Radiofrequency for eye wrinkles and sagging cheeks? I'm 42. (photos)

Infini works well for eyelid wrinkles and will help tighten the skin. Since this is a skin treatment, it will not affect the underlying facial fat. Realize that this is a non invasive procedure, so expectations must be appropriate. Dark circles are generally not improved if the pigment is deep in the underlying dermis.

A combination approach will give the most improvement. RF treatments, fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

The picture is not helpful but in general, eye wrinkles are best treated with fillers, Dysport/Botox, and ablative lasers. Infini is not optimal for this area. The cheeks can also be lifted with fillers. Dark circles require lasers, filler, and good eye creams. Losing 5 inches from the abdomen is not possible with RF and will require liposuction or many treatments of Coolsculpting.

Infini RF can work, so can lasers if you want more textural improvement. Microneedling has come a long way over the past few years and can help skin via several methods. Firstly it releases cytokines and growth factors in the epidermis and dermis- the top and bottom layers of your skin. This in turn remodels scars and the dermal layer of the skin. Additionally needles can break up scars themselves. This leads to new collagen formation.

Microneedling is both user dependent and method driven. Simple needles can be used, growth factors can be added after the procedure, including PRP, or controlled heating during the procedure. This controlled heating is delivered via RF, and is called RF microneedling. RF can then be delivered via insulated or insulated needles. Even the energy level, depths, density, pulse duration and so many other variables can be controlled. This together with the added benefits of growth factor infusion makes this one of the most complex procedures in procedural dermatology. I use everything from Dermapen, though to newer generation insulated and non-insulated devices including INFINI micro-needling radiofrequency, Intensif and others. Newer generation devices can provide an added advantage in some, but not all patients. Like most procedures, its 80% skill level of the specialist and 20% dependent on the brand of the energy device- microneedling system. All the best, Dr Davin Lim. Brisbane. Australia.