Radiofrequency microneedling

What do you think of the INTRAcel treatment

Hi it's a very decent type of radiofrequency microneedling treatment. You can read a bit here about INTRAcel and practitioners like Dr Sarah Tonks offer it at their clinic.

It seems that my neck is aging faster than my face. I’ve had Botox for the platysmal bands, tried threads and profhilo for the crepiness but I feel as though it hasn’t made much of an improvement. (Botox has helped with the bands.) I’m now...

Hi, our necks do show our age (and we don't tend to start looking after them as early as we start on our faces). Of these treatments that you are considering, Secret Pro (that's Cutera Secret RF plus CO2 laser) should give you a noticeable result. The radiofrequency microneedling will help to firm and strengthen the skin, and the C02 laser should build on this. Polynucleotides would be an icing-on-the-cake option to improve skin quality, but the radiofrequency, needling and laser will have a much greater effect....

Hi, I am considering Ultherapy or SylfirmX. I was wondering which you found best? Many thanks

Hi,  these are both good technologies for stimulating collagen production in the skin. Ultherapy seems to have done a decent job for me - I have had three treatments with it over the past 11 years - but it is always hard to judge because the results take at least three months to show up. I was more diligent with the before and afters with Sofwave which definitely showed a small but visible degree of tightening. I am sure I'd have had similar results with Sylfirm X if I'd done three treatments in three months but I have only managed two across the past six months so can't give you a direct comparison. If you are already seeing a...

Can I schedule mesotherapy five days after Sylfirm X?

Hi, that's a question for the practitioner who did your Sylfirm X treatment. They will probably suggest that you wait two or three weeks -- if you have just had a bunch of needles run over your face, you might want to give your skin a break before you opt to have another session of machine-needling to get the mesotherapy solution into your skin.

due to weight loss laxity and crepe-iness under my chin an on my neck I intend to have a full surgical neck lift but am currently reloosing some gained weight first. I am finding the neck very hard to live with and am considering going for some...

Hi, you're right, cosmetic surgeons dislike patients having energy-based treatments (eg ultrasound, or RF needling) in the year or two before surgery because the way the treatment contracts and tightens up the collagen makes it trickier for them to do their job when it comes to separating the layers of the face or neck. Check this with your surgeon, but I'd hold off and wait for the surgery. I hear that you are finding your neck hard to live with but if you are looking at a surgical neck lift, you will find RF needling doesn't give you the result you are looking for.

Is there anything that actually works on baggy under eyes besides surgery. Thanks

Hi, surgery will give you the best result but I know it's not for everyone. Ideally, go for a consultation with an oculoplastic surgeon (a cosmetic eye surgery specialist) who also offers non-surgical procedures - it might be that an energy-based treatment like RF needling or Tixel could work for you, but you need a professional to advise you on that.

Do treatments that target and rejuvenate collagen also melt fat?

Hi, great question. The short answer is that energy-based treatments that use, say, ultrasound or radiofrequency energy can do this, if the energy that is meant to be directed at the collagen-layer in the skin is aimed instead into the fat that lies underneath the skin. Take a look at this article for more detail on the way that RF needling can in some circumstances, melt fat - which is great if this is done deliberately because you want fat reduction in the face, but not so good if it happens by accident. The key thing is to find a practitioner who has enough expertise to use the treatment appropriately for your face and skin, so that...

Hi Alice! I have the most dire under-eye folds and wrinkles which age me by about ten years (I’ve just turned 40). I’ve had one disastrous experience with tear trough fillers – since dissolved – but I don’t know what to turn to next to...

Hiya, TTG editor Georgia here. It might be worth booking a consultation with an oculoplastic surgeon who also performs non-invasive eye treatments because if this is really bothering you and you've already tried filler (and paid out again to have it dissolved), you might decide to invest in lower bleph surgery as it's the most permanent solution and will ultimately give better results than anything non-surgical. Having said that, RF needling like Morpheus8 (there are many other devices that have their own merits) can be used right up to under the eyes and can work really well to tighten the area. There are also some new polynucleotide skin...

Hi, I have very loose skin under my eyes, which is very apparent when I smile, and I wondered what the best treatment for this would be? Would it be surgery to remove the loose skin? Many thanks.

Hi, the gold-standard treatment would probably be a lower blepharoplasty or eye lift, as this will make a real difference to the look of your face. Some skin tightening treatments such as radiofrequency microneedling may help in this area, and strong ablative lasering would make a big difference but would need a lot of downtime to recover. Find a good oculoplastic surgeon for an opinion, and go from there.

I’ve recently lost weight and am so upset that the skin on my upper arms and stomach is loose and wrinkly. Can you please suggest a treatment to help tighten it or am I stuck with it? Thank you.

Hiya, TTG editor Georgia here. Have a look into Profhilo Body and radiofrequency microneedling. Both can do a great job at smoothing out wrinkly, crepey skin and tightening up laxity on the stomach and upper arms, but any tweakment can only do so much – it really depends on how loose the skin is. A combination of these may do the trick, but if it's very extreme, surgery may be the only way to completely get rid of it.

I’m looking to tighten my neck and jowls. Can you advise which gives the best results between the following treatments – Morpheus 8, Profound, and NeoGen Plasma? Also have you heard of Facetite (a fine probe in place under the skin to tighten).

Hiya, TTG editor Georgia here. What will give you the best result depends on your neck and jowls specifically – how much sagging you have, if it's skin or fat – and other factors like budget, how much downtime you're willing to deal with, etc. Morpheus8 and Profound are RF needling devices that can be used in a certain way to melt fat at the same time as tightening up the overlying skin via stimulating collagen production, but if there's a fair bit of fat in addition to skin laxity, you'd be better off going with Facetite because liposuction can be done at the same time. Find a great practitioner who can advise you what will be best for...

Could you please tell me what is the best eye cream for crepey under eye skin? I use ZO skincare but a No7 eye cream and it’s not helping.

Hiya, TTG editor Georgia here. Eye cream can help hydrate the area and reduce the appearance of that crepiness some of the way, but it won't eliminate it completely – for that, you'd need a tweakment like PRP, RF needling, or mesotherapy – something to build up collagen under the skin and smooth out its texture. Book in with a practitioner who specialises in the eye area and have a consultation to find out which is the best option for you. And you may want to try a new eye cream too – we really like both of these....