Ghislaine Beilin is evaluating the use of radio frequencies with microneedles along with non-thermal electrical energy to achieve increased collagen regeneration, volumization and wrinkle reduction.
Demand for anti-aging and anti-aging treatments with minimal downtime and low risk has led to the development of new non-surgical treatments for wrinkles and scars, as well as overall facial rejuvenation. Over the past few years, fractional RF systems have been introduced that allow for controlled skin rejuvenation. The new Hybrid Energy™ (HE) microneedling technology delivers thermal and non-thermal energy that creates microablative areas in the deep dermis, which promotes a natural fractional healing process for skin rejuvenation with little or no downtime.
Smoothing wrinkles on the face and rejuvenating the skin
A wide variety of non-surgical techniques are used for skin rejuvenation to reduce facial wrinkles, acne scars and skin imperfections. Among them:
- ablative lasers;
- laser systems based on the action of high-intensity light pulses;
- RF technology (including Israel's Apollo™ and Maximus™ systems based on TriPolar™ RF technology) that is widely used to treat various skin problems with collagen remodeling achieved through a thermal process.
These non-ablative procedures are considered to be the safest and provide moderate clinical benefit.
Although ablative CO2- and erbium-yttrium-aluminum-garnet lasers were considered the gold standard for minimally invasive procedures, they were characterized by a rather long recovery period and relatively high risk, especially for dark and Asian types skin.
Fractional skin rejuvenation - from lasers and contact radio frequencies to minimally invasive microneedles
Fractional lasers treat specific areas of tissue without affecting the adjacent skin. Thanks to this effect, the recovery period is shortened, and the number of possible complications is reduced.
In recent years, several RF systems have been introduced that allow for controlled skin rejuvenation using an array of miniature RF electrodes that come into contact with the skin surface. In addition to the epidermal effect, fractional RF systems can improve the condition of the dermis layer through volumetric heating, which leads to effective microablative skin rejuvenation and visible smoothing of wrinkles and acne scars.
Recently, new devices have been introduced to the market, equipped with minimally invasive bipolar microelectrodes, which are inserted percutaneously under the patient's skin to smooth out wrinkles and improve skin elasticity. Studies have shown that such procedures contributed to the active process of dermal remodeling, including neoelastogenesis and neocollagenesis, without affecting the level of the epidermis.
Hybrid Energy™ Next Generation Microneedle RF Technology
Hybrid Energy Technology combines thermal RF energy for safe, effective and virtually painless penetration into the skin, as well as non-thermal electrical energy that directly targets a specific target area for improved overall clinical benefit. The result is an increase in the volume of the dermis through directed thermal restructuring of the skin, enhanced by deep volume replenishment.
Fig. 1: (A) before and after combined Hybrid Energy and hyaluronic acid injections and (B) 10 days after the second treatment.
Energy is delivered through a set of microneedles that are only 0.6mm long. There are 2 types of tips: 6x6 microneedles (total of 36 needles) and 6x2 microneedles (total of 12 needles) for small focused and delicate areas. RF energy can be adjusted to individual needs by adjusting the power (up to 62 mJ/tip) as well as exposure time (ms). Impulses can be superimposed, several passes can be made on the skin surface.
Fig. 2: (A) before the Hybrid Energy treatment for periorbital wrinkling and volume replenishment and (B) 15 months after 3 treatments
Penetrating needles with RF energy and subsequent electric shock create the effect of a wound. The skin starts the healing process, during which fibroblasts are activated and the production of new collagen and hyaluronic acid.
Fig. 3: (A) before the Hybrid Energy Neck Tightening treatment and (B) after 6 treatments
Microneedles penetrate the skin efficiently and evenly, with little or no pain or bleeding. Hyvrid Energy technology results in the appearance of invisible micro-wounds in the dermis layer, which provide an optimal effect on the dermis and a minimal effect on the epidermis. Micro-wounds are surrounded by healthy unaffected areas of the skin, which act as healing centers, promoting effective neocollagenesis and skin renewal. The Hybrid Energy treatment triggers the body's natural healing mechanism in a safe and effective process with minimal pain and side effects.
The combination of RF and auxiliary non-thermal electrical energy improves skin penetration as well as clinical effect and wound healing. The input of more energy is achieved not by increasing RF heating, but by a chemical reaction. Electrical energy stimulates a chemical reaction between the fluids and salts of the skin. A controlled moderate change in pH (creation of an alkaline environment due to the generation of OH) is carried out in the dermis layer. This chemical change creates fractional cold electrocautery zones in the tissue.
Electrical and radio frequency thermal effects lead to the activation of the skin healing process, part of which is the activation of fibroblasts, the production of new collagen and hyaluronic acid. Therefore, the two "engines" of this procedure are minimally invasive microablative "generators" that damage the skin and stimulate natural healing and skin renewal.
Clinical Experience with Hybrid Energy
In the author's clinic, Hybrid Energy technology is usually combined with the use of various substances, such as hyaluronic acid (Fig. 1). When comparing the effect of infusion methods of other products, such as mesotherapy, infusion was more effective using Hybrid Energy technology, which was characterized by a shorter recovery period, the number of side effects and the level of pain.
When using Hybrid Energy technology, the ablation zones remain viable, and the stimulation of the healing process due to the generated energies promotes the absorption of nangosim substances. In addition, the recovery period after mesotherapy can be longer and be accompanied by an increased risk of infection, since the needles used are usually thicker.
Unlike other technologies, the author has the ability to treat areas prone to side effects, or areas where other technologies are contraindicated (for example, the lacrimal trough area - Fig. 2), the chest and cervical lymph nodes, which allow perform a full neck lift (Fig. 3), skin rejuvenation, as well as naturally eliminate smoker lines and add volume to the lips.
Results, Complications and Side Effects of Hybrid Energy
The expected results of the procedures using Hybrid Energy are:
- a significant increase in the volume of the dermis,
- smoothing wrinkles, including nasolabial folds and wrinkles of the periorbital region;
- improving skin texture (giving skin radiance, narrowing pores, increasing volume).
After the procedure, there may be slight redness and swelling (it disappears after a few hours).
The patients described the procedure as comfortable, no undesirable side effects were found in any patient. As a rule, 3 - 5 procedures were performed with an interval of 1 - 2 weeks.
Output
New Hybrid Energy™ technology delivers thermal and electrical energy to create micro-ablative zones that penetrate the dermis. Hybrid Energy treatments promote a natural fractional healing process that provides volume replenishment and skin rejuvenation.
The author performed procedures using Hybrid Energy technology, which resulted in the effect of replenishing the skin along with improving the structure of the skin and eliminating imperfections. There were no significant side effects, patients experienced minimal or no pain during the procedures, and there was no recovery period.
Source: Prime Magazine.
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