Radiofrequency (RF) body contouring uses electromagnetic energy to heat tissue deep beneath the skin's surface for fat reduction and skin tightening. RF energy causes oscillation of molecules which generates heat between 3-6 electrodes, heating superficial and deep layers up to 20mm below the skin. This heat causes fat cells to release fatty acids and shrink, reducing fat and circumference while renewing collagen for skin tightening. Proper treatment raises the skin temperature to 40-42°C and monitors patient tolerance to achieve these effects safely and with minimal side effects.

1. Radio Frequency Body
Contouring

2.  Radiofrequency (RF) has been used safely and
effectively in medicine for over 75 years
 RF technology has been used for:
 Skin tightening & wrinkle reduction
 Fat reduction & body sculpting
 RF energy heats skin tissue deep from within, while
protecting the epidermis.
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3.  RF is a form of electromagnetic energy.
 RF has long wavelengths and travel at the speed of
light
 When applied to tissue it produces electromagnetic
fields,
 causing oscillation of molecules within the tissue,
 Causing the generation of heat
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4. RF Body Contouring
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5. Existing Technology
Mono-Polar
Bi-Polar (using 2 or 4 electrodes)
Tri-Polar (using 3 or 6 electrodes)
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6.  RF energy flows between 3 or 6
electrodes
 Penetration depth is controlled
and limited to treatment area
only
 Heats superficial (dermal) and
deep (hypodermal) layers- up to
20mm below the skin’s surface.
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7.  RF Body Contouring RF energy:
◦ Is focused under the electrodes for
effective treatments
◦ Has high power density for immediate
results visible from 1st treatment and
proven long-lasting results.
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8.  RF Body Contouring RF energy:
◦ Has low power consumption leading to patients
reporting a very pleasant treatment experience
◦ Uses 1 MHz frequency: safe and effective for
collagen remodeling
◦ Has patient controlled manual switch to ensure
maximum safety
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9.  RF Body Contouring RF energy:
◦ No need for skin cooling and safe for all
skin types
◦ Does not does not affect pigmentation
◦ Non-invasive
◦ Feels like a warm massage
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10.  Accumulation of Fat
◦ Enlarged fat cells in the hypodermis push
the dermis and epidermis layers against
the fibrous connective tissue, creating
cellulite condition.
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11.  RF Body Contouring Treatment
◦ Selectively heats the fat cells in the deep and
superficial adipose layers simultaneously.
◦ Heating the fat cells increases their metabolism
and forces them to secrete fatty acids (liquid fat)
into the surrounding extra-cellular space and on
to the blood and lymph system.
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12.  RF Body Contouring Treatment
Results:
◦ Fat cells release the liquid fat (fatty acids)
and shrink resulting in:
 Fat and circumference reduction
 Cellulite reduction
 Collagen renewal and skin tightening
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17.  Combining RF Body Contouring
◦ Invasive/ablative procedures – 1-3 months or
until healed
◦ Botox – 2 weeks
◦ Natural fillers – 3-4 weeks
◦ Mesotherapy – depends on healing
◦ Superficial and light peels – 2 weeks
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18.  Combining RF Body Contouring
◦ Fractional Laser: 1 month or until complete
healing
◦ Ultrasound, LED devices – 24 hours
◦ Laser, IPL procedures – 1-2 weeks
◦ Synthetic fillers, gold/plastic thread: not
recommended to combine
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19.  Pre-Treatment Contraindications
◦ Under 18 years old
◦ Pacemaker or internal defibrillator, implanted
neurostimulators or any other internal electric
device
◦ Metal implants in the treatment area
◦ Pregnancy or nursing
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20.  Pre-Treatment Contraindications
◦ Current or history of cancer, especially skin
cancer, or pre-malignant moles
◦ Impaired immune system due to
immunosuppressive diseases such as AIDS and
HIV, or use of immunosuppressive medications
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21.  Pre-Treatment Contraindications
◦ Severe concurrent conditions such as cardiac
disorders, epilepsy or lupus
◦ Poorly controlled endocrine disorders, such as
diabetes
◦ History of bleeding coagulopathies, or use of
anticoagulants
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22.  Pre-Treatment Contraindications
◦ Patients whose condition could be negatively
affected by heat. (ex. Recurrent Herpes Simplex
in treatment area– prophylactic treatment)
◦ Patients having diminished or exaggerated
perception of temperature changes
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23.  Pre-Treatment Contraindications
◦ Sores, hemorrhages or risk of hemorrhages,
septic conditions, psoriasis, eczema and rash and
excessively/freshly tanned skin
◦ History of skin disorders such as keloid scarring,
abnormal would healing, as well as very dry and
fragile skin
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24.  Pre-Treatment Contraindications
◦ Any surgical, invasive, ablative procedure
in the treatment area before complete
healing
◦ Any condition which might make it unsafe
for the patient
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25.  Additional Precautions
◦ Patients taking medications, supplements, or
herbs that might cause fragile skin or impaired
skin healing such as prolonged steroid regime,
Accutane, tetracycline, or St. John’s Wort.
◦ Condition that impede wound healing
◦ Have patient ask their physician when uncertain
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26.  Pre-Treatment
◦ Detailed patient medical history
including previous treatment
methods
◦ Determine if patient is suitable for
treatment
◦ Inform the patient of typical
treatment results and possible
adverse effects
◦ Accurate patient expectations
◦ Consent forms
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27.  Always record
◦ Patient treatment and response of tissue
◦ Before and after photos
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28.  Possible side effects
◦ Pain
◦ Excessive skin redness
◦ Damage to natural skin texture (burn,
blister)
◦ Excessive swelling
◦ Fragile skin
◦ Bruising
◦ Itching
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29.  Prepare the treatment area:
◦ Ask the patient to remove jewelry
◦ Cleanse and dry area
◦ Lubricate area with Glycerin
◦ Give patient the manual switch and explain usage
◦ Measure a baseline skin temperature
measurement
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30.  Treatment
◦ Lubricate the skin with Glycerin
◦ Areas with hair need extra Glycerin
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32.  Treatment
◦ Goal is to increase the skin surface temperature
and create a thermal effect
◦ During treatment, raise the temp in the work area
40-42 degrees Celsius and maintain for default
time
◦ Move to the next work areas but incorporate the
previously treated areas sustaining heat
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33.  Treatment
◦ Use slow continuous movements
◦ Circular, elliptical or figure 8 movements
◦ Do not stop the movement as this may cause
over-heating and potential burn.
◦ Monitor patent’s tolerance and discomfort
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34.  Treatment
◦ Adjust the power settings accordingly
◦ If the patient complains about excessive heat
then it is better to reduce the power level than to
move faster
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35.  Treatment
◦ Monitor heat sensation verbally &
regularly
◦ Never exceed 45 degrees Celsius
◦ After 1 minute of treatment, if skin temp
does not increase by additional 4
degrees, power should be increased
again by 2 units
◦ After 1 more minute, if skin temp does
not increase by additional 4 degrees,
power should be increased again by 2
units
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36.  Treatment
◦ Endpoint temp is typically achieved after about 5
minutes of treatment
◦ Check patient’s skin temperature periodically
throughout treatment by using a non-contact
infra-red thermometer placed a few centimeters
above the skin
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37.  After Treatment
◦ Clean applicators with alcohol.
Have Patient Drink a lot of water
Patient should exercise in the two
hours following treatment
High protien and low carb and low
sugar diet is best
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