**3.3 Horizontal and vertical sequential fractional coagulation and tightening**

The Morpheus user has the capability to set the depth the Pins to different levels within the fat, that creating a **vertical and horizontal** fractional coagulative matrix. By sending the pin-electrodes into *different levels* of the superficial, subdermal

#### **Figure 7.**

*The Morpheus releases RF energy from the positively charged tip, embedded in the fat, leading to RFAL like coagulation of the superficial fat and tightening of the bands (Fibroseptal bands or Fibroseptal network FSN) that determine skin tautness and, with the FSN contraction there is a very strong contraction and tightening of the skin. The RF also flows back up the pin-electrode, to the negatively charged, triangular shaped external electrode (through which the pins-electrode protrude), heating the dermis and skin directly leading to new collagen and elastin.*

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

#### **Figure 8.**

*By performing multiple passes [2–3] at different pin-electrode depths, one can summate the FSN and adipose coagulation and contraction volume, resulting in more skin tightening and dermal remodeling.*

#### **Figure 9.**

*Multiple passes at different levels, results in a horizontal and vertical fractional remodeling of the adipose and FSN with dermal remodeling for optimal skin tightening and soft tissue contraction.*

fat, more volumetric fat coagulation and FSN contraction and recruitment occurs resulting in more effective soft tissue tightening. By performing several passes with the Morpheus, with the pins-electrodes propelled into the fat at different depths with each pass, optimal volumetric adipose RFAL like coagulation and FSN shortening can occur (**Figures 8**–**10**). Just like the sequential vertical FSN contraction that occurs by performed RFAL and BodyTite, FaceTite and AccuTite at multiple levels (see Part 1: Internal RFAL chapter and basic science) by performing Morpheus at multiple depths, you achieve a summative adipose and FSN coagulative effect with an enhanced degree of soft tissue contraction (**Figures 8**–**10**). After stimulation of the

#### **Figure 10.**

*Multiple variable depth vertical pass RFAL (left) and multiple, variable depth vertical pass Morpheus facilitate and amplified recruitment of the FSN contraction effect.*

FSN at multiple levels, on the most superficial settings, Level ONE, there is a direct sub-reticular dermal remodeling and direct skin tightening effect.

The Sandwich thermal contraction of the "INSIDE-OUT" RFAL BodyTite, FaceTite and AccuTite FSN adipose contraction handpieces, combined with the "OUTSIDE-IN" adipo-dermal contraction of the Morpheus affords the BodyTite physician unprecedented control of the **ENTIRE SOFT TISSUE ENVELOP** and is the reason why clinicians can achieve the kind of "scar less" skin tightening results that are best in class and without compare, as they optimize the outcomes for all those **FACE AND BODY GAP patients**, who need control of the adipose FSA (30–40% contraction) subdermal space and transdermal remodeling (20–30%)

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

and contraction, for a potential overall 60% Total Tissue Thermal contraction during enhanced liposuction [7–14].
