{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T07:53:06Z","timestamp":1777362786591,"version":"3.51.4"},"reference-count":12,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,11,17]],"date-time":"2020-11-17T00:00:00Z","timestamp":1605571200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>A subset of facelift patients have premature redevelopment of skin laxity in the lower face and neck. Many patients seek alternatives to revision facelifts to avoid high risks and costs. Radiofrequency\u2010assisted lipolysis (RFAL) with Radiofrequency (RF) microneedling may be alternative minimally invasive options.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective\/Aim<\/jats:title><jats:p>To evaluate the efficacy of radiofrequency energy devices for treatment of premature jowl and neck skin laxity following facialplasty.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is a single\u2010center, prospective study of patients seeking treatment for jowl and neck skin laxity 1\u20105\u00a0years following facialplasty. Treatment was performed with the InMode radiofrequency AccuTite<jats:sup>\u00ae<\/jats:sup> and Morpheus8<jats:sup>\u00ae<\/jats:sup> systems. Study duration was 12\u00a0months with 6\u00a0months of follow\u2010up. Endpoints included improvement in skin tightening assessed by blinded investigators, and investigator and subject assessment of skin appearance. Subjects also rated satisfaction with treatment and pain levels.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study protocol was completed by nine patients. Based on investigator evaluations, 33% had marked improvement at 3\u00a0months, which increased to 55% at 6\u2010month postprocedure. Patient\u2010reported improvement was \u201cmarkedly improved\u201d in 67%, \u201cmoderate improvement\u201d in 11%, and \u201cslight improvement\u201d in 22% at 3\u00a0months. Overall patient satisfaction was rated as \u201cvery satisfied\u201d by 33% and \u201csatisfied\u201d by 67% at 3\u00a0months. There were no adverse events reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The results of this study provide supporting evidence that RFAL technology can provide a safe, minimally invasive, and effective treatment for skin laxity in the jowls and neck in patients who desire further correction after undergoing primary facelift.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocd.13824","type":"journal-article","created":{"date-parts":[[2020,10,31]],"date-time":"2020-10-31T08:40:43Z","timestamp":1604133643000},"page":"93-98","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["The use of radiofrequency\u2010assisted lipolysis with radiofrequency microneedling in premature jowl and neck laxity following facialplasty"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6969-9548","authenticated-orcid":false,"given":"Daniel","family":"Demesh","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery Division of Facial Plastic &amp; Reconstructive Surgery University of Illinois at Chicago Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert T.","family":"Cristel","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery Division of Facial Plastic &amp; Reconstructive Surgery University of Illinois at Chicago Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5088-7995","authenticated-orcid":false,"given":"Nimit D.","family":"Gandhi","sequence":"additional","affiliation":[{"name":"DeNova Research Chicago IL USA"},{"name":"Chicago Center for Facial Plastic Surgery Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eljona","family":"Kola","sequence":"additional","affiliation":[{"name":"DeNova Research Chicago IL USA"},{"name":"Chicago Center for Facial Plastic Surgery Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven H.","family":"Dayan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery Division of Facial Plastic &amp; Reconstructive Surgery University of Illinois at Chicago Chicago IL USA"},{"name":"DeNova Research Chicago IL USA"},{"name":"Chicago Center for Facial Plastic Surgery Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,11,17]]},"reference":[{"issue":"6","key":"e_1_2_6_2_1","doi-asserted-by":"crossref","first-page":"1317","DOI":"10.1097\/PRS.0b013e31826d9f7f","article-title":"How long does a face lift last? Objective and subjective measurements over a 5\u2010year period","volume":"130","author":"Jones BM","year":"2012","journal-title":"Plastic Reconstr Surg J"},{"issue":"1","key":"e_1_2_6_3_1","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1097\/PRS.0b013e3182362b55","article-title":"Long\u2010term results of face lift surgery: patient photographs compared with patient satisfaction ratings","volume":"129","author":"Liu TS","year":"2012","journal-title":"Plastic Reconstr Surg J"},{"issue":"2947","key":"e_1_2_6_4_1","first-page":"1","article-title":"Revision and secondary facelift: problems frequently encountered","volume":"8","author":"Skouras GA","year":"2020","journal-title":"PRS Global Open"},{"issue":"4","key":"e_1_2_6_5_1","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1007\/s00266-011-9846-1","article-title":"Radiofrequency\u2010assisted liposuction device for body contouring: 97 patients under local anesthesia","volume":"36","author":"Theodorou SJ","year":"2011","journal-title":"Aesthetic Plast Surg"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-010-9564-0"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cps.2013.09.002"},{"issue":"7","key":"e_1_2_6_8_1","doi-asserted-by":"crossref","first-page":"e459","DOI":"10.1097\/GOX.0000000000000429","article-title":"Radiofrequency\u2010assisted liposuction compared with aggressive superficial, subdermal liposuction of the arms: a bilateral quantitative comparison","volume":"3","author":"Chia CT","year":"2015","journal-title":"Plast Reconstr Surg Glob Open"},{"issue":"2","key":"e_1_2_6_9_1","doi-asserted-by":"crossref","first-page":"S74","DOI":"10.1093\/asj\/sjy037","article-title":"Soft tissue contraction in body contouring with radiofrequency\u2010assisted liposuction: a treatment gap solution","volume":"38","author":"Theodorou SJ","year":"2018","journal-title":"Aesth Surg J"},{"key":"e_1_2_6_10_1","first-page":"8845","article-title":"Non\u2010excisional face and neck tightening using a novel subdermal radiofrequency thermocoagulative device","volume":"1","author":"Ahn DH","year":"2011","journal-title":"J Cosmet Dermatol Sci Appl"},{"key":"e_1_2_6_11_1","article-title":"Face expressive lifting (FEL): an original surgical concept combined with bipolar radiofrequency","author":"Divaris M","year":"2013","journal-title":"Eur J Plast Surg"},{"issue":"8","key":"e_1_2_6_12_1","doi-asserted-by":"crossref","first-page":"e850","DOI":"10.1097\/GOX.0000000000000809","article-title":"Radiofrequency\u2010assisted liposuction for neck and lower face adipodermal remodelling and contouring","volume":"4","author":"Keramidas E","year":"2016","journal-title":"Plast Reconstr Surg Glob Open"},{"issue":"53","key":"e_1_2_6_13_1","first-page":"5112","article-title":"Adjustable depth fractional radiofrequency combined with bipolar radiofrequency: a minimally invasive combination treatment for skin laxity","volume":"39","author":"Dayan E","year":"2019","journal-title":"Aesthetic Plast Surg"}],"container-title":["Journal of Cosmetic Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocd.13824","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jocd.13824","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocd.13824","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,3]],"date-time":"2023-09-03T10:58:06Z","timestamp":1693738686000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocd.13824"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,17]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1111\/jocd.13824"],"URL":"https:\/\/doi.org\/10.1111\/jocd.13824","archive":["Portico"],"relation":{},"ISSN":["1473-2130","1473-2165"],"issn-type":[{"value":"1473-2130","type":"print"},{"value":"1473-2165","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,17]]},"assertion":[{"value":"2020-07-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-10-15","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-11-17","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}