A survey on monopolar radiofrequency treatment

Suh, Dong Hye; Hong, Eun Sun; Kim, Hyun Joo; Lee, Sang Jun; Kim, Hei Sung

doi:10.1111/dth.12536

Cited by 5 publications

(13 citation statements)

References 7 publications

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“…Besides skin tightening, Thermage FLX was voted to be most effective on pores (67.3%) followed by acne ( Figure 2), a top choice in our prior studies. 6,7 The nonresponder's rate with the most updated device was lower than what we reported in 2011 and comparable to the values in 2017 ( Figure 2). 6,7 While it is hard to predict a nonresponder, unrealistic expectation was quoted as the number one predictive factor for a nonrespondent.…”

Section: Resultssupporting

confidence: 80%

“…As in our 2011 and 2017 survey, 6,7 Asians in their 40s were considered to benefit most from Thermage FLX. Skin thickness continued to be the most important determinant in terms of responsiveness to Thermage (Figure 2).…”

Section: Resultsmentioning

confidence: 81%

“…With a greater surface area, the 600 REP 4 cm 2 tip is equivalent to the 900 REP 3 cm 2 tip, the most popular CPT tip in our 2017 survey. 7 The 4 cm 2 new total tip received an FDA approval in 2017 and has launched in Korea in August 2018.…”

Section: Resultsmentioning

confidence: 99%

“…The treatment settings of Thermage FLX was lower than what we reported in 2017 and 2011. 6,7 Our survey participants opted for treatment levels of 2-2.5 (82.7%) for the cheek, 2-2.5 (55.8%) for the forehead, 1-1.5 (65.4%) for the neck, and 1-1.5 (46.0%) for the eyelid (Figure 3). To note, in 2011, the treatment levels performed in Asians were divided between 4-4.5 (32.4%) and 3-3.5 (32.4%) for the face.…”

Section: F I G U R E 1 the Characteristics Of The 52 Dermatologists Wmentioning

confidence: 99%

“…Fat atrophy was quoted as a complication by 3.9% of dermatologists which is comparable to what we reported in 2017. 7 When we asked our survey participants if they felt that repeated Thermage FLX could cause fat atrophy 70.6% replied "no" and 29.4% "yes." As a way of preventing fat atrophy, 76.9% of respondents reported that they lower the treatment energy (76.9%), avoid treating patients with little facial fat (25.6%), and increase the treatment interval (12.8%) ( Figure 4).…”

Section: F I G U R E 1 the Characteristics Of The 52 Dermatologists Wmentioning

confidence: 99%

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A survey on monopolar radiofrequency treatment: The latest update

Suh¹,

Hong

Kim³

et al. 2020

Dermatologic Therapy

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The aim of this questionnaire-based study was to measure the level of appreciation, practice patterns, and side effects of monopolar radiofrequency treatment among Korean dermatologists practicing the most updated monopolar radiofrequency device (Thermage FLX, Thermage Inc., Hayward, California). According to a total of 52 surveys analyzed, this latest device (Thermage FLX) was considered more effective (57.4%), faster with reduced treatment time (66.0%), and more painful (25.5%) compared with Thermage CPT. Asians in their 40s were considered to benefit most and skin thickness continued to be the most important determinant in terms of responsiveness to Thermage FLX. The interval between treatments was mainly 1 year (51.9%) with the 600 REP 4 cm 2 new total tip being preferred by 86.5% of Thermage FLX users. The treatment energy and the complication rate of Thermage was lower than what we reported in 2017 and 2011 which is likely due to the optimized energy delivery of Thermage FLX and the subsequent gentle treatment. We hope our updated data enable dermatologists to better utilize monopolar radiofrequency in their practice.

