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Radiofrequency in Cosmetology -Types, Advantages and Side Effects.

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Radiofrequency involves nonsurgical and non-invasive cosmetic procedures. This article reviews the benefits, indications, and precautions of the procedure.

Medically reviewed by

Dr. Dhepe Snehal Madhav

Published At December 9, 2022
Reviewed AtJune 9, 2023

Introduction:

As you age, due to sun exposure and other factors, the skin may show signs of damage, such as wrinkles, sagging, and cellulite, among others. Recent years have shown an increase in demand for cosmetology, and this has led to newer innovations in the field. There are a number of cosmetic procedures available to combat these skin problems, which include surgical procedures, ablation, and dermal fillers.

A novel technique that is non-invasive and requires a minimal recovery period is radiofrequency. Fine lines, wrinkles, and lax tissues are clinical signs of photodamage. Traditionally, lasers were used, but they have a higher recovery period. This is where radiofrequency stands apart as it uses electric current, as opposed to a light source.

They can be used in dermatology to treat rhytides, acne scars, cellulite, skin laxity, and other esthetic problems.

What Is Radiofrequency?

Radiofrequency is a form of energy and, according to the classification in the electromagnetic spectrum, lower than visible light. This is used in certain cosmetic procedures. The RF energy used is in the 450-kilohertz range.

How Does It Work in Skincare?

At present, there are an array of procedures that help treat skin problems, which include invasive and non-invasive procedures. Radiofrequency acts as a non-invasive procedure; it is used in cosmetic procedures by increasing the tissue temperature. This thermal damage to the skin stimulates the deep layers of the skin and initiates neocollagenesis.

As age increases, collagen production in the body reduces; this causes sagging, laxity, wrinkles, and so on. Depending on the skin condition, different ranges of thermal stimulation are used, ranging from 0.3 to 10 MHz. The purpose of this is to induce collagen conformation and produce new collagen in deep layers of the skin and subcutaneous tissue. It helps in elastin production, making the skin tighter, firmer, thicker, and more youthful in appearance.

What Is the Physiological Effect on Skin?

Studies have shown that the main physiological effect is the stimulation of collagen synthesis.

The short-term effect includes the contraction of collagen, and the long-term effect is tissue repair.

What Can Radiofrequency Treat?

Radiofrequency can be used as an anti-aging therapy. It helps in facial rejuvenation, skin tightening, facial remodeling, skin laxity, body shaping or contouring, rhytides, and skin contraction, among others.

  • Fighting Sun Damage: UV rays and sun exposure hasten skin damage by breaking down collagen. Studies show that radiofrequency treatment helps improve skin damage significantly.

  • Body Contouring: Skin laxity can affect the quality of life as it reduces the self-esteem of an individual. It occurs due to collagen fiber damage as a result of biomolecular changes. Radiofrequency helps tighten loose skin by increasing collagen production.

  • Face Contouring: Sagging skin on the face is a sign of aging. Radiofrequency shows up to 73 % improvement in middle-aged women. It helps by reducing laxity.

  • Wrinkles and Fine Lines: Wrinkles and fine lines around the eyes have shown significant improvement with radiotherapy. For individuals who do not prefer dermal fillers, radiofrequency is an alternative.

  • Facial Slimming: RF treatment helps to break down the fat deposits in the face, especially in the lower part of the face. Within two weeks of treatment, patients reported 20 to 30 % of visible changes; with just 4 Hz of power, RF therapy can cause tightening of the skin.

  • Combination Therapy: RF therapy can also be used as an adjuvant with other modalities such as :

  1. Fractional skin resurfacing.
  2. Microneedling RF.
  3. These help in coagulation and collagen remodeling.

Combined with microneedling, RF therapy can improve fine lines, the texture of the skin, and acne scars. Since it is nonsurgical, the patient will not require recovery time; some redness and tingling may occur in the first 24 hours.

How Long Does Radiofrequency Last?

