Is Infini Radio Frequency a replacement for lower face and neck lift?

Question

i have severe sagging in my lower face and neck from weight loss. I am wondering if Infini Radio Frequency is seen as a substitute for a lower face and neck lift? Thank you in advance.

Stanley Okoro, MD · Answer

All radio frequency device are not the same. RF device can be completely non-invasive or minimally invasive. Most of these current non-invasive RF technology with replace surgical procedure. Infinit RF is non-invasive. Even though Infini RF promote collagen and tighten skin, it is temporary and does not really go under the skin to create any significant skin tightening to replace neck lift. Infini is combination of micro-needling with radio-frequency to help improve fine lines and wrinkles. Newer technology such as ThermiTight (minimally invasive RF) is the only RF device that comes really close to replacing neck lift for the correct patient and performed by a well trained Plastic Surgeon. ThermiTight uses a tiny probe to go under the skin to both kill fat and shrink skin. It requires local anesthesia. The results so far are long standing and progressive. Our own patients have not required neck of face lift in the last 4 years! It may at least be a bridge to neck and face lift for those who are not ready now. Make sure to do your home work well before selecting a real Plastic Surgeon.

Thomas A. Pane, MD · Answer

If you have severe sagging, RF will not be a substitute for a surgical procedure.  It can be used to address mild laxity but not severe sagging.  Using RF after surgery is an option and may help to maintain the results of the procedure, but it should not be seen as an alternative to surgery when the skin laxity/sagging is severe.

Vincent N. Zubowicz, MD · Answer

Skin tightening technology probably doesn't work in one it does the improvements would be very modest. Patients with significant redundancies get much better results with a formal operation such as a facelift.

John J. Martin, Jr., MD · Answer

Infini is a new technology combining micro-needling with radiofrequency.  It is a great way to help improve fine lines and wrinkles and scars.  It will not correct severe sagging.  For that you need to have a face and neck lift.  If you still have some fine lines post-op you could do the Infini then.

Richard Baxter, MD · Answer

While there are some good technologies such as Ultherapy and radiofrequency devices, none of them does enough to be called a facelift especially when there is significant skin laxity after weight loss. Save your money for the surgical facelift, which will nicely address the neck and lower face.

Frank Barone, MD, FACS · Answer

I have been performing Infini RF treatments for about 12 months and have been very pleased with the improvement in overall skin texture, tone and acne scarring.  Although some tightening can be obtained with more aggressive Infini settings and multiple treatments, it is not a substitute for the considerable lifting and repositioning that can result from a properly performed facelift.     The sagging that you mention in the lower face and neck involves not only the skin but also the deeper tissues below.  In order to obtain and naturally appearing and balanced outcome, a facelift can be used to reposition the deeper tissues and skin most effectively and predictably along with long lasting results.I often combine fat grafting to restore volume and simultaneous skin resurfacing to obtain more effective improvement which addresses all of the parameters of aging.  Infini RF is an excellent option to use after facelifting in order to provide a more lasting and balanced outcome.  Pre operative skin prepping and post operative maintenance skin care programs are also an excellent way to improve and maintain results.

Edward E. Dickerson, IV, MD · Answer

Radio frequency treatment options are attractive because they are minimally invasive and require reduced healing time, but to address severe sagging it is best to consider a facelift. Down the line you may wish to touch up your results with radio frequency treatments, so it would be valuable information to gather as you are preparing for your procedure.

Robert S. Schmidt, MD · Answer

Thanks for your question. There has been a lot of interest over the last 10 years for less and less invasive ways of reversing the aging process. Different modalities come in and out of style. They all work by stimulating collagen production and tightening in the lower layers of the skin. In my experience, none really deliver the results that you can get from a facelift. There is just no substitute if you have anything other than mild aging changes. Patients come in for these less invasive treatments, but they just end up having a facelift later when these kinds of treatments don't deliver the desired results.My philosophy can be put rather simply: If you need a facelift, have a facelift! You'll be happier in the end.

Steven F. Weiner, MD · Answer

Infini is a very safe, minimal downtime procedure that has noticeable results in improving laxity along jawline and upper neck.  It does not give results that surgery can give, but it can make a difference in patients not wanting surgery or have a small correction needed.  You can view my article on Infini on Realself or hit the link.

Robert Singer, MD · Answer

The simple answer is no, it is not a replacement for a lower face and neck lift in the patient with severe tissue sagging. Everyone would like a miracle cure for aging and
the result of a well performed natural appearing facelift without actually
having a surgical procedure. There are no miracle non-surgical procedures or
treatments, including fillers, acupuncture, muscle stimulation, lasers, or skin
creams, that can produce the same results as a facelift.

The term “non-surgical facelift” is a marketing term that actually deceives the
public and does not live up to what is promised. It is often offered by
physicians who are not capable of performing a facelift, because they have
minimal or no formal plastic surgery training. There are, however, a variety of
treatments that can provide some rejuvenation: Dysport or Botox, fillers,
peels, lasers, skin tightening techniques like radiofrequency (temporary and extremely unreliable),
fat injections, minimal lifts of localized areas, all of which still may
require varying amounts of recovery time and are not without potential
complications. They do not, however, produce results similar to a well
performed natural appearing facelift, performed by a board certified plastic
surgeon. None of these alone or in combinations are adequate if there is
sagging facial tissue and excess skin, which would require a facelift to
correct it.

I would suggest you find a plastic surgeon certified by the American Board of
Plastic Surgery and ideally a member of the American Society for Aesthetic
Plastic Surgery (ASAPS) that you trust and are comfortable with who has all of
the modalities of treatment available. You should discuss your concerns with
that surgeon in person.

Facial rejuvenation needs to be individualized. What would be an ideal approach
for one patient is not necessarily the same for someone else. Based on the examination
and discussion at the consultation, you should have a better understanding of
the various options that can achieve the best cosmetic result for you.

You have only one face, so don’t shop for bargains or magical procedures when
it comes to facial surgery. If it sounds too good to be true, it generally is!

Robert Singer, MD FACS

La Jolla, California

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