Objectives: 1. Position multimodal bipolar radiofrequency (percutaneous and microneedled) as a safe and effective option with lasting results in the treatment of aging of the lower third of the face and neck.
2. Describe the technique for applying these technologies in an outpatient setting under tumescent anesthesia and without surgical incisions.
3. Demonstrate my personal experience with this technique in more than 150 treated cases and with a follow-up time between 3 to 6 months to confirm its efficacy (with Baker scale and patient satisfaction) and safety (describing the most common complications).
Introduction: Injectable treatments and other technologies, even when combined, provide light and short-lasting results for the rejuvenation of the lower third of the face and neck. On the other hand, surgical treatments are considered too invasive or unwanted for many patients. Percutaneous bipolar radiofrequency associated or not with microneedling, performed on an outpatient basis, under tumescent anesthesia and without incisions, may represent a safe and effective indication, capable of offering long-term results for these patients.
Materials / method: We will demonstrate our multimodal bipolar radiofrequency technique for lower face and neck rejuvenation in a series of 150 patients, all female, aged between 32 and 67 years. All procedures were performed under tumescent anesthesia on an outpatient basis. Patients used benzodiazepines, opioids, antiherpetics and antibiotics preoperatively. The application technique using the Inmode Bodytite and Morpheus (Embrace RF in some countries) platform will be demonstrated in detail, including the real-time use of a thermal camera to optimize results and increase safety; as well as post-procedure care.
Results: In this series of cases, more than 80% showed improvement the lower face and neck of at least one degree on the Baker scale after 3/6 months of its performance. After this same period, more than 70% of patients would also recommend the treatment. Before and after images will be used to illustrate some of these results. The most frequent complications were edema, induration and numbness. One patient had a superficial burn. Three patients had neurapraxia of the marginal ramus of the mandible. All complications were not considered serious by the patients and resolved within 3 months.
Conclusion: This serie of cases demonstrates the efficacy and safety of a technique that uses percutaneous bipolar radiofrequency associated or not with microneedled radiofrequency in the treatment of aging of the lower third of the face and neck, performed on an outpatient basis, under tumescent anesthesia and without surgical incisions. The procedure may represent a precise indication for those patients who want more effective and lasting results than those offered by other minimally invasive techniques (injectables and other technologies) but do not wish to undergo surgical treatments.
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