**8.5 The procedure**

The procedure was performed in the office Under local anesthesia, tumescent infiltration and oral sedation.

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

#### **Figure 21.**

*BodyTite RFAL and Morpheus8 results performed on a post CoolSculpting abdominal paradoxical adipose hyperplasia.*

#### **Figure 22.**

*Patient presented with periocular aging, laxity and rhytids along with pan-facial and cervical descent, rhytids and laxity. Her desire was a non-excisional face and neck tightening, wrinkles reduction, along with a skin pinch upper lid blepharoplasty.*

**Periocular:** The Accutite was used in the supraorbital brow, upper and lower lid. The supra-orbicularis plane and sub-frontalis plane was used in the brow, above the orbicularis in the upper lid and above and below the orbicularis in the lower lid. The Morpheus Prime was used on the upper and lower lid skin The Morpheus 24 pin was used on the brow skin. **Settings:** The AccuTite was set at 40/70 degrees Celsius skin and deep thermal cut-off 's and the Morpheus8 Prime and 24 pin at 4 mm/3 mm/2 mm using 45 mj/pin. A limited extension, 6 mm skin pinch upper lid blepharoplasty was performed after the AccuTite and the Morpheus resurfacing tip used for 3 passes on the lower lid skin at 30 mj/pin

**Perioral and Cheek:** The AccuTite 40/70 degrees Celsius cut-off was used overtop and lateral to the Nasolabial fold, the labio-mental fold and jowl. Stamping and moving techniques were uses. The Morpheus8, 24 pin tip was used across the cheek and perioral skin using 3 passes at 4 mm/3 mm/2 mm with the resurfacing tip at the end at 30 mj/pin

**The Jawline and Neck:** The FaceTite 40/70 degrees Celsius cut-off was used on the jawline and jowl, sub-mentum and neck followed by modest aspiration using a 1.8 mm microcannula. Following the FaceTite the Morpheus8 Body applicator in BURST mode one pass at 7 mm/5 mm/3 mm and a second pass at 6 mm/4 mm/2 mm, each with 30 mj/pin was performed.

**One pass of IPL** was performed on the face and neck at the end of the procedure to help with the dyschromia using the Lumecca 515 nm handpiece and 14 j/cm2 and a 10 ms pulse duration

The postoperative care consisted of skin cleaning with tepid water and Aquaphor.

The patient was ready in make up at 2 weeks and very pleased with her results (**Figure 23**).

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

#### **Figure 23.**

*A patient underwent a combined procedure with FaceTite and Morphesu 8 burst o the neck and jawline, following by aspiration of the submentum and jowl. Good soft tissue lipocoagulation and contraction was achieved. AccuTite RFAL and Morpheus 8 was performed in the perioral, lower lid, upper lid and brow region with no aspiration but good lipocontraction and elastotic wrinkle reduction. A skin pinch upper lid blepharoplasty was performed in conjunction with the AccuTite and M8.*
