*5.4.2 Transdermal RF*

Examining quality of a patient's superficial skin is very important. Combining subcutaneous RF technology with transdermal RF devices can enhance the result even further. A number of such technologies exist. In our practice, (micro)needling RF with Fractora or Morpheus8 (InMode) or Profound (Candela Medical) can be used to enhance the final result. RF (micro)needling parameters have been described elsewhere [15] and are beyond the scope of this chapter. One to three treatment sessions may be required to achieve desired improvements in skin quality. The first RF (micro)needling treatment session may be performed concurrently with more invasive surgical procedures, including liposuction, with or without subdermal RF, and/or brachioplasty to optimize anesthesia and post treatment recovery. Generally, three to six weeks of recovery time are allowed between treatment sessions. When picking the right technology, multiple factors must be considered, including specific patient concerns, tone and texture of the skin, and Fitzpatrick skin type.
