Can Profound be performed on the forehead, around eye areas?

Question

During my consult with a doctor, he said profound can only be done on lower face, not around eyes or forehead. Is there a reason why? And why are some doctors doing it on you tube?

Michael A. Persky, MD · Answer

Hi Ictus,
Great question!  
I nearly always treat my Profound patients on their forehead and around their eyes.    Profound RF can be safely and effectively used on the forehead and around the eyes for better facial rejuvenation, though the majority of physicians do not perform the treatment in these areas. As a facial plastic surgeon I am very comfortable using tumescent local anesthesia (the same type of facial injection of local anesthesia that is used during face, neck, and brow lifts) which is necessary to treat these areas.  The anatomy of the forehead and underlying skull bone requires tumescent infiltration of local anesthesia so that the dermal micro-needles which penetrate 1 to 2 millimeters beneath the skin do not hit bone and are damaged.  The company that manufactures Profound, Syneron, does not encourage treatment of the forehead or eye area as it requires advanced local anesthetic techniques that non-facial plastic surgeons may be uncomfortable administering.  Once again, as a facial plastic surgeon I am fully comfortable treating these difficult areas safely and effectively.  By treating a greater surface area, the results of Profound rejuvenation are more pronounced.  It takes more time, skill, knowledge, and experience to treat the forehead and eye region, but it is worth the effort.  
As with any aesthetic procedure please be sure to choose your treating physician carefully based on their skill, knowledge, experience, and most importantly their natural artistic vision.  Good luck and be well.
Dr. P

Mark Beaty, MD · Answer

Profound can be used in the upper face and periorbital area.  Wrinkles are substantially improved in these areas but since the degree of skin looseness is less prominent the results may not be as dramatic as in the lower face.  Depending on the patients needs, and this is the important thing, assessing the patients needs properly, Profound RF can be a powerful procedure in all areas of the face and neck.

Andrew Kornstein, MD, FACS · Answer

Yes, Profound can be performed anywhere from hairline to collarbone, and can be accomplished safely improving overall facial aesthetics. A thorough understanding of the technology, the anatomy and the aging process determines the technique's boundaries and the eventual power of the outcome. As the public becomes inundated with more and more marketing, my credo "it's not what but who that matters most" becomes ever more meaningful.Marketing is at odds with medicine; caveat emptor!However, in the case of Profound, documented satisfaction rates are 96% or higher and the results are long lasting. The addition of forehead, eyes and mouth make this powerful and consistent technology that much more valuable for the patient. I lecture regularly for Syneron on the use of Profound and enjoy teaching something that works so well and has such consistent patient satisfaction.

Can Profound be performed on the forehead, around eye areas?

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