Correction of age-related changes of the face skin using radiofrequency micro needling. Brief literature review

Cover Page

Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription Access

Abstract

The problem of choosing a method for skin rejuvenation remains relevant despite a wide selection of conservative and surgical methods for eliminating age-related changes. In recent years, treatment methods for voluminous and traumatic ones have been striving for minimally invasive, quickly feasible with an optimal result that should meet both the needs of patients and doctors. For this reason, injection and hardware methods of rejuvenation began to come to the fore, especially when correcting changes on the face. Cosmetic devices based on radiofrequency can compete in efficiency with laser technology, having their own specific advantages.

The aim of the work was to evaluate the available literature sources related to the use of radiofrequency in dermatology and dermatocosmetology, especially for leveling age-related changes in the skin of the face.

The available literature sources from Russian and foreign databases (Elibrary, PubMed, Google Academia) were analyzed on the use of radiofrequency and radiofrequency micro needling in dermatocosmetology for facial skin rejuvenation.

The analysis showed the widespread use of radio frequency in dermatocosmetology, its high efficiency and safety, however, there are very few full-fledged studies devoted to radio frequency microneedling.

In our opinion, radiofrequency microneedling is a significant step forward compared to traditional radiofrequency devices, especially for facial skin rejuvenation by increasing the safety and effectiveness of the procedure. The use of radiofrequency microneedling can be effective for correcting age-related skin changes, especially in the face area, both as monotherapy and in combination with other methods of rejuvenation.

About the authors

Marina A. Agapova

Swiss Center for Rejuvenation Versua Cliniс

Author for correspondence.
Email: marinaagapova505@gmail.com
ORCID iD: 0000-0002-7840-4000
SPIN-code: 6271-4475
Russian Federation, Moscow

Alisa А. Sharova

Center for Aesthetic Medicine "Chistye Prudy"

