Morpheus8

• Significant advancements in minimally invasive body contouring have been made over the past 10 years.
• Increasingly, patients are seeking minimally invasive methods to tighten skin and remodel adipose tissue. A large treatment gap exists among 3 types of patients: the younger demographic, who desire soft tissue tightening without traditional operations, scars, and downtime; patients with soft tissue laxity who are not "severe enough" to justify an excisional procedure, but not "mild enough" to rely on liposuction with soft tissue contraction alone; and those with recurrent laxity who already underwent the traditional excisional procedure. In these populations, aesthetic surgeons risk undertreating or overtreating with traditional methods.

Abstract: The demand for noninvasive facial rejuvenation continues to increase as younger, well-informed patients enter the aesthetic market. We refer to a subset of these patients as “tweeners,” those who present with early signs of neck and facial aging, but who have not yet developed changes significant enough to warrant a traditional excisional surgery approach. Many of these patients are in search of a minimally invasive intervention, a bridge in between observation and surgery. The authors describe their experience with radiofrequency (RF) technology as an in-office tool to address the aging face in select patient population. This review also attempts to comprehensively search the existing body of literature to describe the RF technologies and devices available for facial rejuvenation.

Abstract: This chapter outlines the basic science and specific principles of operation for radiofrequency (RF) technologies with a focus on minimally-invasive applications enhancing liposuction procedure. Before discussing the parameters, settings and techniques for radiofrequency-assisted lipolysis (RFAL) and fractional RF subdermal treatment, it is important to understand the fundamentals of the basic science of RF technologies and applications. The chapter accurately describes the physics of the processes occurring during RF-based treatment, and the factors affecting its safe and efficacious outcome. The discussion of RF-based devices will use terminology and definitions provided by FDA guidance for electrosurgical devices.Measurements and computer simulations conducted by the authors to illustrate importance of different parameters for the specific treatments of skin and subcutaneous fat are also presented.

Background: A subset of facelift patients have premature redevelopment of skin laxity in the lower face and neck. Many patients seek alternatives to revision facelifts to avoid high risks and costs. Radiofrequency-assisted lipolysis (RFAL) with Radiofrequency (RF) microneedling may be alternative minimally invasive options.

Background: The use of radiofrequency in aesthetics has increased in popularity since the early 2000s. To date, there have been limited studies investigating the effect of thermal energy secondary to radiofrequency treatment. The purpose of this study was to evaluate perfusion and lymphatic assessment tools pre and post bipolar and fractional radiofrequency treatment.

Summary: The COVID‐19 pandemic requires us all to re‐evaluate aesthetic practices to ensure optimal patient safety during elective procedures. Specifically, energy based devices and lasers require special consideration, as they may emit plume which has been shown to contain tissue debris and aerosolized biological materials. Prior studies have shown transmission of viruses and bacteria via plume (i.e., HIV and papillomavirus). The purpose of this study was to evaluate plume characteristics of the Er:YAG resurfacing laser (Sciton; Palo Alto, CA) and compare it to the Morpheus8 fractional radiofrequency device (InMode; Lake Forest, CA).

Background: Nonexcisional facial skin tightening has long been an elusive goal in aesthetic surgery. The “treatment gap” includes cases who are not “severe” enough for excisions surgery but not “mild” enough for most traditional noninvasive aesthetic modalities. In this retrospective review, we present the largest evaluation to date of radiofrequency (RF) skin tightening technology combination including bipolar RF (FaceTite; InMode) and fractional bipolar RF (Fractora modified to Morpheus8; InMode).

Summary: The use of radiofrequency for soft tissue tightening has increased over the past 10 years. Both minimally invasive and noninvasive devices are frequently in use. This article describes the different types of radiofrequency technology and the current evidence behind their safety and efficacy.

A Novel Method for Deep Radiofrequency Fractional Skin Rejuvenation

Clinics in Plastic Surgery