What is Sublative Rejuvenation and What Does It Treat?

Our office is one of the leading ematrix treatment centers. We use the ematrix RF treatment to help with acne scars, textural scars, and to tighten skin. We also utilize the fractional CO2 laser. Raffy Karamanoukian MD FACS

Maybe that headline sounds a little odd, but sublative rejuvenation is a term given to the specific delivery of radio frequency energy that "spreads" once it's past the superficial skin layer.

Sublative rejuvenation is a tem applied to the Matirix/eMatrix radio frequency systems developed by Syneron.

The advantage is that you get heat distribution under the skin in a wider area than the original entry point  Siince a laser beam is straight, the diameter of the beam is the same through all layers of the skin it penetrates. eMatix enters in a thin column and expands....less superficial impact, more internal effect.

By having the majority of the heat manifesting under the pigment producing layers, typical laser-induced pigmentation in ethnic skins is reduced to a tiny fraction of ocurrence.

Sublative rejuvenation - eMatrix - is actually NOT a laser, though it accomplishes many of the same things. In our office we use eMatrix for the following:


Acne Scarring - particularly on skins with ethnic or mixed ethnic genetics

Sun Damage such as fine wrinkling, rough texture and discolored spots

Surgical or Accident Scars - again very friendly to skin with pigment

Neck Rejuvenation - multiple treatments tighten and retexture


RF energy enters the skin in a thin column and then "expands" - almost like an upside down pyramid. So you experience less disruption of the superficial skin surface and more benefit deeper in the skin where you want the action to occur.

It is effective on all skin types and tones, Sublative rejuvenation is a deeper treatment that fights fine lines and wrinkles, eradicates acne scars, and improves overall texture. Sublative rejuvenation harnesses the power of energy currents to penetrate the skin and stimulate collagen production (while keeping the outer layer of skin intact). Depending on the selected course of treatment, downtime can vary from two to five days—which can be customized to fit your schedule and your needs.

Thank you for your question.eMatrix is sublative radiofrequency (RF) energy and focused in the dermis. At appropriate energy levels, it spares the most superficial layers, i.e. the epidermis. There is no clinical evidence that it depletes underlying volume (fat tissue). There is no downtime with this procedure because it is sublative.We perform eMatrix in our Williamsville office for acne scar remodeling. Best,Dr. Karamanoukian

Sublative EMatrix skin rejuvenation works from "inside-out" thereby having minimal thermal effects on the outside of the skin.  In this manner there is minimal to no downtime in reducing wrinkles, improving acne scarring, decreasing pore size and improving skin texture.