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An Anatomical Approach to Radiofrequency-Assisted Facial Rejuvenation: Beyond the Treatment Gap
Aesthetic Surgery Journal
|January 16, 2025
Summary
Radiofrequency-assisted facial rejuvenation offers a safe solution for various skin laxity concerns. Combining radiofrequency (RF) microneedling and bipolar RF expands treatment options for diverse patient needs.
Area of Science:
- Dermatology
- Aesthetic Medicine
- Plastic Surgery
Background:
- Radiofrequency-assisted (RF) facial rejuvenation is a safe and effective option for patients with mild to moderate skin laxity.
- It addresses the
- treatment gap
- for individuals not suitable for surgery or less invasive procedures.
- RF treatments are also beneficial for patients with recurrent laxity post-surgery or those seeking alternatives to facelifts.
Purpose of the Study:
- To educate on the application of bipolar radiofrequency (RF) for facial rejuvenation across different anatomical regions.
- To present an anatomical approach to RF-assisted facial rejuvenation.
- To expand the understanding of RF indications beyond traditional
- treatment gap
- patients.
Main Methods:
- A retrospective case review was performed to evaluate the safety and efficacy of zone-specific RF-assisted facial rejuvenation.
- Procedures included RF-microneedling (Morpheus8) and bipolar RF (AccuTite).
- Data was collected on treated anatomical areas and patient outcomes.
Main Results:
- RF-microneedling was performed on 364 foreheads, 364 periorbita, 353 perioral areas, and 233 jawlines.
- Bipolar RF treated 43 nasolabial folds.
- No adverse events such as hyperpigmentation, hypopigmentation, scarring, or prolonged erythema were reported.
Conclusions:
- The combination of bipolar radiofrequency and fractional bipolar radiofrequency microneedling has broadened the scope of RF-assisted facial rejuvenation.
- This study highlights an anatomical approach to RF treatments.
- Indications for RF facial rejuvenation can be expanded beyond the
- treatment gap
- population.

