RF for skin laxity after hyalase? (Photo)

Question

I have noticeable skin laxity, crepiness and lines after dissolving filler on one side of my nasiolabal fold. What is the best treatment? I have an at home RF/EMS device but it only reaches .5-1mm with RF. Is this effective? I have done one ultracel q hifu and have started in-clinic nanoneedling and peels but looking for a more effective treatment. Would profhilo, morpheous, lasers work best? I have rosacea type 1 currently under control.

Nelson Lee Novick, MD · Answer

A couple of words of advice:  First, don't play your own doctor and second, when consulting with an expert, avoid suggesting any particular energy-based gizmos or treatments you've read about in Drs. Google, Instagram, TikTok, etc. because to your later disappointment and frustration and financial loss, you are likely to get what you ask for. At least from the photo provided, treating the smile lines and minimal crepiness seen here, should be a walk in the park for any experienced, board certified cosmetic dermatologist filler expert whom you would be very wise to consult. Hope this helps and best of luck.

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Camille Cash, MD · Answer

Morpheus8 can improve both skin tone and texture using a combination of RF technology with microneedling. Typically three treatment sessions are recommended for the best results.  We also recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.  I've included a video that I hope you find helpful.

Lisa Vuich, MD · Answer

Thanks for your question. Radiofrequency microneedling devices can be very effective treatments for these concerns. A medical grade device would be necessary though as I have never seen a home device have a significant impact on collagen and elastin production- in most instances they are perhaps helpful in aiding the penetration of skin care products but not much more than that. Home devices do not generate/deliver the degree of heat necessary to stimulate the collagen and elastin production required to undo wrinkles and loose skin. Laser energy penetration is also limited- lasers are much more effective for treating skin lesions, redness, and to some extent fine lines if it is a resurfacing type of laser such as CO2 laser. Lasers do NOT do a good job treating loose skin (despite the plethora of false claims online). 
Profhilo is injectable hyaluronic acid- again could smooth some fine lines through mostly its hydrating effect but will not lift or tighten.
Morpheus8 represents the industry leader in radiofrequency microneedling and has won numerous industry awards as best innovation, best microneedling device, etc... within the past few years. It is highly effective at both smoothing and tightening. It is capable of delivering heat to up to 8 mm of depth, though on the face we only use 0.5 to 3mm depths unless we want to dissolve unwanted fat cells. RF microneedling should be done in a series, with Morpheus8 we recommend 3 sessions, a month or more apart. The downtime is minimal and the results are very long lasting. Expect to do a yearly maintenance procedure as well. I hope that is helpful!

RF for skin laxity after hyalase? (Photo)

Answers (4)

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