SPA & Clinic Volume 87

Page 78

Technology

GETTING IN S hape Nadine Dilong chats to Dr Louis Wessels about the latest in minimally invasive body and face contouring.

Left: Before and 8 weeks after InMode FaceTite procedure on the neck by Dr Yumiko Kadota and Dr Louis Wessels

W

e all know liposuction as the gold standard for removing unwanted fat, but with our population increasingly interested in achieving not only a reduction of fat, but tightened skin, there are superior ways to treat your patients. We are now able to provide body results previously only achieved through more extensive excisional surgical procedures. Radiofrequency has emerged as a safe and reliable method for minimally invasive skin tightening in the face and body areas under local anesthesia, and is achieving outstanding results, whether as a standalone treatment, or combined with liposuction. “The demand for both body and face contouring procedures is at an all-time high, particularly during the pandemic when people have increasingly been prioritising their own self-care,” says Plastic Surgeon, Dr Louis Wessels from One Cosmetic. “In recent years skin tightening has been an important addition to liposuction. Depending on the location on the body and the skin quality, removing fat can leave loose skin behind. There are various devices that can tighten the skin, and our choice is radiofrequency (RF) technology by InMode,” he explains. “At One Cosmetic, we use the BodyTite workstation, which offers a number of different treatment functions. Firstly, Morpheus8 is a unique, fractional RF microneedling device which specifically targets the Fibro-Septal Network (FSN) to remodel collagen in the subdermal layers on the face and body. The other three functions use a subcutaneous probe, which provides a high level of safety through constantly measuring, monitoring, and control of both the internal and external temperatures, to deliver the radiofrequency – these are AccuTite, FaceTite and BodyTite. We typically use AccuTite for 78 | SPA+CLINIC

Right: Dr Louis Wessels

small areas of the face such as eyelids and lower face. FaceTite is appropriate for the neck. BodyTite is a larger probe for areas of the body like the arms and abdomen. The probes melt fat as well as provide skin tightening via collagen remodelling and three-dimensional contraction of the dermis, subdermal connective tissue matrix and deep fat” he explains. For patients with small amounts of fat, there is no need for more invasive liposuction, and the minimally invasive procedure can be done in-office under local anaesthesia. “Whether we use liposuction in addition to FaceTite and BodyTite, depends on the amount of fat a patient has. If the main concern is loose skin, then InMode alone is adequate. For a small amounts of fat InMode can melt the fat and this can be ‘milked’ out. However, for larger pockets of fat, we perform liposuction following the InMode procedure. Liposuction is made easier after InMode, as the fat has already been broken up by passing the probe under the skin and melting the fat,” says Dr Wessels. “We also offer fat grafting in a number of scenarios. The most popular option is fat grafting to the cleavage at breast surgery. We can also treat contour deformities or old scarred areas. Fat transfer is also popular for filling hip dips to create a softer curve.” But it’s not just body contouring that can be achieved with InMode’s devices. FaceTite and AccuTite offer small probes with precise heating technology to reach areas such as brows, peri-orbital, nasolabial fold, lower face, and the neck.

“Facial contouring often requires a multimodal approach depending on patient goals and their desired outcomes. For example, slimming and lifting of the lower face may require a combination of dermal fillers, muscle relaxant to the masseter muscle, buccal fat pad removal and skin tightening. Customising the treatment for each patient using a combination of techniques often leads to the high patient satisfaction,” says Dr Wessels. For Dr Wessels, there is no doubt using RF in combination with liposuction is the way forward. “InMode is our choice at One Cosmetic as it provides a superior result compared to liposuction alone for areas of the body that have thin, loose skin such as the neck and upper arms. Liposuction in isolation would not allow the skin to contract adequately after the procedure for those areas. BodyTite is a versatile workstation that is portable – this means we have been able to utilise it for both in-clinic treatment, as well as an adjunctive treatment in the operating theatre. InMode has also been used in labiaplasty procedures – it produces skin tightening for the labia majora,” he adds. To complement these procedures, or for those who aren’t ready for invasive treatments, InMode offers Morpheus8, the first and only FDA cleared and TGA listed fractional RF technology to provide deep 8mm subdermal adipose tissue remodelling. Depending on your patient, their concerns and desired results, InMode’s BodyTite, FaceTite, AccuTite, and Morpheus8 offer you a wide range of possibilities to achieve long term superior results in fat reduction and skin tightening with minimal downtime.