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Chap. 57 - COMBINED LIGHT AND BIPOLAR RADIOFREQUENCY

from PART FOUR - COSMETIC APPLICATIONS OF LIGHT, RADIOFREQUENCY, AND ULTRASOUND ENERGY

Published online by Cambridge University Press:  06 July 2010

Sorin Eremia
Affiliation:
University of California, Los Angeles, School of Medicine
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Summary

Patients are frequently seeking efficacious yet little or no downtime procedures. These procedures, however, do require a series of treatments to achieve optimal cosmetic results.

In the author's practice, the use of devices employing a combination of optical energy and bipolar radiofrequency (RF; Syneron Medical Ltd.) has proven successful in meeting patient expectations and patient concerns as well as treating a wide range of conditions and reducing side effects experienced from the use of RF alone. The combination of optical energy and bipolar RF is believed to result in a synergistic effect, resulting in a more effective treatment, while using decreased energy levels to treat a range of skin types. Unlike unipolar RF devices, the energy in a bipolar RF device passes between two electrodes at a set distance, regulating the energy that is delivered (Sadick and Makino 2004).

There is a wide range of devices available that employ optical energy and bipolar RF that can be used for a wide variety of conditions. However, this chapter will cover the FotoFacialRF (intense pulsed light [IPL] plus RF), ReFirme WR (diode laser plus RF), and ReFirme ST (broadband infrared [IR] plus RF) devices alone and in combination with one another as well as the VelaSmooth (IR plus RF) device (Figures 57.1 and 57.2).

Determining the most appropriate treatment is based on a three-step process used in our practice to achieve patient satisfaction, while providing the patient with optimal rejuvenation results.

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Publisher: Cambridge University Press
Print publication year: 2010

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References

Alster, TA, Tanzi, EL. Cellulite treatment using a novel combination radiofrequency, infrared light, and mechanical tissue manipulation device. J. Cosmet. Laser Ther. 2005;7:81–5.CrossRefGoogle ScholarPubMed
Doshi, SN, Alster, TS. Combination radiofrequency and diode laser for treatment of facial rhytides and skin laxity. J. Cosmet. Laser Ther. 2005;7:11–15.CrossRefGoogle ScholarPubMed
Sadick, NS, Alexiades-Armenakas, M, Bitter, P, Hruza, G, Mulholland, S. Enhanced full-face skin rejuvenation using synchronous intense pulsed optical and conducted bipolar radiofrequency energy (elōs): introducing selective radiophotothermolysis. J. Drugs Dermatol. 2005;2:181–6.Google Scholar
Sadick, NS, Magro, C. A study evaluating the safety and efficacy of the VelasmoothTM system in the treatment of cellulite. J. Cosmet. Laser Ther. 2007;9:15–20.CrossRefGoogle ScholarPubMed
Sadick, NS, Makino, Y. Selective electro-thermolysis in aesthetic medicine: a review. Laser Surg. Med. 2004;34:91–7.CrossRefGoogle ScholarPubMed
Sadick, NS, Mullholland, RS. A prospective clinical study to evaluate the efficacy and safety of cellulite treatment using the combination of optical and RF energies for subcutaneous tissue heating. J. Cosmet. Laser Ther. 2004;6:187–90.CrossRefGoogle ScholarPubMed
Sadick, NS, Trelles, MA. Nonablative wrinkle treatment of the face and neck using a combined diode laser and radiofrequency technology. Dermatol. Surg. 2005;31:1695–9.Google ScholarPubMed

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