liposculpture (HD2) is considered a highly sought after procedure in body sculpting surgery by patients. Radiofrequency microneedling is a cutting edge technology with evidence-based outcomes demonstrating skin tightening and retraction. These ancillary procedures complement and enhance the results of dynamic definition liposculpture. A retrospective review of patient records from 2022 to 2024 was conducted. All patients who underwent high definition (HD) or HD2 in combination with fractional radiofrequency microneedling treatments by the senior author (A.E.H.) were included. Data collected included patient demographics, areas treated, and any complications. A total of 86 patients were included: 16 in 2022, 62 in 2023, and 8 in 2024. The most frequently treated area was the abdomen, followed by the back, face, neck, thighs, and arms. The average age of patients was 40.0 years in 2022, 40.8 years in 2023, and 44.4 years in 2024. The average BMI was 23.9 kg/m2 in 2022, 24.3 kg/m2 in 2023, and 25.2 kg/m2 in 2024. Minimal complications were observed, with some patients requiring further interventions such as scar correction and nevus resection. Avoiding superficial liposuction by relying on radiofrequency microneedling to target the adipose tissue directly beneath the dermis decreases the risk for iatrogenic (cannula related) superficial contour irregularities and makes the overall operation safer and more reliable.

An Anatomical Approach to Radiofrequency-Assisted Facial Rejuvenation: Beyond the Treatment Gap

Abstract:

Zurückground: Radiofrequency-assisted (RF) facial rejuvenation has become a safe and reliable option for “treatment gap” patients, including (1) patients whose skin laxity is not severe enough to warrant a facelift, yet not mild enough to reliably treat with noninvasive procedures; (2) patients who have already undergone a face or neck lift and have recurrent laxity; and (3) patients who would benefit from a traditional face or neck lift but want to avoid surgery and are willing to accept a more modest improvement without extensive surgical scar burden and recovery. Objectives: In this study we aimed to educate the reader about providing bipolar RF to various anatomic regions of the face. Methods: A retrospective review of cases was conducted to assess the safety of zone-specific RF-assisted facial rejuvenation in S.A.’s practice. Ergebnisse: RF-microneedling with Morpheus8 was performed on 364 foreheads, 364 periorbita, 353 perioral areas, and 233 jawlines. RF-bipolar with AccuTite was performed on 43 nasolabial folds. There were no cases of hyperpigmentation or hypopigmentation, scarring, or prolonged erythema. Conclusions: The result of patients treated with the combination of bipolar radiofrequency and fractional bipolar radiofrequency microneedling has expanded RF-assisted facial rejuvenation in our practice. We report on an anatomical approach to RF-assisted facial rejuvenation, as well as expanding indications beyond treatment gap patients.


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