Abstract
Noninvasive methods have become increasingly popular and there is significant demand for effective, proven methods of nonablative skin rejuvenation. Nonablative capacitive radiofrequency (RF) has been a successful and well-received approach for nonsurgical skin tightening. RF energy is electromagnetic radiation in the range of 3–300 GHz.
Thermage systems utilize the company’s proprietary technology incorporating large mono-polar capacitive electrodes to deliver RF energy into the skin while concurrently protecting the skin surface with a cryogen cooling spray. Indications, treatment considerations, technique, results, and complications are discussed.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Zelickson BD, Kist D, Bernstein E et al (2004) Histological and ultrastructural evaluation of the effects of a radiofrequency-based non-ablative dermal remodeling device: a pilot study. Arch Dermatol 140(2):204–209
Abraham M, Chiang S, Keller G, Rawnsley J, Blackwell K, Elashoff D (2004) Clinical evaluation of non-ablative radiofrequency facial rejuvenation. J Cosmet Laser Ther 6(3):136–144
Koch RJ (2004) Radiofrequency non-ablative tissue tightening. Facial Plast Surg Clin North Am 12(3):339–346
Abraham MT, Ross EV (2005) Current concepts in non-ablative radiofrequency rejuvenation of the lower face and neck. Facial Plast Surg 21(1):65–73
Narins DJ, Narins RS (2003) Non-surgical radiofrequency facelift. J Drugs Dermatol 2(5):495–500
Fitzpatrick R, Geronemus R, Goldberg D, Kaminer M, Kilmer S, Ruiz-Esparza J (2003) Multicenter study of noninvasive radiofrequency for peri-orbital tissue tightening. Lasers Surg Med 33(4):232–242
Nahm WK, Su TT, Rotunda AM, Moy RL (2004) 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 30(6):922–928
Fritz M, Counters JT, Zelickson BD (2004) Radiofrequency treatment for middle and lower face laxity. Arch Facial Plast Surg 6(6):370–373
Alster TS, Tanzi E (2004) Improvement of neck and cheek laxity with a non-ablative radiofrequency device: a lifting experience. Dermatol Surg 30(4 Pt 1):503–507, Hughes P, comment in Dermatol Surg 2004;30(11):1430
Bassichis BA, Dayan S, Thomas JR (2004) Use of a non-ablative radiofrequency device to rejuvenate the upper one-third of the face. Otolaryngol Head Neck Surg 130(5):397–406
Jacobson LG, Alexiades-Armenakas M, Bernstein L, Geronemus RG (2003) Treatment of nasolabial fold and jowls with a noninvasive radiofrequency device. Arch Dermatol 139(10):1371–1372
Ruiz-Esparza J (2004) Noninvasive lower eyelid blepharoplasty: a new technique using nonablative radiofrequency on periorbital skin. Dermatol Surg 30(2 Pt 1):125–129
Ruiz-Esparza J, Gomez JB (2003) The medical face lift: a noninvasive, nonsurgical approach to tissue tightening in facial skin using nonablative radiofrequency. Dermatol Surg 29(4):325–332
Hsu TS, Kaminer MS (2003) The use of non-ablative radiofrequency technology to tighten the lower face and neck. Semin Cutan Med Surg 22(2):115–123
Iyer S, Suthamjariya K, Fitzpatrick RE (2003) Using a radiofrequency energy device to treat the lower face: a treatment paradigm for a nonsurgical facelift. Cosmet Dermatol 16:37–40
Ruiz-Esparza J, Gomez JB (2003) 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 29(4):333–339
Fisher GH, Jacobson LG, Bernstein LJ, Kim KH, Geronemus RG (2005) Nonablative radiofrequency treatment of facial laxity. Dermatol Surg 31(9 Pt 2):1237–1241
Finzi E, Spangler A (2005) Multipass vector (mpave) technique with nonablative radiofrequency to treat facial and neck laxity. Dermatol Surg 31(8 Pt 1):916–922
Meshkinpour A, Ghasri P, Pope K, Lyubovitsky JG, Risteli J, Krasieva TB, Kelly KM (2005) Treatment of hypertrophic scars and keloids with a radiofrequency device: a study of collagen effects. Lasers Surg Med 37(5):343–349
