medigraphic.com
Órgano oficial de la Sociedad Mexicana de Cirugía Dermatológica y Oncológica, AC

2015, Number 2

<< Back Next >>

Dermatología Cosmética, Médica y Quirúrgica 2015; 13 (2)

Monopolar non-ablative radiofrequency. A review

Ross NA, Saedi N, Romaán-Montalvo M, de Felipe-Gárate I, de la Fuente A, Salas-Alanís JC

Language: Spanish
References: 41
Page: 120-127
PDF size: 202.68 Kb.


ABSTRACT

Currently noninvasive aesthetic therapies have gained popularity because of its low cost and moderate results in no time. Non-ablative radiofrequency (rfna) is a treatment for skin laxity and dermatoheliosis since therapeutic response is focused on the dermis and subcutaneous fat while the skin remains intact and is respected by the procedure.
The rfna was approved by the fda in 2002 as the first non-surgical method of skin photoaging and “stretching”. Monopolar rf activate healing response of fibroblasts producing collagen fibers and glycosaminoglycans. The heat produced by the equipment modifies collagen organization producing satisfactory results in the structure and appearance of the skin. Early studies using the computer rfna Thermage ThermaCool demonstrate a statistically significant improvement in scores of wrinkles on the face, neck and forehead.
The monopolar rf is an effective treatment for dermatoheliosis and skin laxity. As it is a non-invasive procedure with few major side effects, patients increasingly choose this method over more invasive and more expensive alternatives.


REFERENCES

  1. Atiyeh, B.S. y Dibo, S.A., “Nonsurgical nonablative treatment of aging skin: radiofrequency technologies between aggressive marketing and evidence-based efficacy”, Aesthetic plastic surgery, 2009, 33 (3): 283-294.

  2. Weiss, R.A., “Noninvasive radio frequency for skin tightening and body contouring”, Seminars in cutaneous medicine and surgery, 2013, 32 (1): 9-17.

  3. Fitzpatrick, R., Geronemus, R., Goldberg, D., Kaminer, M., Kilmer, S. y Ruiz-Esparza, J., “Multicenter study of noninvasive radiofrequency for periorbital tissue tightening”, Lasers in surgery and medicine, 2003, 33 (4): 232-242.

  4. Hsu, T.S. y Kaminer, M.S., “The use of nonablative radiofrequency technology to tighten the lower face and neck”, Seminars in cutaneous medicine and surgery, 2003, 22 (2): 115-123.

  5. Narins, D.J. y Narins, R.S., “Non-surgical radiofrequency facelift”, Journal of drugs in dermatology: jdd, 2003, 2 (5): 495-500.

  6. Jacob, C.I. y Kaminer, M., “Skin Tightening with Radiofrequency”, en Goldberg, D.J. (ed.), Procedures in Cosmetic Dermatology Lasers and Light, vol 2., Amsterdam, Saunders Elsevier, 2005: 43-60.

  7. Arnoczky, S.P. y Aksan, A., “Thermal modification of connective tissues: basic science considerations and clinical implications”, The Journal of the American Academy of Orthopaedic Surgeons, 2000, 8 (5): 305-313.

  8. Uitto, J., Fazio, M.J. y Olsen, D.R., “Molecular mechanisms of cutaneous aging. Age-associated connective tissue alterations in the dermis”, Journal of the American Academy of Dermatology, 1989, 21 (3 Pt 2): 614-622.

  9. Zelickson, B.D., Kist, D., Bernstein, E. et al., “Histological and ultrastructural evaluation of the effects of a radiofrequency-based nonablative dermal remodeling device: a pilot study”, Archives of dermatology, 2004, 140 (2): 204-209.

  10. Jacobson, L.G., Alexiades-Armenakas, M., Bernstein, L. y Geronemus, R.G., “Treatment of nasolabial folds and jowls with a noninvasive radiofrequency device”, Archives of dermatology, 2003, 139 (10): 1371-1372.

  11. Alster, T.S. y Tanzi, E., “Improvement of neck and cheek laxity with a nonablative radiofrequency device: a lifting experience”, Dermatologic surgery, publicación oficial de la American Society for Dermatologic Surgery, 2004, 30 (4 Pt 1): 503-507; discussion 507.

  12. Bogle, M.A., “Radiofrequency Energy and Hybrid Devices”, en Alam, M. y Dover, J.S. (eds.), Non-Surgical Skin Tightening and Lifting, Amsterdam, Saunders Elsevier, 2009.

  13. Gold, M.H., “Tissue tightening: a hot topic utilizing deep dermal heating”, Journal of drugs in dermatology: jdd, 2007, 6 (12): 1238-1242.

  14. Polder, K.D. y Bruce, S., “Radiofrequency: Thermage”, Facial plastic surgery clinics of North America, 2011, 19 (2): 347-359.

  15. El-Domyati, M., el-Ammawi, T.S., Medhat, W. et al., “Radiofrequency facial rejuvenation: evidence-based effect”, Journal of the American Academy of Dermatology, 2011, 64 (3): 524-535.

  16. Hruza, G., Arndt, K., Friedman, P. et al., “Monopolar Radiofrequency”, asds Technology Report, https://www.asds.net/TechnologyReportMonopolarRadiofrequency. aspx.

  17. Bogle, M.A. y Dover, J.S., “Tissue tightening technologies”, Dermatologic clinics, 2009, 27 (4): 491-499, vii.

  18. Sharad, J., “Nonablative facelift in Indian skin with superpulsed radiofrequency”, Indian dermatology online journal, 2011, 2 (1): 6-9.

