RADIOFREQUENCY SKIN TREATMENT. WHAT YOU SHOULD KNOW?

Minimally invasive procedures to tighten and lift skin give natural results with minimal risk and recovery time. Monopolar radiofrequency delivers a high-frequency electric current—tissue resistance to electrical current results in volumetric heating to the deep dermis and underlying tissue. The resulting heat leads to immediate collagen contraction and a delayed wound healing response, with new collagen formation up to 4 to 6-month post-treatment. INITIALLY, the FDA approved monopolar radiofrequency (RF) devices to treat periorbital wrinkles. Since then, they have been used to treat laxity of the forehead, cheeks, nasolabial folds, marionette, lines, jawline, and neck. Although the results of RF are not as dramatic as a facelift, over 90% of patients obtain noticeable tightening of the treated areas, and it never looks “pulled.” Another benefit of radiofrequency is reducing fat and tightening the skin by directing energy to target collagen. For example, a patient with flabby upper arms may have more loose skin than fat in this area. In this instance, Prof Moawad might use radiofrequency to tighten the skin first and then remove excess fat. However, if he determines that there is fat mainly in an area, he will remove the fat first and then tighten the skin afterward. “Radiofrequency is a versatile procedure that can be used on any area of the body – from large areas like the abdomen to minimal areas such as the chin – with the same degree of success.

Nose job results are very satisfactory. I can achieve good results through surgery or rhinoplasty, or recently injectables. However, during nose surgery, even in patients with a first satisfactory outcome, slight asymmetries, depressions, and contour irregularities may present several years after surgery. Correcting these minor problems often requires surgical revision, and the available surgical options are limited in number, expensive, time-consuming, and prone to further complications. Non-surgical rhinoplasty, injectable rhinoplasty, or injectable nose job (filler, fat, or botox) has gained popularity for primary and revision nose enhancement procedures. In selected people, injection rhinoplasty can give a ready vise result in the convenience of the office setting. The process is minimally invasive and has an excellent safety record. It has been proposed for patients. However, unlike surgical rhinoplasty, it is limited in its ability to produce a significant change in the caudal aspects of the nose.

Fat Injection results in satisfactory rejuvenation around the eyes or periorbital region with little recovering time. Fat transfer to the forehead is an excellent method to lift the eyebrows without raising the brow to an unnaturally high position. Micro-fat or nano fat grafting can fill the skeletonized upper lid sulcus. Fat injected into the lower eyelid region will shift the cheek up and build the convexity of the youthful eye. Lower-lid volume replacement is also helpful in treating dark circles under the eyes by reducing shadows and the appearance of blood vessels under the skin. Microfat Injection is also an excellent choice for correcting static wrinkles that it cannot treat with BoNT alone. In most patients, I must undertake the treatment of the infraorbital, cheek, and tear trough areas together. I must combine fat Injection with a skin-only eyelid lift to achieve desirable rejuvenation.

Skin moles removal results depends on location, size, and depth of moles. Most moles appear on the surface during childhood and adolescence. Moles will grow as the child (or teen) grows. Some moles will darken, and others will lighten. These changes are expected and seldom a sign of melanoma, the most severe skin cancer. Here are three facts that can help you find melanoma soon and get treatment. If you see a mole or other spot that is growing, itching, bleeding, or changing in any way, at once, make an appointment to see a dermatologist. Most moles do not require treatment. A dermatologist will remove a mole that: is bothersome (rubs against clothing, etc.), unattractive to a patient, and suspicious (could be skin cancer). After a mole is removed, the skin will heal. If the mole grows back, make another appointment to see your dermatologist. The recurrence of a mole could be a sign of melanoma, the most severe type of skin cancer.

Hair loss treatment for women begins with a complimentary video-microscopic hair density test and digital documentation to calculate and monitor results. MSI offers two drug molecules (i.e., 5% minoxidil solution and finasteride) to stop hair loss and regrow hair. Minoxidil, finasteride, vitamins, and trace elements are injected during a mesotherapy treatment session. Growth Factors for hair regrowth are added to our cocktail when mixed with Platelet-rich plasma (PRP). Several-time weekly application of a laser-emitting device (LED) to "stimulate" hair growth of existing miniaturized hairs is one of the new light therapies for hair loss. The most recent hair preservation and restoration treatment is the newly introduced combination of mesotherapy, infrared technology, oxygen therapy, platelet-rich plasma (PRP), and nano fat or micro fat (stem cell therapy). Penetration of PRP and nano fat or micro fat is eased with microneedling, dermal roller, or fractional radiofrequency. Hair transplantation is at the forefront of developing these applications. Recently an increase in female patients requesting lowering the frontal hairline or lowering the height of the forehead is in demand. Besides, I can successfully treat a variety of conditions with hair transplantation. Scarring of the scalp and hair loss due to traction can be repaired with hair transplantation. Finally, hair transplantation can successfully restore hair to the eyebrows, eyelashes, or pubis.

