Want to address facial laxity - what variations of Radiofrequency and Microneedling would provide results? (photos)

Question

I want to address my face laxity (mid-face, nasolabial folds, under eye area). Ideally, I would like to tighten up these areas so that there is less sag. I’ve read about procedures related to microneedling, radiofrequency (sometimes combined) to improve collagen/elastin, that might provide moderate results. I’m challenged sorting through options (such as Scarlet RF, Morpheus8, VFR, Thermage, Ultherapy, etc). I do not want to lose facial fat. Would anything provide moderate results?

Nelson Lee Novick, MD · Answer

C;limb out of the rabbit hole of confusion you're obviously in from your internet research and steer clear of Dr. Google & Dr. YouTube. The expensive "bells and whistles" alphabet soup of so called light and energy-based gizmos out there (like fraxels, RF and ultrasound machines) are unfortunately backed far more by heavy marketing hype than hard science. On the other hand, the appropriate selection of a robust HA filler injected properly can nonsurgically address the obvious volume deficit in the cheeks responsible for the tear troughs under the eyes, the flattening of the cheeks themselves, and the development of the nasolabial folds ssen here.  In experienced hands, this one procedure can be performed in about ten minutes in one treatment session with immediate results that typically elicit a "Wow!" reaction. Manual or electrically performed microneedling (no need for the additional expense and risks of added RF), which I have been performing for over twenty-two years is an excellent modality for improving very superficial, surface color and texture irregularities. It would not be expected to do much of anything for the primary issues evident in the photo. You would be wise to stay clear of the rabbit hole and instead consult with an experienced, board certified cosmetic dermatologist. Hope this helps and saves you a lot of time, money and needless frustration. Best of luck..

Melissa M. Chan, MD · Answer

Micro-needling RF can improve the collagen/laxity of your face. Your trained provider would select a treatment plan appropriate for you. Fat loss only occurs if the micro-needles with RF are deep, however, that technique is not usually used on the face unless the provider is trying to destroy fat, such as in the double chin area.

Want to address facial laxity - what variations of Radiofrequency and Microneedling would provide results? (photos)

Answers (2)

Recommended reading

Everything you need to know about Microneedling RF

Our mission is to create a world where every investment in modern beauty is Worth It.

Want to address facial laxity - what variations of Radiofrequency and Microneedling would provide results? (photos)

Answers (2)

Browse related questions

Recommended reading

Everything you need to know about Microneedling RF

Our mission is to create a world where every investment in modern beauty is Worth It.