  19. Kaplan, H. y Gat, A., “Clinical and histopathological results following TriPollar radiofrequency skin treatments”, Journal of cosmetic and laser therapy, publicación oficial de la European Society for Laser Dermatology, 2009, 11 (2): 78-84.

  20. Abraham, M.T., Chiang, S.K., Keller, G.S., Rawnsley, J.D., Blackwell, K.E. y Elashoff, D.A., “Clinical evaluation of non-ablative radiofrequency facial rejuvenation”, Journal of cosmetic and laser therapy, publicación oficial de la European Society for Laser Dermatology, 2004, 6 (3): 136-144.

  21. Weiss, R.A., Weiss, M.A., Munavalli, G. y Beasley, K.L., “Monopolar radiofrequency facial tightening: a retrospective analysis of efficacy and safety in over 600 treatments”, Journal of drugs in dermatology: jdd, 2006, 5 (8): 707-712.

  22. Fritz, M., Counters, J.T. y Zelickson, B.D., “Radiofrequency treatment for middle and lower face laxity”, Archives of facial plastic surgery, 2004, 6 (6): 370-373.

  23. Bassichis, B.A., Dayan, S. y Thomas, J.R., “Use of a nonablative radiofrequency device to rejuvenate the upper one-third of the face”, Otolaryngology-head and neck surgery, publicación oficial de la American Academy of Otolaryngology-Head and Neck Surgery, 2004, 130 (4): 397-406.

  24. Ruiz-Esparza, J., “Noninvasive lower eyelid blepharoplasty: a new technique using nonablative radiofrequency on periorbital skin”, Dermatologic surgery, publicación oficial de la American Society for Dermatologic Surgery, 2004, 30 (2 Pt 1): 125-129.

  25. Abraham, M.T. y Vic Ross, E., “Current concepts in nonablative radiofrequency rejuvenation of the lower face and neck”, Facial plastic surgery: fps, 2005, 21 (1): 65-73.

  26. Burns, A.J. y Holden, S.G., “Monopolar radiofrequency tissue tightening- how we do it in our practice”, Lasers in surgery and medicine, 2006, 38 (6): 575-579.

  27. Iyer, S., Suthamjariya, J. y Fitzpatrick, R.E., “Using a Radiofrequency Device to Treat the Lower Face: A paradigm for non surgical facelift”, Cosmetic Dermatology, 2003, 16: 37-40.

  28. Fisher, G.H., Jacobson, L.G., Bernstein, L.J., Kim, K.H. y Geronemus, R.G., “Nonablative radiofrequency treatment of facial laxity”, Dermatologic surgery, 2005, 31 (9 Pt 2): 1237-1241.

  29. Koch, R.J., “Radiofrequency nonablative tissue tightening”, Facial plastic surgery clinics of North America, 2004, 12 (3): 339-346, vi.

  30. Finzi, E. y Spangler, A., “Multipass vector (mpave) technique with nonablative radiofrequency to treat facial and neck laxity”, Dermatologic surgery, publicación oficial de la American Society for Dermatologic Surgery, 2005, 31 (8 Pt 1): 916-922.

  31. Kushikata, N., Negishi, K., Tezuka, Y., Takeuchi, K. y Wakamatsu, S., “Is topical anesthesia useful in noninvasive skin tightening using radiofrequency?”, Dermatologic surgery, publicación oficial de la American Society for Dermatologic Surgery, 2005, 31 (5): 526-533.

  32. Kist, D., Burns, A.J., Sanner, R., Counters, J. y Zelickson, B., “Ultrastructural evaluation of multiple pass low energy versus single pass high energy radiofrequency treatment”, Lasers in surgery and medicine, 2006, 38 (2): 150-154.

  33. Edwards, A.F., Massaki, A.B., Fabi, S. y Goldman, M., “Clinical efficacy and safety evaluation of a monopolar radiofrequency device with a new vibration handpiece for the treatment of facial skin laxity: a 10-month experience with 64 patients”, Dermatologic surgery, publicacion oficial de la American Society for Dermatologic Surgery, 2013, 39 (1 Pt 1): 104-110.

  34. Mayoral, F.A. y Vega, J.M., “Multiple facial burns with the new Thermage cpt system” Journal of drugs in dermatology: jdd, 2011, 10 (11): 1320-1321.

  35. Felipe, I de, Cueto, S.R. del, Pérez, E. y Redondo, P., “Adverse reactions after nonablative radiofrequency: follow-up of 290 patients”, Journal of cosmetic dermatology, 2007, 6 (3): 163-166.

  36. Consulting-Room. “Thermage”. The Consulting Room 2014. http:// www.consultingroom.com/treatments/thermage. Consultado el 30 de mayo de 2015.

  37. Thermage. Thermage Specifications, 2014. http://www.thermage. com/node/17. Consultado el 23 de abril de 2014.

  38. Ellman. “Pellevé S5 RF energy source: A comprehensive surgical aesthetic system”, 2012. http://ellman.hu/files/ellman_katalogus/pelleve. pdf. Consultado el 30 de mayo de 2015.

  39. China-Internet-Information-Center. “Bio-Rad Life Sciences”. http:// detail.en.china.cn/provide/1162614635.html. Consultado el 30 de mayo de 2015.

  40. PhotoBioCare. “DermaRF ESP”, 2008. http://www.pbc.co.th/products/ DermaRF%20ESP.html. Consultado el 30 de mayo de 2015.

  41. Alma-Lasers. “Accent Family Radio Frequency Systems”, 2014. http:// www.almalasers.com/accent_xl_applications.jsp. Consultado el 30 de mayo de 2015.




2020     |     www.medigraphic.com