A Standardized Total Energy-Delivered Protocol Using Hybrid Radio Frequency for Treating Rhytides and Lax Skin

The Accent^XL radiofrequency (RF) device has been used successfully to treat rhytides and lax skin. Treatment protocols vary widely. Earlier studies used a timed number of passes over split treatment areas (eg, left cheek, right cheek, upper face, and lower face). In this study, we simplified and standardized the treatment protocol. We did not employ a timed number of passes, nor did we divide the face and neck into separate treatment areas; therefore, the face and neck were treated as one unit. Four patients were treated with the unipolar radiofrequency handpiece (110 kJ) and with the bipolar RF handpiece (50 kJ) on their faces and necks. Each patient received 4 treatments at 4- to 6-week intervals. Pre- and posttreatment clinical photographs (taken one month after the final treatment) and patient satisfaction ratings were used to assess treatment efficacy. Percentage results were measured based on subjective clinical improvement in rhytides and lax skin. One month after the final treatment, an independent physician-evaluator used clinical photographs to rate improvement. In patient 1 there was a 40% improvement; patient 2, a 45% improvement; patient 3, a 55% improvement; and patient 4, a 65% improvement. All patients rated their response as significantly improved. No adverse effects were reported. A standardized total energy–delivered protocol using hybrid RF safely and effectively treats rhytides and lax skin.