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Section: Resultssupporting

confidence: 80%

Section: Resultsmentioning

confidence: 81%

Section: Resultsmentioning

confidence: 99%

Section: F I G U R E 1 the Characteristics Of The 52 Dermatologists Wmentioning

confidence: 99%

Section: F I G U R E 1 the Characteristics Of The 52 Dermatologists Wmentioning

confidence: 99%

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A survey on monopolar radiofrequency treatment: The latest update

Suh¹,

Hong

Kim³

et al. 2020

Dermatologic Therapy

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Efficacy and Safety of Monopolar Radiofrequency for Treatment of Lower Facial Laxity in Asians

Wanitphakdeedecha

Yogya

Yan

et al. 2022

Dermatol Ther (Heidelb)

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Introduction: Monopolar radiofrequency (MRF) is a valuable modality for tightening and contouring mild-to-moderate facial skin laxity. Few studies have evaluated new-generation MRF devices for lower facial laxity in Asians. This study aims to evaluate the efficacy and safety of MRF for treating lower facial laxity in Asians. Methods: This prospective cohort study enrolled 30 volunteers with Fitzpatrick Skin Types III-V and mild-to-moderate skin laxity. Subjects received a single MRF treatment. Self-assessments and adverse events were recorded. Two blinded dermatologists graded improvements (6-point scale) after treatment and 1, 3, and 6 months later. Results: All subjects completed the study. Treatment energy levels ranged from 2 to 4. The average number of shots was 412 ± 49, delivered in 3-4 passes with 15-30% overlap. All patients reported improvement in lower facial laxity immediately after treatment. Most patients had mild-to-moderate improvement over the 6-month follow-up. Continuous improvement was observed at the 1-, 3-, and 6-month follow-ups (P \ 0.01). Significant improvement was seen at the 6-month followup compared with the 1-month follow-up (P \ 0.01). Subjects tolerated the procedure well: the average pain score was 3.13 out of 10, and no serious adverse events were observed. Conclusions: The new-generation MRF device we tested was effective and safe for mild-tomoderate lower facial laxity in Asian skin. The latest MRF technology offers improved safety to prevent complications. Appropriate patient selection, setting, and protocols are mandatory to achieve optimal clinical outcomes. The Trial Registration Number: TCTR20 210326002.

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Monopolar radiofrequency for reposing drooping fat planes and facial rejuvenation: A prospective study on 30 subjects towards true antiaging

Garg¹,

Vashisht²,

Sushruth³

et al. 2021

J of Cosmetic Dermatology

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Background: Monopolar radiofrequency (MRF) for facial rejuvenation works by diffusely heating the dermis and subdermal fibro-septal network. Immediate collagen contraction and long-term neo-collagenesis produce antiaging effects. Aim:To lift and repose drooping fat planes along their vectors of descent to restore natural, youthful contours using MRF and to objectively measure, quantify, and analyze the antiaging effects of MRF on the backdrop of functional facial anatomy. Methods:This was a prospective study on 30 subjects aged 25-65 years who underwent three sessions of MRF (Exilis, BTL Aesthetics) with a modified protocol at weekly intervals. Clinical evaluation at baseline and 4 weeks after the final session was done according to the global drooping and wrinkles classification and scoring system (GDWCSS) and statistically evaluated. Two patients were analyzed with Ultrasound and Vectra-H1 imaging for change in subcutaneous fat depth and volume over different facial areas, respectively.Results: There was improvement in all parameters (volume alteration and wrinkles) of the GDWCSS, of which improvement in cases that had baseline severe (grade-4) temporal fat loss, malar fat loss, periorbital hollowing, and puffiness was statistically significant. The results of imaging supported the clinical findings. Conclusion:Monopolar radiofrequency targets facial collagen as deep as the facial fat, thereby achieving "reversal" of the grooves and bulges of aging with volume redistribution and favorable "remolding" of fat pads. The result is simultaneous skin tightening, lifting and contouring in manner that is natural, regenerative, and corrective. Given its versatility, efficacy, safety, and tolerability, it is emerging as a powerplayer in the dermatologist's antiaging armamentarium.

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A survey on monopolar radiofrequency treatment

Cited by 5 publications

References 7 publications

A survey on monopolar radiofrequency treatment: The latest update

A survey on monopolar radiofrequency treatment: The latest update

Efficacy and Safety of Monopolar Radiofrequency for Treatment of Lower Facial Laxity in Asians

Monopolar radiofrequency for reposing drooping fat planes and facial rejuvenation: A prospective study on 30 subjects towards true antiaging

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