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Page 6 of 7 Catinis et al. Plast Aesthet Res 2020;7:9 I http://dx.doi.org/10.20517/2347-9264.2019.68

and elastin improvement. Future prospective studies with double-blinded investigators are indicated. In
addition, there are numerous devices that may improve skin quality. Direct comparisons to these devices
may be useful for physicians and health care providers.

We found this revised treatment protocol provides significant improvement in combating age-related
changes in the face and neck, as a primary treatment, as post-surgical maintenance, and/or as enhancement
to neuromodulators and fillers. The advantage of this device is that there is no down time, as seen with
ablative lasers. However, in those patients with deep rhytids and severe actinic damage, laser resurfacing
may be utilized first and the combined RF/US can be used to consistently enhance and maintain results. As
with all aesthetic medicine, protocols should be customized to best benefit the patient.

DECLARATIONS
Authors’ contributions
Made substantial contributions to conception and design of the study and performed data analysis and
interpretation: Chilukuri S
Drafted the article and revised it critically for important intellectual content: Catinis CA

Availability of data and materials
Not applicable.

Financial support and sponsorship
None.

Conflicts of interest
Both authors declared that there are no conflicts of interest.

Ethical approval and consent to participate
Not applicable.

Consent for publication
Consent was obtained for all patients.

Copyright
© The Author(s) 2020.

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