Noninvasive Facial Volume Harmonization Using HIFES and Synchronized RF Technology: A Retrospective Study.

IF 2.2 3区医学 Q2 DERMATOLOGY Dermatologic Surgery Pub Date : 2025-03-20 DOI:10.1097/DSS.0000000000004613

Joel L Cohen, Yael Halaas, Suneel Chilukuri, Lesley Clark-Loeser, J D McCoy, Jennifer Levine

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Abstract

Background: Age-related facial volume loss results from changes in skin, muscle, and fat distribution, leading to sagging and contour alterations. Traditional volume restoration techniques, such as dermal fillers, carry risks and require skilled application. Facial muscle electrical stimulation combined with synchronized radiofrequency (RF) offers a noninvasive alternative.

Objective: This study evaluates the volumetric effects of facial muscle electrical stimulation with synchronized RF for facial rejuvenation.

Materials and methods: A retrospective analysis was conducted on 43 subjects (5 males, 38 females, aged 57 ± 12). Treatments consisted of four 20-minute sessions of facial muscle electrical stimulation + RF, with follow-ups at 1 and 3 months. Facial volume changes were assessed using 3D imaging systems. Patient satisfaction and comfort were recorded using questionnaires.

Results: At 3 months, zygomatic volume increased by +3.3 mL ( p < .001), while mandibular volume decreased by -2.3 mL ( p < .001). The net volume shift was 5.6 mL. Patient satisfaction was 94.6%, with minimal discomfort (visual analog scale: 1.6). No adverse events were reported.

Conclusion: Facial muscle electrical stimulation with synchronized RF effectively restores facial volume noninvasively, offering a safe alternative to traditional fillers and surgery.

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使用 HIFES 和同步射频技术进行无创面部容积协调：回顾性研究

背景：与年龄相关的面部体积减少是由于皮肤、肌肉和脂肪分布的变化，导致松弛和轮廓改变。传统的体积修复技术，如真皮填充物，存在风险，需要熟练的应用。面部肌肉电刺激结合同步射频（RF）提供了一种无创的替代方案。目的：研究同步射频面部肌肉电刺激对面部年轻化的体积效应。材料与方法：对43例患者（男5例，女38例，年龄57±12岁）进行回顾性分析。治疗包括4次20分钟的面部肌肉电刺激+射频治疗，分别在1个月和3个月进行随访。使用3D成像系统评估面部体积变化。采用问卷调查方式记录患者满意度和舒适度。结果：3个月时，颧骨体积增加+3.3 mL (p < 0.001)，下颌体积减少-2.3 mL （p < 0.001）。净体积位移为5.6 mL。患者满意度为94.6%，不适最小（视觉模拟量表：1.6）。无不良事件报告。结论：同步射频面部肌肉电刺激能有效地无创恢复面部体积，是传统填充物和手术的安全选择。

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来源期刊

Dermatologic Surgery 医学-皮肤病学

CiteScore

3.10

自引率

16.70%

发文量

547

期刊介绍： Exclusively devoted to dermatologic surgery, the Dermatologic Surgery journal publishes the most clinically comprehensive and up-to-date information in its field. This unique monthly journal provides today’s most expansive and in-depth coverage of cosmetic and reconstructive skin surgery and skin cancer through peer-reviewed original articles, extensive illustrations, case reports, ongoing features, literature reviews and correspondence. The journal provides information on the latest scientific information for all types of dermatologic surgery including: -Ambulatory phlebectomy- Blepharoplasty- Body contouring- Chemical peels- Cryosurgery- Curettage and desiccation- Dermabrasion- Excision and closure- Flap Surgery- Grafting- Hair restoration surgery- Injectable neuromodulators- Laser surgery- Liposuction- Microdermabrasion- Microlipoinjection- Micropigmentation- Mohs micrographic surgery- Nail surgery- Phlebology- Sclerotherapy- Skin cancer surgery- Skin resurfacing- Soft-tissue fillers. Dermatologists, dermatologic surgeons, plastic surgeons, oculoplastic surgeons and facial plastic surgeons consider this a must-read publication for anyone in the field.