Skin laxity is a main concern among the general population. This case report shows the efficacy of a new bipolar ablative fractional radiofrequency technology on the treatment of abdominal cutaneous elastosis with less pain and shorter recovery time with optimal effects.

Introduction

The aging process and its effects on the skin are a main concern in the general population. Patients demand more effective treatments to reduce the associated dermatological signs associated to aging. Due to this need of better results many different techniques are used now a days, such as energy based devices, stem cell derivatives or growth factor rich plasma, to mention a few (1).

Fractional radiofrequency (FRF) is proving to have interesting advantages, among the different devices in the market, a new bipolar ablative bipolar FRF microneedling device that implements an innovative needle shape that concentrates the energy in the tip, with a high output power (10 W) with different energy delivery patterns and pulse profiles for a more customized treatment protocol (REVERSO by INDIBA S.A.U., Spain) (2).

The objective of this poster is to show the effect of the REVERSO technology in a case of abdominal cutaneous elastosis.

Discussion

Compared to other similar FRF, REVERSO has shown a shorter recovery time. The treatment session causes an erythema that disappears in approximately 24 hours with no down time. This mild response is due to the fact that there is no mechanical penetration of the needles through the skin, as they penetrate progressively with the pass of the, thus being less traumatic and producing less pain in comparison to similar technologies. The way the needles penetrate through the skin, seals their way in the microscopic treatment zones, resulting in very little bleeding and reducing the risk of infection.

References

• Leonforte F, Pergolizzi T, Nicosia V, Nicoli F, Genovese G, Genovese C, et al. Preventive and Therapeutic Interventions in Solar Elastosis and Photoaging: A Comprehensive Systematic Review. Biomedicines. 2025;13(11).
• Naranjo P, López Andrino R, Corral-Baqués MI, Serrano Arjona O. Treating Skin Conditions with DFR: Efficacy of a New Deep Fractional Radiofrequency Device for Skin Resurfacing and Remodeling. Boletín SELMQ. 2025;XV(1):23-40

Conclusion

This case report explores the effects of REVERSO fractional radiofrequency on abdominal cutaneous elastosis showing optimal results in only three sessions on a 39-years-old female patient.

Case Presentation

A 39-year-old female with no relevant medical history, came to the clinic to improve the skin of her abdomen, which, after two pregnancies, had developed outstanding wrinkles.

Three REVERSO sessions were scheduled. Application parameters: flat pulse alternating with superpulse in the periumbilical area using a 39-needle tip. The first 55 % intensity was applied, at the second it was risen to 80 %, and the final session with 100 %. The sessions were performed at four-week intervals. The patient used Cicaplast™ as a repair cream as the sole post-procedure treatment. The result of the three sessions on the cutaneous elastosis is shown in figure 1. The treatment satisfaction of the patient was 10 in a 10 points scale.

Figure 1. The image on the left shows the base condition of the abdominal skin under finger pressure, the image on the right shows the result after three REVERSO sessions under the same condition (four months apart pictures).

There were no adverse events after any of the three treatment

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