Actual RealSelf Patient Comment: I have skin laxity in the lower half of my face and neck. I am not willing to go under general anesthesia right now, so am weighing the best non-surgical options. Facetite is highly reviewed but mentions fat dissolving, as I am quite thin, I worry losing any fat would actually age me. Profound seems like another strong option. There are SO many rf treatments out there – which one would be best for my goal to get the most bang out of one session?

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Dr. Persky’s Reply: Both Profound RF and Facetite are excellent rejuvenation treatments. I agree with you that Facetite does dissolve fat. Facetite is also more invasive and has a much higher incidence of adverse events (un-evenness and scarring.) My preferred treatment for you would be a combination done at one treatment session. The treatment is performed in our office. In your case, I would treat your chin muscles with 8 units of Botox to smooth and project your chin. Patients are given 1 mg of Xanax upon arrival. Their face is washed and topical numbing cream is applied. A tube of blood is drawn, centrifuged, and the yellow plasma rich in platelets is set aside (PRP). Ten minutes prior to the beginning of treatment patients are given a weight appropriate does of Demerol and anti=-histamine, awake but drowsy and very comfortable. In thin patients I begin with local anesthetic nerve block injections followed by a facial foundation building deep treatment of Sculptra. The neck skin is too thin for Sculptra so I inject hyperdilute Radiesse throughout the neck to stimulate collagen production. This is followed by Profound RF from the forehead hairline down to the clavicles (entire face and neck.) At the end of the Profound RF treatment, since our patient is already numbed from forehead to clavicle, I then use a light to heavy laser treatment (depending on the patient’s desired result, a Fraxel CO2 repair or Fraxel Dual, for additional skin tightening and brown spot removal.) The recovery period is 5 to 7 days. This has been a fantastic rejuvenating treatment. Feel free to contact me with any further questions. Good luck and be well. Aloha!!!