A Retrospective Evaluation of Subsurface Monopolar Radiofrequency for Lifting of the Face, Neck, and Jawline

Dermatol Surg. 2016 Nov;42(11):1261-1265. doi: 10.1097/DSS.0000000000000858.


Background: Subsurface monopolar radiofrequency (SMRF) has emerged as a new method for reducing skin laxity via the controlled delivery of thermal energy below the skin using a radiofrequency probe.

Objective: To evaluate the overall efficacy of the treatment and satisfaction ratings of subjects who underwent a single SMRF treatment to the face, neck, or jawline (or some combination).

Materials and methods: A retrospective, single-center study was conducted in which data were obtained via subject follow-ups at 90 and 180 days posttreatment.

Results: A total of 35 subjects, 6 men and 29 women, underwent a single SMRF treatment. Overall, 77% of subjects reported improvement, and 64% reported satisfaction with the treatment site at Day 180 posttreatment.

Conclusion: Subsurface monopolar radiofrequency represents an effective modality to achieve skin tightening of the face, neck, and jawline. The data suggest that there is an energy delivery threshold, above which a higher percentage of subjects report satisfaction. Analysis of treatments parameters suggests an optimal treatment time and tissue temperature that should be achieved to maximize results.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Cosmetic Techniques*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Radio Waves*
  • Retrospective Studies
  • Rhytidoplasty / methods*
  • Skin Aging
  • Treatment Outcome