Accent Prime: What You Need to Know

Written byKrista Bennett DeMaioUpdated on June 13, 2023
You can trust RealSelf content to be unbiased and medically accurate. Learn more about our content standards.
Written byKrista Bennett DeMaioUpdated on June 13, 2023
You can trust RealSelf content to be unbiased and medically accurate. Learn more about our content standards.

Fast facts

59% Worth It rating based on 29 reviews

$1,075 average cost

No downtime

Topical anesthetic

Suitable for all skin tones


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The Alma Accent Prime is FDA-cleared to treat skin laxity on the face, neck, and body using a combination of ultrasound (US) and radiofrequency (RF) energy. Beyond tightening loose skin, it's also frequently used for fat reduction and skin rejuvenation on the face and body. 

The Accent Prime device offers variable depth control, so an experienced provider can tailor the level of heat and depth of penetration, depending on your concerns and desired results.

They'll be able to monitor the temperature in real-time, which allows them to precisely, safely treat even delicate areas of the face, no matter your skin type (I-VI). 

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Pros

  • An Accent Prime treatment isn’t painful.
  • Some people can see an improvement in their skin's appearance after the first treatment. 
  • A treatment session usually takes just 20 minutes, and there’s no downtime, so you can go back to work and resume regular activities right away.  
  • Accent Prime is suitable for use on any skin tone.  

Cons

  • Common side effects include redness and swelling in the treatment area, though they usually resolve on their own within the first day or two. 
  • Bruising, blistering, discoloration, and burns can occur if your provider doesn't carefully monitor your skin temperature during your treatment.   
  • You may need up to six treatment sessions for optimal results, along with a yearly maintenance session.  
  • RealSelf members give Accent Prime a low Worth It rating: just 59% say their treatment worked as promised and delivered the results they wanted. Some say they saw only a slight improvement—or none at all, even after a series of treatments—while others say they lost facial fat and were left looking older. Talk with an experienced provider about whether another treatment option might deliver better results for you.

  • Average Cost:
  • $1,075
  • Range:
  • $101 - $2,300

The price you pay will depend on your provider’s level of experience, their practice location, how many areas you have treated, and how many treatments you have done. Many RealSelf doctors offer a discounted price if you purchase a package of multiple treatments up-front. 

Because this is a cosmetic procedure, Accent Prime treatments aren't covered by health insurance plans.

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Treatment time for one body area (even a larger area like the abdomen) is 20 minutes.

The treatment area is numbed with topical anesthetic, and you’ll be given a pair of protective glasses to wear. 

Your provider will use the UltraSpeed handpiece to pulse infrared light over the treatment areas. Most patients say it feels like a warm massage, but your provider will need to monitor your skin temperature to avoid burning and skin injury. 

For skin tightening, its unipolar RF energy heats the tissue just below the surface. This causes existing collagen fibers to shrink and reduces skin laxity, while stimulating new collagen growth for smoother, firmer skin over time. 

For body contouring and cellulite reduction, US and RF energy (called shear wave vibrations) penetrate deep into adipose tissue to target fat cells, without damaging the surrounding tissue. In a process similar to ultrasonic cavitation, these vibrations gradually break down the fat cell membranes and stored fat is released through the lymphatic system. 

Specialized applicators make it possible to treat small areas of the face, like a double chin, as well as larger body areas with more significant fat deposits, such as the back, love handles, belly, butt, and thighs. 

For skin resurfacing and rejuvenation, microplasma RF energy heats the deeper layers of skin while minimally ablating the surface (meaning it removes the outer, damaged cells), creating thousands of microinjuries that trigger new collagen production. This reduces the appearance of fine lines, stretch marks, scars, melasma, and hyperpigmentation, while smoothing the skin's texture.

Once the area has been treated, the device soothes your skin with cool air. 

Doctors typically suggest a series of four to six sessions, every two weeks, to see optimal results. To maintain them, you’ll likely need an annual follow-up treatment.

RealSelf Tip: Some doctors recommend increasing your water intake to 64 ounces a day for a few days before and after the treatment. This allows the RF energy to more effectively generate heat and aids the lymphatic system in flushing out fat.

You’ll see some mild skin tightening right away, as existing collagen fibers constrict. Because the treatment also stimulates new collagen production, you'll see gradual skin tightening improvements over the next few months.

Body sculpting results also take time to develop. You may start to see improvements within the first months, with final results visible about three months after your last treatment session. 

You can help speed up the rate at which your lymphatic system flushes out the damaged cells by drinking a lot of water and exercising regularly.

Related: How to Speed Up Your Lymphatic System After Body Contouring

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Updated June 13, 2023

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