**1. Introduction**

The facelift growth rate has been relatively stagnant across the statistics monitored by American Association Esthetic Plastic Surgery, The American Academy of Cosmetic Surgery and the American Society of Dermatologic Surgery and Facial Plastic Surgery. The relatively *flat growth of excisional facelifts* bears witness to the

fact that many consumers and potential patients want a non-excisional option, even the results are less significant than an excisional facelift or an excisional skin tightening procedure. With the advances that have led to the development and FDA approval of products such as the FaceTite NeckTite and BodyTite, the non-excisional face/neck lift and lower lid, brow and cheek lift market, as well as the minimal excision or Non excisional Body shaping market is significant. Most esthetic plastic surgeons now offer a broad offering of non-invasive options such as microdermabrasion, skin care, intense pulsed light and other laser cutaneous enhancement treatments, often including non-evasive skin tightening, neuromodulators and fillers. At the end of this ascending stair-stepladder approach to skin and face rejuvenation, the next stop is usually an excisional facelift, mini-facelift, neck lift, blepharoplasty and/or body excisional procedures, such as inner-thigh lift, brachioplasty and mini-tummy tuck or abdominoplasty. The advent of significant radiofrequency-assisted lipocoagulation (RFAL) skin tightening techniques now offers plastic surgeons, facial plastic surgeons, surgical dermatologists and cosmetic physicians the opportunity to *offer patients a significant Facial or Neck skin tightening experience without excisional consequences of visible scars* (**Figure 1**). InMode's BodyTite, Embrace RF, Votiva and EmpowerRF workstations are true revenue empowering GAP procedures, driving patients that would not be interested in excisional facelift, blepharoplasty or neck lift surgery or patients undergoing excisional surgeries but require more contraction AND excision [1].

The skin tightening market, both face and body, is growing rapidly, but, until now, consumers have been limited to trans-epidermal technology such as radiofrequency devices, laser devices and high-frequency-focused ultrasound (HIFU) devices that offer *modest improvement* after two or three treatments with significant

#### **Figure 1.**

*Facial rejuvenation procedure ascending map of options as function of invasiveness, downtime, recovery, patient age and outcome. FaceTite fills the void between completely non-invasive injectables and energy-based devices and open facelift surgery.*

*Internal and External Radiofrequency Assisted Lipo-Coagulation (RFAL) in the Control of Soft… DOI: http://dx.doi.org/10.5772/intechopen.97031*

pain and expense. The advantage of FaceTite, AccuTite and the Morpheus 8 is the ability to offer patients a single-treatment, non-excisional Facial rejuvenation and tightening procedure, under local anesthesia with significant soft tissue tightening outcomes. Of course, the BodyTite, FaceTite, AccuTite and the Morpheus 8 can also be combined with mini excisions or lateral-based excisions of the face, or mini skin-only tummy tucks, or axillary arm lifts or mini-inner thigh lifts to enhance and improve the result, but the prime market opportunity is not the improvement of one's open facelift or body excisional techniques, which is important, but to access patients that are looking for a significant but non-excisional surgical experience. However, it would be more appealing and versatile to offer patients the same RFAL adipose contraction concept but from outside.
