Brian M Kinney1, Anneke Andriessen2,3, Barry E DiBernardo4, Jason Bloom5, Dennis F Branson6, Richard D Gentile7, David J Goldberg8, Paul Z Lorenc9,10, Mark Nestor11,12, Douglas Wu13. 1. a Department of Plastic Surgery, USC School of Medicine , Beverly Hills , CA , USA. 2. b Radboudumc, Radboud Academie , Nijmegen , Netherlands. 3. c Andriessen Consultanta , Malden , Netherlands. 4. d Surgery, Plastic Surgery Division , University of Medicine & Dentistry of New Jersey , Montclair , NJ , USA. 5. e Main Line for Laser Surgery , Ardmore , OK , USA. 6. f Aesthetic, Plastic and Reconstructive Surgery , Fayetteville , NY , USA. 7. g Facial Plastic & Aesthetic Laser Center & The MIA Center , Boardman , OH , USA. 8. h Skin Laser & Surgery Specialists , Westwood , CA , USA. 9. i Lorenc Aesthetic Plastic Surgery Center , New York , USA. 10. j Lenox Hill Hospital , New York, NY , USA. 11. k School of Medicine, Dermatology and Cutaneous Surgery, University of Miami , Miami , FL , USA. 12. l Center for Cosmetic Enhancement and Center of Cosmetic Research , Aventura , FL , USA. 13. m Cosmetic Laser Dermatology , San Diego , CA , USA.
Abstract
INTRODUCTION: A new temperature-controlled device has been used as a percutaneous radio frequency probe to treat lax submental and other facial areas. It has significant advantages over other esthetic devices as it provides the dual benefit of fat lipolysis and skin tightening. Our goal here is to present consensus recommendations for treating the aging neck. METHODS: A panel of 11 expert physicians convened in Dallas, Texas, on October 15, 2016 to arrive at a consensus on the best current practice for submental skin tightening and contour improvement. Prior to the meeting, a comprehensive review of the literature was performed and a survey was sent to esthetic dermatologists and plastic surgeons who were queried about various aspects of neck rejuvenation. RESULTS: The literature search revealed 10 different technologies for neck rejuvenation evaluated in double-blind (n = 2) and single-blind (n = 1) clinical trials and other clinical evaluations (n = 21). The survey was sent via an email to 1248 individuals and was completed by 92 respondents. Review of the data and discussion by meeting attendees generated eight consensus recommendations. DISCUSSION: Subdermal monopolar radio frequency represents an effective means for disrupting fat volume and skin tightening of the face, neck, and jawline. For suitable patients, this treatment can be used to achieve significant esthetic improvements.
INTRODUCTION: A new temperature-controlled device has been used as a percutaneous radio frequency probe to treat lax submental and other facial areas. It has significant advantages over other esthetic devices as it provides the dual benefit of fat lipolysis and skin tightening. Our goal here is to present consensus recommendations for treating the aging neck. METHODS: A panel of 11 expert physicians convened in Dallas, Texas, on October 15, 2016 to arrive at a consensus on the best current practice for submental skin tightening and contour improvement. Prior to the meeting, a comprehensive review of the literature was performed and a survey was sent to esthetic dermatologists and plastic surgeons who were queried about various aspects of neck rejuvenation. RESULTS: The literature search revealed 10 different technologies for neck rejuvenation evaluated in double-blind (n = 2) and single-blind (n = 1) clinical trials and other clinical evaluations (n = 21). The survey was sent via an email to 1248 individuals and was completed by 92 respondents. Review of the data and discussion by meeting attendees generated eight consensus recommendations. DISCUSSION: Subdermal monopolar radio frequency represents an effective means for disrupting fat volume and skin tightening of the face, neck, and jawline. For suitable patients, this treatment can be used to achieve significant esthetic improvements.
Entities:
Keywords:
Esthetic dermatology; consensus recommendations; neck rejuvenation; subdermal radio frequency thermistor; submental skin tightening; temperature-controlled