The development of nonablative monopolar capacitive radiofrequency technology (ThermaCool System, Thermage, Inc., Hayward, California) has contributed to the noninvasive trend in facial skin rejuvenation. In contrast to traditional ablative resurfacing techniques, the ThermaCool System protects the skin surface from injury while selectively heating the underlying dermis. Preservation of epidermal integrity minimizes recovery and the risk of complications. Published clinical evidence documents the efficacy of monopolar capacitive radiofrequency skin tightening and supports its use for mild to moderate facial skin laxity and rhytides. Currently, monopolar capacitive radiofrequency represents the gold standard of treatments designed to tighten skin in a noninvasive fashion.
aFacial Plastic and Reconstructive Surgery, Department of Otolaryngology—Head and Neck Surgery, New York Medical College, 40 Sunshine Cottage Road, Valhalla, NY 10595, USA
bFacial Plastic, Reconstructive & Laser Surgery, PLLC, P.O. Box 2179, Poughkeepsie, NY 12601, USA
cDepartment of Otolaryngology—Head and Neck Surgery, New York Eye & Ear Infirmary, 6th Floor, 310 East 14th Street, New York, NY 10003, USA
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