A Randomized, Split-Face, Evaluator-Blind Clinical Trial Comparing Monopolar Radiofrequency Versus Microfocused Ultrasound With Visualization for Lifting and Tightening of the Face and Upper Neck

Alhaddad, Marwan; Wu, Douglas C.; Bolton, Joanna; Wilson, Monique J. Vanaman; Jones, Isabela T; Boen, Monica; Goldman, Mitchel P.

doi:10.1097/dss.0000000000001653

Cited by 35 publications

(30 citation statements)

References 21 publications

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“…Layering different depths of coagulation points has been studied as an optimal method for simultaneously contracting the deeper fascial layers at depths of 3 (7‐mHz transducer) and 4.5 mm (4‐mHz transducer), while stimulating dermal collagen at more superficial depths of 1.5 and 2 mm [ 12 ]. Comparison studies have shown no difference in efficacy with regards to MFU and monopolar radiofrequency in the improvement in facial/neck skin laxity [ 13 ]. However, even with layering techniques, MVU‐targeted, thermally coagulated tissue does not reach the same volume of the treated tissue as microneedle fractional RF, as previously mentioned in this article.…”

Section: Discussionmentioning

confidence: 99%

Single Treatment Protocol With Microneedle Fractional Radiofrequency for Treatment of Body Skin Laxity and Fat Deposits

Alexiades

Munavalli

2021

Lasers Surg Med

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Background and Objectives Treatment modalities have been developed to address patient concerns with skin laxity and focal adipose excess. A previously published multicenter clinical trial reported improvement in cellulite severity after a single dermal and subcutaneous treatment on the upper thigh with a microneedle radiofrequency device. In the current study, this device was used to improve the esthetic appearance of body skin laxity and localized fat deposits above the knee, upper arms, and upper‐mid back/axillary region (“bra‐line”). Study Design/Materials and Methods Subjects with cellulite, skin laxity, and/or subcutaneous adipose excess in the suprapatellar region of the anterior thigh, upper arms, and bra‐line underwent a single dermal and/or subcutaneous treatment. Investigators and subjects assessed outcome at 1‐, 3‐, and 6‐month follow‐up, using 5‐point Likert scales for global esthetic improvement, skin laxity improvement, and satisfaction. Results In total, 31 females (mean age 51 ± 9 years) with Fitzpatrick skin types I–IV received a single treatment on 62 treatment areas: 22 upper arms, 34 suprapatellar, and 6 bra‐lines. Investigator assessments at 1, 3, and 6 months for global esthetic improvement and skin laxity for the upper arms and bra‐line demonstrated improvements in 100% of subjects at all timepoints; for the suprapatellar region, these values were 69%, 92%, 65%, and 85%, 92%, 65%, respectively. Investigator satisfaction at each timepoint was satisfied or very satisfied in 80%, 100%, 90% for upper arms; 80%, 80%, 80% for bra‐line; and 50%, 81%, 65% for suprapatellar region. Subject self‐assessments at 1, 3, and 6 months for global esthetic improvement and skin laxity for the upper arms demonstrated improvements in 100% of subjects at all timepoints; for the bra‐line, these values were 40%, 60%, 80%, and 60%, 60%, 80%, respectively; for the suprapatellar region, these values were 81%, 92%, 88%, and 69%, 85%, 88%, respectively. Subject satisfaction at each timepoint was satisfied or very satisfied in 80%, 100%, 100% for upper arms; 40%, 40%, 80% for bra‐line; and 50%, 77%, 65% for suprapatellar. Treatments were well tolerated with subjects reporting transient erythema and edema associated with 69% and 46% of treatments, respectively. Mild bruising, resolving within 5 days, was reported after 32% of the treatments. Conclusion Microneedle fractional radiofrequency provides a single treatment protocol to improve the esthetic appearance of body skin laxity and localized adipose excess to the upper arms, bra‐line, and suprapatellar regions. Further study is warranted to evaluate the degree of improvement and long‐term effect beyond 6 months post‐treatment. Lasers Surg. Med. © 2021 The Authors. Lasers in Surgery and Medicine published by Wiley Periodicals LLC

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Section: Discussionmentioning

confidence: 99%

Single Treatment Protocol With Microneedle Fractional Radiofrequency for Treatment of Body Skin Laxity and Fat Deposits

Alexiades

Munavalli

2021

Lasers Surg Med

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“…It was reported that RF was superior for improving photoaging and flaccidity only when compared to non‐treatment. Compared with other therapies, the results were similar between the treatments tested, with no RF superiority in any of the situations 17‐20 …”

Section: Resultsmentioning

confidence: 77%

Evaluation of the evidence level for the use of radiofrequency in aesthetic treatments: A systematic review and meta‐analysis

Paggiaro

Pinheiro

Soares

et al. 2021

J of Cosmetic Dermatology

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Background Radiofrequency (RF) is a non‐invasive or minimally invasive procedure with a low risk of complications. It has been employed for several aesthetic purposes. Aim This study aimed to conduct a systematic literature review on the use of RF for aesthetic applications and assess the level of accumulated evidence for each condition. Methods Using the MEDLINE/PubMed and EMBASE databases, we searched for articles published from 2009 to 2019 describing the use of RF treatment for aesthetic purposes. Results Our search approach identified 25 randomized clinical trials investigating the efficacy of RF in the following clinical situations: body contour improvement, facial rejuvenation, acne scar treatment, alopecia, and rosacea. There were problems with the quality of the studies, especially regarding selection, performance, and detection bias. Conclusion Our study revealed that RF treatment is potentially promising in all of the evaluated clinical situations; however, we were not able to identify a level of evidence that justifies its use over other therapeutic options currently available on the market.

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“…The most common side effects of MFU are transient pain, erythema, edema, and bruising, which typically last for a few days [66,71] . A study of 49 patients of Fitzpatrick skin type III to IV observed 2 cases of postinflammatory hyperpigmentation on the forehead at 1 month, but not at 6 months [71] . Nerve and bone irritation are rarely encountered, as the frequency of the transducer fixes the depth of penetration.…”

Section: Microfocused Ultrasoundmentioning

confidence: 99%

Non-surgical skin tightening

O’Connor¹,

Kandula²,

Kaminer³

2021

PAR

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Skin laxity is an unavoidable consequence of aging and chronic sun exposure. Patients are increasingly turning to non-surgical skin tightening measures for a more youthful look. Non-surgical methods can be effective in treating mild to moderate skin laxity, while offering decreased downtimes and fewer serious complications than surgical interventions. This article reviews the major non-surgical interventions for skin laxity: ablative and non-ablative lasers, radiofrequency, and microfocused ultrasound, noting their physiologic mechanism of actions, clinical benefits, and side effects. Regardless of the procedure, patient selection and expectation setting are crucial to achieving desired results and ensuring patient satisfaction.

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A Randomized, Split-Face, Evaluator-Blind Clinical Trial Comparing Monopolar Radiofrequency Versus Microfocused Ultrasound With Visualization for Lifting and Tightening of the Face and Upper Neck

Cited by 35 publications

References 21 publications

Single Treatment Protocol With Microneedle Fractional Radiofrequency for Treatment of Body Skin Laxity and Fat Deposits

Single Treatment Protocol With Microneedle Fractional Radiofrequency for Treatment of Body Skin Laxity and Fat Deposits

Evaluation of the evidence level for the use of radiofrequency in aesthetic treatments: A systematic review and meta‐analysis

Non-surgical skin tightening

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