The advent of significant radiofrequency-assisted lipocoagulation (RFAL) skin tightening techniques now offers plastic surgeons, facial plastic surgeons, surgical dermatologists and cosmetic physicians the opportunity to offer patients a significant Facial or Neck skin tightening experience without excisional consequences of visible scars ( Figure 1). At the end of this ascending stair-stepladder approach to skin and face rejuvenation, the next stop is usually an excisional facelift, mini-facelift, neck lift, blepharoplasty and/or body excisional procedures, such as inner-thigh lift, brachioplasty and mini-tummy tuck or abdominoplasty. Most esthetic plastic surgeons now offer a broad offering of non-invasive options such as microdermabrasion, skin care, intense pulsed light and other laser cutaneous enhancement treatments, often including non-evasive skin tightening, neuromodulators and fillers. With the advances that have led to the development and FDA approval of products such as the FaceTite NeckTite and BodyTite, the non-excisional face/neck lift and lower lid, brow and cheek lift market, as well as the minimal excision or Non excisional Body shaping market is significant. The relatively flat growth of excisional facelifts bears witness to the fact that many consumers and potential patients want a non-excisional option, even the results are less significant than an excisional facelift or an excisional skin tightening procedure. The facelift growth rate has been relatively stagnant across the statistics monitored by American Association Esthetic Plastic Surgery, The American Academy of Cosmetic Surgery and the American Society of Dermatologic Surgery and Facial Plastic Surgery. Studies, show, that the combination of BodyTite internal thermal coagulation and external Morpheus8 at the time of liposuction can result in 60–70% area skin contraction, greatly improving the soft tissue contours and Body shaping outcomes following lipo-contouring procedures. The “burst” feature of the Morpheus8, delivers simultaneous multiple levels of internal coagulation in a single one second pulse, amplifying the adipose ablation and contraction effect. The RF then flows up to the distant negative, return electrodes on the surface of the skin, providing a non-ablative thermal stimulation to the papillary dermis. A monopolar ablative lesion is generated from the tip of the electrode, stimulating contraction of the FSN and adipose coagulation. This external RF applicator, which is also powered by BodyTite, inserts up to 40 positively charged, coated electrodes 8 mm into the subcutaneous, soft tissue envelope. The new Morpheus8 is a novel external RFAL device that uses the proven soft tissue contraction of BodyTite in an external, non-invasive procedure.
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