6. FaceTite

The FaceTite® is a very small RFAL applicator, designed for the neck, jawline, face and very small body contouring areas and is great for small secondary liposuction enhancements where fibrofatty tissue, which is like cement, can be anticipated (Figures 14, 15).

In both the USA and Internationally, the FaceTite® hand piece is 1.2 mm in diameter ˜ 10 cm long and is a solid, non-aspirating electrode (even internationally). The distance between the internal and external electrode is controlled by pinching the electrodes together to create the desired interelectrode distance, rather than a fixed dial, prior to entering the subcutaneous fat. Again, super-wet tumescent fluid is infiltrated prior to treatment (Figure 15).

Using the protocols and parameters listed below, excellent results can be achieved tightening along the jawline and neck and small body contouring areas. The treatment of the jawline, submentum and neck can be performed using a three port approach, with a single submental port accessing the submentum and neck for

Figure 14. Areas of the face and neck that can be treated with the FaceTite® and AccuTite®.

Figure 15. The FaceTite® applicator.

RFAL and aspiration. Two more lateral ports are used to thermocoagulate and tighten each jowls and jawline. These Jawline and jowl ports can be either at the inferior border of the mandible at the lateral aspects of the submental crease on either side, or, through a sub-lobular port (Figure 16).

Figure 16. The FaceTite® RFAL approach to the submentum, neck and jawline.

Keep the internal electrode of the FaceTite® above the SMAS and platysma, working in the very superficial fat, to protect injury to the marginal mandibular branch of the facial nerve.

BodyTite®: The Science and Art of Radiofrequency Assisted Lipocoagulation (RFAL)… DOI: http://dx.doi.org/10.5772/intechopen.83446

When working over the jawline, the FaceTite® physician must ensure that the internal electrode is above the SMAS and platysma, in the subcutaneous space to minimize the risk to the facial nerve. Because the RF flow is from the internal

#### Figure 18.

For skin tightening and contraction, the FaceTite is passed with the superficial fat just under the dermis. Always leave 3–6 mm of fat between the internal electrode and the dermis. Adipose coagulation and dermal remodeling lead to tightening of the skin. Aspiration may or may not be performed depending upon the area.

#### Figure 19.

The FaceTite® can be used superficially to deliver skin tightening without aspiration (jawline) or within the jowl, submental and neck fat and modest aspiration performed after for contour.

#### Figure 20.

The FaceTite® and AccuTite® can fill the gap in therapeutic options between more aggressive excisional procedures, like a facelift and the completely noninvasive external energy-based device (EBD) treatments and injectables.

electrode up to the external electrode, there is a "thermal containment" which is not present in other mono-probe systems, minimizing a thermal neuropraxia of the marginal mandibular branch of the facial nerve (Figure 17).

When performing RFAL along the jawline, the FaceTite RFAL lipocoagulation is executed using a slow moving and/or stamping technique within the superficial fat, just under the dermis (Figure 18). Always leave 3–5 mm of fat between the internal electrode and the dermis. The thermal endpoints are 69° in the superficial fat (US systems), a popping sound (International) and a skin cut off temperature of 38–40°. The FaceTite® can be performed just under the skin of the jawline and jowl to create significant skin tightening and firming of the jawline with reduction of the Jowl. Minimal or even no suction may be used in this region.

When using the FaceTite in the submentum and neck, the internal electrode is passed through the submental fat pad, coagulating the adipose and delivering soft tissue contraction with deep endpoints being 69° (USA) or popping (International) and the skin temperature is brought to 38–40° (Figure 19). In the submentum and neck, suction aspiration is performed after the heating if there is a fatty deposit.

The FaceTite® and the newer AccuTite® can provide the liposuction surgeon with a procedure that "bridges the gap" between non-invasive face and skin tightening and the more invasive excisional procedures like a facelift (Figures 20, 21).

The FaceTite ®can also be used for small, focal liposuction body zones with little fat, to ensure soft tissue contraction prior to aspiration. Zones such as the upper arms, inner thighs, upper abdomen, as well as the jawline and neck as easily treated with the FaceTite®.

BodyTite®: The Science and Art of Radiofrequency Assisted Lipocoagulation (RFAL)… DOI: http://dx.doi.org/10.5772/intechopen.83446

Figure 21.

Top panel is FaceTite® of the jawline and jowl, with FaceTite® and Morpheus of the neck. Bottom panel is FaceTite® and liposuction of the submentum and neck.
