Background: Radiofrequency (RF) energy promotes skin renewal by inducing tissue
remodeling through dermal heating and neocollagenesis.
Aim: To evaluate the safety and effectiveness of a medical esthetic system that combines
simultaneously TriPollar® RF energy with Dynamic Muscle Activation (DMA™)
for improving facial skin tightness and wrinkles.
Methods: A prospective, open-label study. Eleven subjects (mean age, 43 years;
Fitzpatrick skin type II-IV) with Fitzpatrick Elastosis Scale (FES) score 3-6 were
treated. The participants underwent six weekly treatments. Effectiveness of the
treatments was evaluated at 1 and 3 months follow-ups after the last treatment,
using the FES and evaluator- and subject-rated Global Aesthetic Improvement Scale
(GAIS). Treatment safety and tolerance were evaluated as well. Pain was evaluated on
a visual analog scale (VAS) of 0-10.
Results: Treatment was safe, with minimal pain (VAS score less than 1), no adverse
events, and no downtime. At 1 and 3 months follow-up evaluation, mean physician-
rated FES statistically significantly improved from baseline (4.63 ± 0.88) by
2.27 ± 0.45 for both time points (P < .0001). According to investigator GAI scale at
3 months follow-up evaluations, 81.8% of patients were improved and 18.2% were
much improved in fine lines, wrinkles and skin tightness.
Conclusions: Treatment with RF TriPollar® combined with DMA™ is effective and
well-tolerated treatment for improving skin tightness and reducing wrinkles.