Needle Radiofrequency also called Deep RF or Subcutaneous RF

Patient Concerns: “I have crepy, chicken skin on my neck and jawline which I don’t like but I don’t want a facelift just yet. I see big pores, loose skin, wrinkles. I know the neck bands would need a facelift but can you improve my neck skin?”.

Findings on Examination: Patient is aged 56 with Fitzpatrick type II. She has a remote history of acne vulgarism in teenage years and young adulthood but no attacks since the early 30’s. She has a type II neck with neck bands, lax skin, jowls, loss of definition of the jawline, minimal submittal fat, good chin projection and prominent platysmas bands which are currently camouflaged by the lax skin. Skin shows loss of collagen and elastin with evidence of solar elastosis, horizontal and vertical rhytids and central and lateral neck skin laxity and redundancy.


Patient decision and treatment: The patient would have loved to have a facelift but decided to proceed with the needle radiofrequency. Five treatments were administered with energy delivered at different depths of the neck and jawline skin and deeper tissues. Topical anesthetic and the Zimmer cooler were used for anesthesia. The level of discomfort was level 3 – 4 out of 10. Anything below 10 is considered reasonable in outpatient laser, high-intensity ultrasound and RF treatments.

Post-treatment care: Mild redness is present for about 24 hours.

Results: An improvement is seen in the following:

No improvement is expected in neck bands which are caused by the laxity of the platysma muscle. These can be improved partially with botox injections or more permanently with a neck and facelift.

Number of treatments: Ideally five treatments done monthly and maintenance with two treatments every year if they want to maintain the result.

Conditions that can be treated with the subcutaneous Radiofrequency treatments:

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Patel Plastic Surgery

Dr. BCK Patel MD, FRCS
1025 E 3300S
Salt Lake City, Utah 84106, USA
(801) 413-3599 (phone/text)

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