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Catinis et al. Plast Aesthet Res 2020;7:9 Plastic and
DOI: 10.20517/2347-9264.2019.68 Aesthetic Research

Review Open Access

The benefit of combined radiofrequency and
ultrasound to enhance surgical and nonsurgical

outcomes for the face and neck

Christine A. Catinis , Suneel Chilukuri
2
1
1 Department of Medicine, Louisiana State University School of Medicine, New Orleans, LA 70112, USA.
2 Refresh Dermatology, Department of Dermatology, Baylor College of Medicine, Houston, TX 77081, USA.

Correspondence to: Prof. Suneel Chilukuri, Refresh Dermatology, Department of Dermatology, Baylor College of Medicine, Houston,
TX 77081, USA. E-mail: chilukuri@refreshdermatology.com

How to cite this article: Catinis CA, Chilukuri S. The benefit of combined radiofrequency and ultrasound to enhance surgical and nonsurgical
outcomes for the face and neck. Plast Aesthet Res 2020;7:9. http://dx.doi.org/10.20517/2347-9264.2019.68

Received: 4 Dec 2019 First Decision: 27 Dec 2019 Revised: 6 Feb 2020 Accepted: 20 Feb 2020 Published: 28 Feb 2020
Science Editors: John Yousif Kai, O. Kaye Copy Editor: Jing-Wen Zhang Production Editor: Tian Zhang

Abstract
As people live longer and stay healthier, many want to look as youthful as they feel. The general population continues
to explore nonsurgical options to augment and possibly delay traditional rhytidectomy. Herein, we present a unique
nonsurgical option to enhance our current modalities of neuromodulators and fillers commonly used on the face and
neck. In addition, we discuss the ideal application of this technology including treatment times and intervals between
treatments.

Keywords: Facelift, neck lift, nonsurgical, radiofrequency, ultrasound, fillers, Botox, neurotoxin

INTRODUCTION
Perhaps one of the most noticeable indicators of a person’s age is the appearance of one’s skin, particularly
of the face and neck. Aging skin progressively becomes more wrinkled due to a loss of elasticity and volume
over time. Other physical manifestations include uneven texture and discoloration due to sun damage. The
increase in skin laxity is multifactorial and can be attributed to intrinsic factors, such as genetics, as well as
extrinsic factors, such as UV exposure, gravity, and tobacco use .
[1]
Physicians have traditionally relied on invasive procedures such as surgery and ablative skin resurfacing
to combat the unwanted effects of skin aging. Over the last decade, however, noninvasive techniques have

© The Author(s) 2020. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use,
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