Lifting of Facial Tissues through Non-Invasive Facial Remodeling Induced By Synergistic Combination of Hifes and Monopolar RF

Goals/Purpose: Nowadays, non-invasive facial therapies are gaining popularity. High-intensity focused ultrasound or radiofrequency heating are the preferred options when it comes to facial treatments. The procedures based on these technologies rely on reorganization of connective tissue and skin texture improvement. However, not only skin contributes to the overall facial appearance, the underlying structures such as muscles and fascia are involved equally. These components together form a unit, therefore, proper care requires a comprehensive approach. This study aims to assess the safety and efficacy of a novel procedure combining radiofrequency (RF) heating and HIFES technology which in synergy targets skin and underlying soft tissue structures for facial remodeling.

Methods/Technique: This multicenter, single-arm, open-label study was conducted in a non-randomized design with subjects undergoing the therapy of face administering the combination of HIFES and RF. Four treatments were applied once per week. In total, 24 patients (24-60 years) were recruited. To document changes in facial appearance the digital photographs were taken after the last treatment, and at 1- and 3-month follow-up. Photographs were evaluated by GAIS score and linear measurements of facial tissue lifting. The patients' satisfaction, safety and comfort were documented through the study.

Results/Complications: The interim data indicated a noticeable improvement in the overall facial appearance and a concomitant firming of its contours. The 23% lifting effect was found in brows and cheeks. A 95% subject satisfaction with treatment results was monitored. The preliminary assessment of digital photographs, the GAIS score, was in concordance with the subjective assessment, where a measurable shift was recorded when comparing baseline and post-treatment photos. The treatments were safe and accompanied by high therapy comfort.

Conclusion: According to data from various means of evaluation, the simultaneous non-invasive treatment by Synchronized RF and HIFES technology showed promising potential as an alternative to current procedures for facial tissue lifting.