J Cosmet Dermatol. 2021 May 26. doi: 10.1111/jocd.14255. Online ahead of print.
ABSTRACT
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 anti-aging 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 analyse the anti-aging 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 wrinkle classification & scoring system(GDWCSS) and statistically evaluated. Two patients each 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: MRF targets facial collagen as deep as the facial fat, thereby achieving ‘reversal’ of the grooves and bulges of aging with subtle volume re-distribution and favorable ‘remoulding’ 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 power-player in the dermatologist’s anti-aging armamentarium.
PMID:34038038 | DOI:10.1111/jocd.14255
