Surgical neck lifts are facing some serious competition from two new radio-frequency devices that are far less invasive. ThermiTight, which both melts fat and tightens skin, delivers double-chin-eliminating radio-wave energy via a 2-mm-thick probe, which is inserted beneath the skin through a tiny incision and then slowly fanned back and forth. According to New York–based dermatologist Francesca Fusco, MD, the machine’s heat-sensing monitors allow for “a great deal of control over the temperature,” which translates to ultraprecise sculpting. Local anesthetic is required during the treatment; afterward, patients can expect three days of bandages, along with bruising, swelling, and tenderness. Improvements in wattles are apparent in the first few days, with full results seen after three months.
To tackle another hallmark of neck aging, crepiness, derms are using a handset that channels RF waves through hair-thin microneedles to resurface the skin. EndyMed Intensif “delivers focal dermal radio-frequency heating with minimal disruption of the overlying skin” on all parts of the neck, Gilbert says. “This results in tightening and also collagen and elastin synthesis in the dermis.” Even after one treatment, most patients experience significant smoothing of tissue-paper-like texture. The device can be used on a full range of skin tones, and is “reliable and predictable in its results,” says New York dermatologist Doris Day, MD.