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Profound RF is a bipolar machine, meaning the radiofrequency does goes from one needle to another without spreading outside the zone of treatment. Personal conversation with the company and other colleagues I have not heard any concerns.Now, if one has a "pre cancerous" lesion, I would recommend talking to your endocrinologist. Great question.
Unless there is a significant amount of fat over that area it's best to avoid it during a treatment. "This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."
I have seen small raised areas after Profound treatment which can persist up to a few weeks. I would recommend seeing your treating physician to insure this is just residual inflammation from the needle insertion points.
We have had great success using Profound for acne scarring on all skin types and rarely see any pigmentation irregularities. This could be related to sun exposure as well and I recommend seeing your surgeon to evaluate for any needed treatment with anti inflammatory or lightening agents.
A photo would be very helpful.Are you sure it is a "malar mound" and not a "festoon"?Profound is one of the best and easiest ways to treat festoons.Malar mounds are more of a circulatory problem and fat grafting(stem cells) to enhance circulation is the best cure.Hope that helps-----------Feel...