England LJ, Tan MH, Shumaker PR, Egbert BM, Pittelko K, Orentreich D, Pope K (2005) Effect of mono-polar radiofrequency treatment over soft-tissue fillers in an animal model. Lasers Surg Med 37(5):356–365
Shumaker PR, England LJ, Dover JS, Ross EV, Harford R, Derienzo D, Bogle M, Uebelhoer N, Jacoby M, Pope K (2006) Effect of mono-polar radiofrequency treatment over soft-tissue fillers in an animal model: part 2. Lasers Surg Med 38(3):211–217
Narins RS, Tope WD, Pope K, Ross CE (2006) Overtreatment effects associated with a radiofrequency tissue-tightening device: rare, preventable, and correctable with subcision and autologous fat transfer. Dermatol Surg 32(1):115–124
Kushikata N, Negishi K, Tezuka Y, Takeuchi K, Wakamatsu S (2005) Is topical anesthesia useful in noninvasive tightening using radiofrequency? Dermatol Surg 31(5):526–533
Kushikata N, Negishi K, Tezuka Y, Takeuchi K, Wakamatsu S (2005) Non-ablative skin tightening with radiofrequency in Asian skin. Lasers Surg Med 36(2):92–97
Lack EB, Rachel JD, D’Andrea L, Corres J (2005) Relationship of energy settings and impedance in different anatomic areas using a radiofrequency device. Dermatol Surg 31(12):1668–1670
Sadick N, Sorhaindo L (2005) The radiofrequency frontier: a review of radiofrequency and combined radiofrequency pulsed-light technology in aesthetic medicine. Facial Plast Surg 21(2):131–138
Hodgkinson DJ (2009) Clinical applications of radiofrequency nonsurgical skin tightening. Clin Plast Surg 36(2):261–268
Sukal SA, Geronemus RG (2008) Thermage: the nonablative radiofrequency for rejuvenation. Clin Dermatol 26(6):602–607
Abraham MT, Mashkevich G (2007) Monopolar radiofrequency skin tightening. Facial Plast Surg Clin North Am 15(2):169–177
Suh DH, Chang KY, Son HC, Ryu JH, Lee SJ, Song KY (2007) Radiofrequency and 585-nm pulsed dye laser treatment of striae distensae: a report of 37 Asian patients. Dermatol Surg 33(1):29–34
Wu WT (2007) Achieving optimal results with thermage using mesoanesthesia and revised treatment parameters. Aesthet Surg J 27(1):93–99
Weiss RA, Weiss MA, Munavalli G, Beasley KL (2006) Monopolar radiofrequency facial tightening: a retrospective analysis of efficacy and safety in over 600 treatments. J Drugs Dermatol 5(8):707–712
Alam M, Levy R, Pajvani U, Ramierez JA, Guitart J, Veen H, Gladstone HB (2006) Safety of radiofrequency treatment over human skin previously injected with medium-term injectable soft-tissue augmentation materials: a controlled pilot trial. Lasers Surg Med 38(3):205–210
Dover JS, Zelickson B, 14-Physician Multispecialty Consensus Panel (2007) Results of a survey of 5,700 patient monopolar radiofrequency facial skin tightening treatments: assessment of low-energy multiple-pass technique leading to a clinical end point algorithm. Dermatol Surg 33(8):900–907
Carruthers J, Carruthers A (2007) Shrinking upper and lower eyelid skin with a novel radiofrequency tip. Dermatol Surg 33(7):802–809
Biesman BS, Pope K (2007) Monopolar radiofrequency treatment of the eyelids: a safety evaluation. Dermatol Surg 33(7):794–801
Bogle MA, Ubelhoer N, Weiss RA, Mayoral F, Kaminer MS (2007) Evaluation of the multiple pass, low fluence algorithm for radiofrequency tightening of the lower face. Lasers Surg Med 39(3):210–217
Anolik R, Chapas AM, Brightman LA, Geronemus RG (2009) Radiofrequency devices for body shaping: a review and study of 12 patients. Semin Cutan Med Surg 28(4):236–243
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2012 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Abraham, M.T., Rousso, J.J. (2012). Capacitive Radiofrequency Skin Rejuvenation. In: Prendergast, P., Shiffman, M. (eds) Aesthetic Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-20113-4_16
Download citation
DOI: https://doi.org/10.1007/978-3-642-20113-4_16
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-20112-7
Online ISBN: 978-3-642-20113-4
eBook Packages: MedicineMedicine (R0)