Dear monis_416, Thank you for your clinical post. Most plastic surgeons and physicians do not have experience with the electrical stimulation devices that you are referring to. Radio frequency devices such as Thermage, Venus Freeze, Forma and Exilis are electrical current devices that all slate at 1,000,000 cycles per second and use repeatedly on the face will tighten the skin, but not significant ultra facial shape. Electrical stimulation devices offered at a lower frequency and work on stimulating and hypertrophying, that is enlarging, the facial muscles and will change facial shape and can result in some thinning of heavy nasolabial folds, smile lines and jowls. We’ve been performing myofacials such as you refer to for over 15 years and have a lot of experience in facial shaping using electrical stimulation. These treatments are not painful. You require several treatments to get the results you’re looking for and then some maintenance treatments to protect your investment. I hope this information has been of some assistance. R. Stephen Mulholland, M.D. Certified Plastic Surgeon Yorkville, Toronto