Email: aleca@mail.ru
ORCID iD: 0000-0003-2148-5740
SPIN-code: 8764-2335

MD, D. Sci. (Med.), Assistant Professor

Russian Federation, Moscow

References

  1. Belenky I, Margulis A, Elman M, et al. Exploring channeling optimized radiofrequency energy: A review of radiofrequency history and applications in esthetic fields. Adv Ther. 2012;29(3):249–266. doi: 10.1007/s12325-012-0004-1
  2. Schepps JL, Foster KR. The UHF and microwave dielectric properties of normal and tumour tissues: variation in dielectric properties with tissue water content. Phys Med Biol. 1980;25(6):1149–1159. doi: 10.1088/0031-9155/25/6/012
  3. Weiner SF. Radiofrequency microneedling: overview of technology, advantages, differences in devices, studies, and indications. Facial Plastic Sur Clin. 2019;27(3):291–303. doi: 10.1016/j.fsc.2019.03.002
  4. Sadick NS, Makino Y. Selective electro-thermolysis in aesthetic medicine: A review. Lasers Surg Med. 2004;34(2):91–97. doi: 10.1002/lsm.20013
  5. Gold MH. The increasing use of nonablative radiofrequency in the rejuvenation of the skin. Expert Rev Dermatol. 2011;6(2): 139–143. doi: 10.1586/edm.11.11
  6. Beasley KL, Weiss RA. Radiofrequency in cosmetic dermatology. Dermatol Clin. 2014;32(1):79–90. doi: 10.1016/j.det.2013.09.010
  7. Alster TS, Lupton JR. Nonablative cutaneous remod-eling using radiofrequency devices. Clin Dermatol. 2007;25(5):487–491. doi: 10.1016/j.clindermatol.2007.05.005
  8. Clementoni MT, Munavalli GS. Fractional high inten-sity focused radiofrequency in the treatment of mild to moderate laxity of the lower face and neck: A pilot study. Lasers Surg Med. 2016;48(5):461–470. doi: 10.1002/lsm.22499
  9. Hayashi K, Thabit G, Massa KL, et al. The effect of thermal heating on the length and histologic properties of the glenohumeral joint capsule. Am J Sports Med. 1997;25(1):107–12. doi: 10.1177/036354659702500121
  10. Yeo UCh, Lee DR, Lim SD. Histologic evaluation of deep dermal heating by fractional radiofrequency according to energy. In: ASLMS 30th Annual Conference 2010 Phoenix Convention Center, Phoenix, Arizona. Available from: https://perigee.com/wp-content/uploads/INTRAcel-Jeisys-Article.pdf. Accessed: 15.07.2022.
  11. Abraham MT, Ross VE. Current concepts in nonablative radiofrequency rejuvenation of the lower face and neck. Facial Plast Surg. 2005;21(1):65–73. doi: 10.1055/s-2005-871765
  12. Bernstein LJ, Kauvar AN, Grossman MC, et al. The short- and long-term side effects of carbon dioxide laser resurfacing. Dermatol Surg. 1997;23(7):519–525. doi: 10.1111/j.1524-4725.1997.tb00677.x
  13. Hantash BM, Renton B, Berkowitz RL, et al. Pilot clinical study of a novel minimally invasive bipolar microneedle radiofrequency device. Lasers Surg Med. 2009;41(2):87–95. doi: 10.1002/lsm.20687
  14. Hantash BM, Ubeid AA, Chang H, et al. Bipolar fractional radiofrequency treatment induces neoelastogenesis and neocollagenesis. Lasers Surg Med. 2009;41(1):1–9. doi: 10.1002/lsm.20731
  15. Zheng Z, Goo B, Kim DY, et al. Histometric analysis of skin-radiofrequency interaction using a fractionated microneedle delivery system. Dermatol Surg. 2014;40(2):134–141. doi: 10.1111/dsu.12411
  16. Thomsen S. Pathologic analysis of photothermal and photomechanical effects of laser-tissue interactions. Photochem Photobiol. 1991;53(6):825–835. doi: 10.1111/j.1751-1097.1991.tb09897.x
  17. Sadick N. Tissue tightening technologies: fact or fiction. Aesthet Surg J. 2008;28(2):180–188. doi: 10.1016/j.asj.2007.12.009
  18. Zelickson BD, Kist D, Bernstein E, et al. Histological and ultrastructural evaluation of the effects of a radiofrequency-based nonablative dermal remodeling device. Arch Dermatol. 2004;140(2):204–209. doi: 10.1001/archderm.140.2.204
  19. Kuo T, Speyer MT, Ries WR, et al. Collagen thermal damage and collagen synthesis after cutaneous laser resurfacing. Lasers Surg Med. 1998;23(2):66–71. doi: 10.1002/(sici)1096-9101(1998)23:2<66::aid-lsm3>3.0.co;2-t
  20. Goldberg DJ. Nonablative dermal remodeling: Does it really work? Arch Dermatol. 2002;138(10):1366–1368. doi: 10.1001/archderm.138.10.1366
  21. Hruza G, Taub AF, Collier SL, et al. Skin rejuvenation and wrinkle reduction using a fractional radiofrequency system. J Drugs Dermatol. 2009;8(3):259–265.
  22. Phothong W, Wanitphakdeedecha R, Sathaworawong A, Manuskiatti W. High versus moderate energy use of bipolar fractional radiofrequency in the treatment of acne scars: A split-face double-blinded randomized control trial pilot study. Lasers Med Sci. 2016;31(2):229–234. doi: 10.1007/s10103-015-1850-2
