Current Concepts in Nonablative Radiofrequency Rejuvenation of the Lower Face and Neck

ABSTRACT

With the multitude of treatment options and emerging technology available for rejuvenation of the lower face and neck, it is often difficult to determine which specific treatment would benefit an individual patient. Monopolar radiofrequency (MRF) nonablative skin rejuvenation is a promising new procedure that is utilized to tighten and contour nonsurgically mild to moderate laxity of the skin of the lower face and neck in patients without significant underlying structural ptosis. In these selected patients and others who wish to avoid surgical treatment modalities, MRF treatment offers a noninvasive method of tightening skin and soft tissue, causing softening of the nasolabial lines, tightening of the jowl, and improving the definition of the cervicomental angle, all without significant recovery time or complications. Further development of MRF technology and refinement of treatment protocols may allow even greater tightening of the skin and more dramatic modulation of underlying deeper structures, making the treatment more universally applicable for patients desiring facial rejuvenation.

KEYWORDS

Radiofrequency - nonablative - noninvasive - tightening - Thermage

REFERENCES

• 1 Fitzpatrick T B. The validity and practicality of sun-reactive skin types I through VI.  Arch Dermatol. 1988;  124 869-873
• 2 Zelickson B D, Kist D, Bernstein E et al.. Histological and ultrastructural evaluation of the effects of a radiofrequency-based nonablative dermal remodeling device: a pilot study.  Arch Dermatol. 2004;  140 204-209
• 3 Bassichis B A, Dayan S, Thomas J R. Use of a nonablative radiofrequency device to rejuvenate the upper one-third of the face.  Otolaryngol Head Neck Surg. 2004;  130 397-406
• 4 Fitzpatrick R, Geronemus R, Goldberg D, Kaminer M, Kilmer S, Ruiz-Esparza J. Multicenter study of noninvasive radiofrequency for periorbital tissue tightening.  Lasers Surg Med. 2003;  33 232-242
• 5 Abraham M, Chiang S, Keller G, Rawnsley J, Blackwell K, Elashoff D. Clinical evaluation of non-ablative radiofrequency facial rejuvenation.  J Cosmet Laser Ther. 2004;  6 136-144
• 6 Nahm W K, Su T T, Rotunda A M, Moy R L. Objective changes in brow position, superior palpebral crease, peak angle of the eyebrow, and jowl surface area after volumetric radiofrequency treatments to half of the face.  Dermatol Surg. 2004;  30 922-928
• 7 Koch R J. Radiofrequency nonablative tissue tightening.  Facial Plast Surg Clin North Am. 2004;  12 339-346
• 8 Jacobson L G, Alexiades-Armenakas M, Bernstein L, Geronemus R G. Treatment of nasolabial fold and jowls with a noninvasive radiofrequency device.  Arch Dermatol. 2003;  139 1371-1372
• 9 Narins D J, Narins R S. Non-surgical radiofrequency facelift.  J Drugs Dermatol. 2003;  2 495-500
• 10 Fritz M, Counters J T, Zelickson B D. Radiofrequency treatment for middle and lower face laxity.  Arch Facial Plast Surg. 2004;  6 370-373
• 11 Alster T S, Tanzi E. Improvement of neck and cheek laxity with a nonablative radiofrequency device: a lifting experience.  Dermatol Surg. 2004;  30 503-507 , Hughes P, comment in Dermatol Surg 2004;30:1430
• 12 Ruiz-Esparza J. Noninvasive lower eyelid blepharoplasty: a new technique using nonablative radiofrequency on periorbital skin.  Dermatol Surg. 2004;  30 125-129
• 13 Ruiz-Esparza J, Gomez J B. The medical face lift: a noninvasive, nonsurgical approach to tissue tightening in facial skin using nonablative radiofrequency.  Dermatol Surg. 2003;  29 325-332
• 14 Hsu T S, Kaminer M S. The use of nonablative radiofrequency technology to tighten the lower face and neck.  Semin Cutan Med Surg. 2003;  22 115-123
• 15 Iyer S, Suthamjariya K, Fitzpatrick R E. Using a radiofrequency energy device to treat the lower face: a treatment paradigm for a nonsurgical facelift.  Cosmet Dermatol. 2003;  16 37-40
• 16 Ruiz-Esparza J, Gomez J B. Nonablative radiofrequency for active acne vulgaris: the use of deep dermal heat in the treatment of moderate to severe active acne vulgaris (thermotherapy): a report of 22 patients.  Dermatol Surg. 2003;  29 333-339
• 17 Keller G S, Namazie A, Blackwell K, Rawnsley J, Khan S. Elevation of the malar fat pad with a percutaneous technique.  Arch Facial Plast Surg. 2002;  4 20-25