**6. The morpheus adipose fractional RFAL**

The Morpheus8 took the *"outside-in"* Fractora RFAL concept from the dermis and expanded the application and thermal targeting to the most important layer for body contouring, the adipose tissue and FSN. The Morpheus electrodes (pins) have 500 microns of uncoated electrode at the tip for the ablative RFAL energy. The fractional array range from 12 Pins on the Morpheus PRIME, 24 pin electrodes on the Morpheus BASIC to 40 pins on the Morpheus Body. The Morpheus body offers Fractional Adipose, thermal ablation and needle penetration depths of

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

#### **Figure 16.**

*Bipolar RF micro needling. The polymer coated needles protect the surface of the skin, but the RF current flows between very closely spaced electrodes, resulting in a very small area of tissue ablation compared to the massive aggregate soft tissue ablation, coagulation and contraction of the Morpheus family of fractional adipose applicators.*

#### **Figure 17.**

*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, charged side rail electrodes.*

2 mm, 3 mm, 4 mm, 5 mm, 6 mm, and 7 mm with thermal effect up to 8 mm for a BiFractional (horizontal and vertical adipose fractional effect) ability to ablate and coagulate adipose tissue from the *"outside in" (***Figure 17**). Like the RFAL minimally

#### **Figure 18.**

*The 24 pin Fractora tip, has needles that are 2500 microns in length and can be uncoated or coated. The 24-pin, 2500 micron coated needles have polymer coating along the proximal 2000 microns leaving the distal or last 500 microns uncoated. The coated portion spares the epidermal- dermal junction the thermal injury and allows very aggressive deep dermal fractional injuries and remodeling without the risk or fear of excessive superficial crater injuries and hypopigmentation or scaring. The 24-pin coated Fractora tip is called a "low epidermal impact" tip and is an important tool in deep tissue tightening and deep wrinkle and scar improvements.*

invasive applicators, and the dermal Fractora before it, with the Morpheus8, the RF energy flows from the deeply embedded array of needle electrodes to the return electrodes on the surface of the skin.

The Morpheus facilitates fractional adipose tissue ablation and coagulation as well as FSN contraction resulting volume reduction and tissue tightening. Safety is optimized by the contact and impedance monitoring that automatically control RF flow between the electrodes.

The Morpheus8 family of Adipose and Dermal fractional RFAL ablation have become the most successful and commonly use fractional ablative devices in the world.

In contrast to micro needling devices, the Fractora has needle electrode embedded to the depth up to 2.5 mm and external electrode applied to the skin surface above the needles. All pin electrodes have the same polarity and release deep dermal ablative energy that then flows up to the return electrodes located on the skin. These large arrays of intradermal positive electrodes create multiple, zones of dermal ablation around each of the individual needle electrode. In addition to these zones of ablation, there is a large zone of non- ablative dermal coagulation and then finally, a large region of non-coagulative dermal tissue heating stretched toward skin surface (**Figure 18**). The Fractora was very effective, but only harnessed the power of dermal contraction and not the FSN or adipose tissue, like the AccuTite, FaceTite or Bodytite.

### **7. Clinical applications of the morpheus burst**

The Morpheus BURST has greatly enhanced our ability to shape, contour, coagulate and contract tissue using the RFAL from the outside in.

#### **7.1 Morpheus burst body**

I will use Morpheus BODY and BURST to treat large zone body contouring from the outside in with a single pass, often in combination with RFAL BodyTite *Internal and External Radiofrequency Assisted Lipo-Coagulation (RFAL) in the Control of Soft… DOI: http://dx.doi.org/10.5772/intechopen.97031*

**Figure 19***.*

*The Morpheus BURST is very effective at fat reduction, soft tissue tightening and cellulite reduction in zones all over the body.*

treatment. The Morphus Burst can be used on thicker necks and jawlines, but the Morpheus 24 pin Face (black handpiece), 12 pin Prime and 60 pin resurfacing tip are more common on the Face itself (**Figure 19**).