  23. Martin J. Review of fractional microneedling radiofrequency for skin rejuvenation. Prime. 2018. Available from: https://www.prime-journal.com/review-of-fractionated-microneedle-radiofrequency-for-skin-rejuvenation/. Accessed: 15.07.2022.
  24. Park JY, Lee EG, Yoon MS, et al. The efficacy and safety of combined microneedle fractional radiofrequency and sublative fractional radiofrequency for acne scars in Asian skin. J Cosmet Dermatol. 2016;15(2):102–107. doi: 10.1111/jocd.12195
  25. Cohen JL, Weiner SF, Pozner JN, et al. Multi-center pilot study to evaluate the safety profile of high energy fractionated radiofrequency with insulated microneedles to multiple levels of the dermis. J Drugs Dermatol. 2016;15(11):1308–1312.
  26. Chandrashekar BS, Sriram R, Mysore R, et al. Evaluation of microneedling fractional radiofrequency device for treatment of acne scars. J Cutan Aesthet Surg. 2014;7(2):93–97. doi: 10.4103/0974-2077.138328
  27. Clementoni MT, Munavalli GS. Fractional high intensity focused radiofrequency in the treatment of mild to moderate laxity of the lower face and neck: a pilot study. Lasers Surg Med. 2016;48(5):461–470. doi: 10.1002/lsm.22499
  28. Ibrahimi OA, Weiss RA, Weiss MA, et al. Treatment of acne scars with high intensity focused radio frequency. J Drugs Dermatol. 2015;14(9):1065–1068.
  29. Alexiades-Armenakas M, Rosenberg D, Renton B, et al. Blinded, randomized, quantitative grading comparison of minimally invasive, fractional radiofrequency and surgical face-lift to treat skin laxity. Arch Dermatol. 2010;146(4):396–405. doi: 10.1001/archdermatol.2010.24
  30. Alexiades-Armenakas M, Newman J, Willey A, et al. Prospective multicenter clinical trial of a minimally invasive temperature-controlled bipolar fractional radiofrequency system for rhytid and laxity treatment. Dermatol Surg. 2013;39(2):263–273. doi: 10.1111/dsu.12065
  31. Calderhead RG, Goo BL, Lauro F, et al. The clinical efficacy and safety of microneedling fractional radiofrequency in the treatment of facial wrinkles: A multicenter study with the INFINI system in 499 patients. 2013. Available from: https://www.semanticscholar.org/paper/The-Clinical-Efficacy-and-Safety-of-Microneedling-%3A-Calderhead-Goo/729b55ce2cdc8e4b43da9f86c5d865662c9351c7. Accessed: 15.07.2022.
  32. Kim JK, Roh MR, Park GH, et al. Fractionated microneedle radiofrequency for the treatment of periorbital wrinkles. J Dermatol. 2013;40(3):172–176. doi: 10.1111/1346-8138
  33. Alenichev AY, Kruglova LS, Fedorov SM, et al. Combined use of microneedle RF therapy and injections of platelet-rich plasma activated by autologous thrombin in aesthetic medicine. Russian journal of the physial therapy, balneotherapy and rehabilitation. 2017;16(5):320–324. (In Russ). doi: 10.18821/1681-3456-2017-16-5-320-324
  34. Kwon SH, Choi JY, Ahn GY, et al. The efficacy and safety of microneedle monopolar radiofrequency for the treatment of periorbital wrinkles. J Dermatol Treatment. 2019;32(4):460–464. doi: 10.1080/09546634.2019.1662880
  35. Naeini F, Abtahi-Naeini B, Pourazizi M, et al. Fractionated microneedle radiofrequency for treatment of primary axillary hyperhidrosis: A sham control study. Australas J Dermatol. 2015;56(4):279–284. doi: 10.1111/ajd.12260
  36. Alexiades M, Munavalli G, Goldberg D, et al. Prospective multicenter clinical trial of a temperaturecontrolled subcutaneous microneedle fractional bipolar radiofrequency system for the treatment of cellulite. Dermatol Surg. 2018;44(10):1262–1271. doi: 10.1097/DSS.0000000000001593
  37. Yu AJ, Luo YJ, Xu XG, et al. A pilot split-scalp study of combined fractional radiofrequency microneedling and 5% topical minoxidil in treating male pattern hair loss. Clin Exp Dermatol. 2018; 43(7):775–781. doi: 10.1111/ced.13551
  38. Calderhead G. Combining microneedle fractional radiofrequency and LED photoactivation. Prime. 2014;2(6):15–23.
  39. Kruglova LS, Kotenko KV, Korchazhkina NB, Turbovskaya SN. Physiotherapy in dermatology. Moscow: GEOTAR-Media; 2016. 304 p. (In Russ).

Supplementary files

Supplementary Files
Action
1. JATS XML
Download
2. Fig. 1. Heating patterns when using various radio frequency devices (source [3] is published with changes based on a general open license).

Download (197KB)
Indexing metadata

Copyright (c) 2022 Eco-Vector


 


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies