Is It Possible for EMatrix Radiofrequency Solution to Cause Any Fat Atrophy?

Thanking you in advance for your response to this multi-part question. If eMatrix can't cause fat atrophy, why not? If it can, under what circumstances? Could it possibly cause damage to the dermis or leave any grid-like depressions? What is the impact of using the smaller grid tip vs. the larger grid tip? Thank you, again.

Doctor Answers 4

Ematrix treatment to the face

Fractional co2 and ematrix are both ablative lasers. They are unlikely to cause fat atrophy as they mainly deliver heat to the dermis. 

Raffy Karamanoukian MD FACS

Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews


RF or radiofrequency does not penetrate that deeply, additionally the resistance from fat is low compared to collagen, scars etc, and hence the energy is focused just a few mm down the skin surface. 

It may cause redness (usually short lived), swelling, and grids, but not fat atrophy.

Dr Davin Lim


Davin Lim, MBBS, FACD
Brisbane Dermatologist
4.7 out of 5 stars 77 reviews

EMatrix does not cause fat loss

Thank you for your question. It answers an important question that is raised by patients who are considering eMatrix treatments for the treatment of acne scars. 

eMatrix does not penetrate beyond the dermal layer. There is no clinical evidence that supports the loss of fat tissue (volume loss) after eMatrix treatment(s). 

We perform eMatrix in our acne treatment center and scar program in Williamsville, NY. 

Hratch Karamanoukian, MD, FACS
Buffalo Phlebologist
4.8 out of 5 stars 41 reviews

EMatrix and Fat Atrophy

eMatrix does not cause fat atrophy. The depth of the tips and the radio frequency are not deep enough to penetrate or affect fat. My office has done hundreds and hundreds of procedures and I've never seen anyone with grid-like depressions, like those that used to be a possible side effect of Thermage. The eMatrix tips have a different wider penetration of the radio frequency, making it less of a direct targeted penetration so less possible side effects.

F. Victor Rueckl, MD
Las Vegas Dermatologist
4.6 out of 5 stars 17 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.