The effect post-procedure may not last as a surgical procedure would. But it does last for a significant amount of time. One may need re-treatment after one or two years. On average, it lasts six months. Within the first few weeks, evident changes are experienced; as the months pass, the skin becomes tighter and more collagen is produced. It is a type of procedure that improves as time passes. Newer techniques have home-based treatment options, but in-house treatment is said to have more lasting effects.

What Are the Advantages of Radiofrequency?

  • Non-invasive.

  • Lower recovery time.

  • Painless.

  • No known side effects.

  • Nonsurgical.

The primary takeaway of RF therapy is that it is a non-invasive procedure. Hence, more patients will be interested and less apprehensive.

When compared to lasers, RF therapy uses heat which is at a lower frequency, hence improving the structure of the skin and its tone. This is because it penetrates the lower layer of the skin when lasers only work on the superficial layers. There is less chance of pigmentation or discoloration when compared to lasers.

What Are the Common Systems Used?

  • Exilis.

  • Profound RF.

  • Thermage.

  • Thermi.

The range of temperature includes 122 to 167 degrees Fahrenheit. And studies show that temperatures above 115 degrees Fahrenheit release a set of proteins called heat shock proteins that help stimulate new collagen fibers.

What Are the Concerns and Side Effects of Radiofrequency?

Since it is a novel technique, the market interests in it are yet to be explored. Also, the research is not completed to establish if it can replace surgical and invasive procedures. It may not have lasting effects in comparison to surgical procedures and may need secondary treatment, while that can be avoided in invasive procedures. It may lead to burns if incorrectly performed.

Side Effects Include:

Temporary swelling, redness, and tingling. But its recovery time is less than that of any surgical procedure.

Conclusion:

Radiofrequency is a boon to individuals who are apprehensive about an invasive procedure. It requires less downtime, is painless, and is a new weapon in the armamentarium to fight to age. It is safe and tolerable and can be used for cellulite and skin rejuvenation. It promotes cellular changes and is an alternative to surgical procedures, not a substitute.

Frequently Asked Questions

1.

Why is RF (radio frequency) used in cosmetology?

Radiofrequency skin tightening or radiofrequency therapy is a non-surgical method to compress an individual's skin. In this procedure, the inner layer of the skin, called the dermis, is heated by energy waves produced through this radiofrequency therapy. Collagen is the most common type of protein made in an individual's body through heat stimulation from this procedure.

2.

How is RF used in the salon?

The salon's radio frequency uses patented pulsed magnetic radiofrequency technology. In this procedure, waves of pulsed magnetic radio frequency are delivered to an individual's scalp to stimulate the hair follicles and improve the blood supply to the hair follicles. This procedure will help activate the hair follicles to regrow and strengthen them, resulting in more muscular and thicker hair.

3.

Name a few benefits of radio frequency on the skin.

A gradual change in skin appearance is one of the most significant benefits of radiofrequency treatment. One can replace damaged skin through this procedure resulting in the formation of new collagen and elastin in the body. New skin produced through radiofrequency is naturally firmer and tighter, resulting in a youthful appearance.

4.

How is the radio frequency used on the face of the people?

The radiofrequency procedure involves a skin tightening system on the face of the people, where providers will use an electromagnetic device, which will help to generate heat to stimulate the production of collagen, elastin, and new skin cells. This procedure is similar to a surgical facelift, but its results are only temporary. This non-surgical procedure will produce firm facelifts and also lift sagging skin.

5.

How is RF differentiated from micro-needling?

Radiofrequency produces energy which results in firm and tightened skin. At the same time, micro-needling is a medical procedure to benefit the skin by stimulating collagen and elastin production, and blood flow increases, which helps reduce the sign of aging. Better results occur only when RF micro-needling recommends enhancing the skin's overall tone and texture, as it is a better option to facilitate the production of collagen and elastin.

6.

How is RF better than laser?

RF microneedling is more effective than a laser in treating deep scars Because the laser usually reaches up to 1.5-millimeter depth, whereas RF microneedling can reach a depth of 2.5-millimeter. RF microneedling helps bypass the skin's surface layers, leaving only tiny punctures, and requires less downtime than laser scar removal.

