Will Rf microneedling dissolve filler and tighten lower face?

Question

I have restylane refyne. I tried hyaluronidase, buckets, but I cannot dissolve it. It is making my skin sag. If I used microneedling rf at 2mm deep ( which should be where subcutaneous filler is) could it theoretically can get rid of filler while making my skin tighter? Would it affect my fat at 2 mm deep in the lower face ( near chin, jaw, nasolabial ).

Jeff Rapaport, MD · Answer

Hyaluronidase should remove hyaluronic acid fillers. Combining it with external standard ultrasound can be helpful. You should be evaluated by an aesthetic dermatologist to determine if the sagging is indeed due to filler. We have utilized the Profound long pulse micro needle radio frequency to produce robust skin tightening.  Jeff Rapaport MD FAADRealself Verified All-star

Onir Spiegel, DDS, PhD · Answer

Microneedling with RF (Radio frequency) or Morpheous 8 is the pinnacle in skin care! You get go as deep as 4 mm and really change the texture of your skin. The best way to think about it is "microneedling on steroids". Fillers typically get injected much deeper than that, in most cases right above the bone. Good luck with your treatment. You are going to love your Morpheous 8 results.

Michele S. Green, MD · Answer

The only way to truly dissolve filler is through Hyaluronidase injections.  RF microneedling won’t help this at all.  If you are looking for a way to tighten the skin I would suggest Thermage.   Thermage with RF is the best non-surgical way to tighten the skin, especially the jowls.   Please consult an expert in Thermage for the best cosmetic results.   Best, Dr. Green

Davin Lim, MBBS, FACD - Account Suspended · Answer

The answer is no, RF will not dissolve filler. I recently published an article regarding this in Dermatol. Surgery. The reason is because the filler is stable, even if exposed to high temperatures for over 10 minutes. RF will only heat the skin for less than 0.8-0.3 seconds. Dr Davin S. Lim

Will Rf microneedling dissolve filler and tighten lower face?

Answers (4)

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