NON-SURGICAL

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.