7.

How much time do radiofrequency results last in people?

For the next few months, the effects of radiofrequency therapies will continue to improve as the skin produces new collagen. Usually, the radiofrequency results will last for a minimum of six months. But with ongoing treatments, the results are often long-lasting. RF skin tightening takes 12 months in most cases with proper maintenance and skincare. Based on the ongoing treatments only in a few cases, the results will last for a much more extended period depending on the frequency of the treatments.

8.

How does RF damage the skin of an individual?

Usually, around 450 kilohertz of radiofrequency converts to thermal energy, which then creates minor injuries to the lower levels of the skin to promote particular tissue repair and clotting. So it is very safe for all skin types due to the minimal damage and melanin changes done to it. Radiofrequency devices are a safe and effective treatment for skin tightening procedures. However, it shows few risks, like burns resulting in unacceptable scars and pigmentation.

9.

Can skin be burned through radiofrequency?

Radiation from a radiofrequency has lower energy than other non-ionizing radiations like infrared and visible light. But the power generated through radio frequency has higher energy than extremely low-frequency (ELF) radiation. Heat will be caused when the body absorbs RF radiation in large amounts leading to burns and body tissue damage. When high-current RF ablation has developed, there will be an increased risk of thermal skin injuries at the grounding pad site. For severe skin burns (second and third-degree), there is a 0.1 to 3.2 percent incidence seen in recent studies, and for first-degree burns, the incidence ranges from 5 to 33 percent.

10.

How much time does people need to see the results of an RC facial?

Instant results are absent in Profound RF treatments compared to other effective skin rejuvenation treatments. Following the Profound RF treatments, some people will see improvements as early as two weeks. After three to six months, only most people will see their results from Profound RF. Patients can expect RF skin tightening treatments in most cases for over 12 months with proper maintenance and skin care.

11.

How many times can an individual undergo radiofrequency?

Usually, individuals can undergo radiofrequency twice a week, but most people will undergo treatments every week or twice a week only when they are on their course. One can take their medicines monthly if an individual budget does not allow it. The results will take a little time to get it. So it is advisable to take treatments ideally every 3 to 4 days. Hence weekly treatments will show results after a month or so.

12.

Do estheticians perform RF microneedling on individuals?

Usually, dermatologists or surgeons will perform plastic surgery. But in California, aestheticians should not perform microneedling because they cannot penetrate the skin. This process can also be done at home, but the available products will not go as deep into the skin's surface as those done by surgeons.
FDA has given some guidelines. According to it, estheticians can only use their microneedling devices up to less than 0.3mm, which will not come under medical claims. And also, only some cases are approved for sale if the device is 0.3mm but makes medical claims.

13.

Can RF microneedling be better than botox?

For squinting, frowning, or raising eyebrows, Botox is the best option, whereas RF microneedling is best for fine lines, creepiness, and for overall texture and tone.

14.

Can RF lighten the skin?

Through radiofrequency treatments, individuals can brighten, tighten, smooth, and slim their faces and body. But people need a suitable machine to suit their purposes. And this RF treatment will be an ultimate guide to help them at the right time.

15.

How many RF sessions can be done on an individual to see results?

Most patients need at least three to four sessions in the initial stage to get desired results. However, patients with moderate to severe skin concerns need more sessions for deep acne scarring or dynamic wrinkles.
During the consultation, one can assess their treatment plan. Maximum results obtained by taking a course of six to ten treatments are needed. And one to four weeks apart, intervals are maintained; annual maintenance treatment gives results.

16.

Does radiofrequency cause nerve damage?

Yes, in occasional cases, permanent nerve damage or pain is seen. But the risk of complications from RFA is shallow. And in a few people, the original pain may get worse. The other uncommon complications include Bleeding during needle insertion and infections.
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Dr. Dhepe Snehal Madhav
Dr. Dhepe Snehal Madhav

Venereology

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