Fractional radiofrequency (FRF) is the newest in the nonabrasive approach. FRF uses an array of microneedles arranged in pairs between which bipolar RF energy is delivered. The fractionally delivered energy creates zones of thermally damaged skin adjacent to unaffected areas. The damaged skin stimulates wound healing and deposits new collagen, elastin, and hyaluronic acid formation. The unaffected areas serve as a reservoir of stem cells that accelerate wound healing.  FRF improves acne scars, large facial pores, and skin quality. FRF devices are safe, tolerable, and effective modalities for wrinkles and facial laxity reduction. I may use a topical anesthetic cream before the treatment to minimize pain. Fractional radiofrequency is combined with PRP with significant amounts of growth factor and heal promoting factors to fasten healing. Recently, Nanofat has been combined with fractional radiofrequency to enhance skin quality and stimulate hair follicles. Fractional radiofrequency gives a wake-up call to your skin to remove injured collagen and elastic fibers, encouraging your fibroblast to synthesize new collagen and stimulate hair follicles to stem cells.

Skin rejuvenation laser peel involves the removal of the outer layer of damaged skin. Many ablative skin resurfacing techniques are available at MSI, broadly grouped as mechanical, chemical, and laser abrasion. All ablative techniques result in upper to the mid-dermal wound. Dermabrasion relies on mechanical 'cold steel' injury, acid peels result in a 'caustic' injury, and lasers result in a thermal injury. All ablative resurfacing treatments work the same way. First, the outer layers of damaged skin are stripped away. Then, as new cells form during the healing process, a smoother, tighter, younger-looking skin surface appears. Superficial or medium resurfacing is limited to the epidermis and papillary dermis. For deeper resurfacing, I can also remove the upper levels of the reticular dermis. Unlike chemical peels and dermabrasion, laser skin resurfacing (LSR) with the CO2 laser generates heat, which results in immediate tightening because of the shrinkage of collagen, which forcefully shortens the collagen fibers by 30%. This translates clinically into the smoothing out of superficial irregularities, including wrinkles, acne scars, nevi, epidermal growths, and even tumors, and a tightening effect that improves the skin's overall appearance. The laser stimulates the growth of healthy new collagen and elastic fibers in the skin continuously for six months after resurfacing. Therefore, any wrinkles or scars will continue to improve for up to one year. Nonablative or minimal ablative fractional CO2 holds great promise in both treatments of skin textural abnormalities (acne scarring, wrinkles, and skin mottling associated with photoaging) and pigmentary variation (melasma, hyperpigmented scars, lentigines, and dyschromia

Acne inversa or hidradenitis suppurativa (HS) is a disease that usually begins as pimple-like bumps on the skin. The pimple-like bumps tend to develop in places where everyday pimples do not appear. HS is most common on the underarms and groin. Getting treatment for HS is important. Early diagnosis and treatment can prevent HS from worsening. If HS worsens, the pimple-like bumps can grow deep into the skin and become painful. They can rupture, leaking bloodstained pus onto clothing. This fluid often has a foul odor. As the deep bumps heal, scars can form. Some people develop tunnel-like tracts under their skin. As the skin continues to improve and scar, the scars thicken. When thick scars form in the underarm, moving the arm can be difficult. Thick scars in the groin area can make walking difficult. Because HS can look a lot like acne, folliculitis, or boils, it is best to see a dermatologist for a diagnosis.

A dermatologic surgeon usually does plantar warts removal. Plantar warts are small growths that usually appear on your feet' heels or other weight-bearing areas. This pressure may also cause plantar warts to grow inward beneath a hard, thick layer of skin (callus). Plantar warts are caused by HPV. The virus enters your body through tiny cuts, breaks, or other weak spots on the bottom of your feet. Dermatologists have many treatments for warts. The procedure used depends on the patient's age and health. I prefer to cut the callus by scalpel. Then I use a curette to remove the viral material. Then I use a vascular laser to burn or cauterize tiny blood vessels that feed the virus. Then it cauterizes the base using an ablative laser or chemical TCA. A topical antibiotic is applied, and a special dressing is applied. The patient can walk without any pain immediately

There has been a 70% increase in minimally invasive cosmetic procedures and a 50% increase in dermabrasions over the past decade. Dermabrasion has many applications as a skin resurfacing technique and is used to treat fine perioral rhytids and many scars, including acne scars. It is done under local anesthesia with the option of sedation. The area to be dermabraded is marked. The appropriate diamond fraise tip is chosen, the skin is held taut, and the dermabrader is moved across the surface with constant, gentle pressure. A back-and-forth motion is used for the diamond fraise tip. The borders of the treated area are feathered to prevent any noticeable transitions. The depth of skin that is dermabraded is one of the most critical factors that will determine the outcome. Punctate bleeding is visualized when entering the papillary dermis. The papillary reticular junction is the ideal endpoint of Dermabrasion and is identified by increased, confluent bleeding. Immediately following the procedure, saline-soaked gauze moistened with dilute epinephrine may be temporarily placed on the open wounds to achieve hemostasis. A moist environment is necessary to promote wound healing. Dermabrasion is a useful skin-resurfacing tool; when performed correctly, it can achieve dramatic results and can be more effective than chemical peels or lasers, with a low risk of complications in patients with darker complexions