How Radiofrequency Devices Work on Fine Lines and Wrinkles, and Why it's Not the Only Treatment

For more on Pelleve: prasadcosmetics...
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A 42-year-old lady says she is developing wrinkles around her eyes, and wants to know which radiofrequency device - Pellevé or Thermi - would be best for the delicate skin around the eyes.
New York oculoplastic and reconstructive surgeon Amiya Prasad, M.D. reviews her concerns in this video, explaining how Pelleve and Thermi are pretty much the same, but radiofrequency devices may not be the best or only solution to improve fine lines and wrinkles:
1:30 - Dr. Prasad details his background training in cosmetic oculofacial plastic and reconstructive surgery, as well as his experience as a skin rejuvenation specialist
3:12 - How radiofrequency devices work on the face
4:10 - How radiofrequency devices are often marketed without factoring in the skill of the practitioner using the device
5:16 - How Dr. Prasad counsels his patients when it comes to radiofrequency treatment, and what causes fine lines and wrinkles around the eyes
6:13 - How using Botox® or Dysport® in conjunction with radio frequency treatment can further resolve issues of lines and wrinkles
7:30 - How the body has certain limits and can generate only a certain amount of collagen with the treatment
9:06 - How there is no one solution for skin rejuvenation issues, and how more often than not, a combination treatment is better suited
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[@Name260812]

Hello Sir, almost everyone knows what ‘good’ looks like. You have so much knowledge and are also so articulate. You should write a book on all things ‘good looks’ - will be a No1 bestseller.

[@AmiyaPrasadMD]

Hi Name260812, Thank you for the compliment! I actually did write the book, “The Fine Art of Looking Younger”, which you find or download from Amazon. If you are wondering about my in-depth look at beauty and treating facial aging, look it up!

[@theresasmith1]

He's the best Plastic Surgeon which has a great personality to boot!🥳

[@AmiyaPrasadMD]

Thank you for your kind words, Blendor Art!

[@elvagurule5994]

Dr. Prasad, I am a licensed Esthetician and I try very prominently to research information on modalities I can use on my clients that will give them reasonable results. I need to know the concept of the use of Bipolar RF. Can you explain that to me? BTW your videos are so educational, they really inform exactly what the difference is between what an Esthetician can do as far as results and YOU as a Doctor can do. Which makes for a good explanation to my clients regarding realistic expectations and goals. Thank you!

[@AmiyaPrasadMD]

Hi Elva Gurule, Thank you for your kind words, and for watching! I don't use that particular device, but perhaps your supplier may have associated doctors who can train you on its use. I hope this helps you.

[@beatsg]

Hi Dr. Prasad, it sounds like you have a more holistic approach, I really appreciate that. I've really enjoyed your videos and learnt a lot! Greetings from Australia

[@AmiyaPrasadMD]

Thank you for your appreciation, beatsgliga! I'm glad you enjoy the videos, and find them educational. Thanks for watching, greetings from New York!

[@rachelnock2108]

That was the longest answer ever but thanks!

[@AmiyaPrasadMD]

You're welcome, Rachel Nock. I'm glad you found the video helpful, despite being a little long for you.

[@TheBeautyEntrepreneur]

this is true, if doing consistently you will achieve youthful skin

[@RK-su4hs]

RF generates collagen by virtue of tissue destruction And micro needling by virtue of perforation allowing vitamin products, prp to generate not just collagen but also elastin And no tissue destruction Therefore wouldn’t microneedling be preferable to RF & other laser treatments ?

[@AmiyaPrasadMD]

Hi @@RK-su4hs , You are mistaken as radiofrequency does not generate collagen by destroying tissue, and the main purpose of microneedling is not to allow other materials to penetrate. Both treatments work on a controlled injury model, where the body responds to injury by generating collagen. I hope this clarifies things for you.

[@wem-c9f]

Hi Dr Prasad, may I know if Pelleve on your website is actually the same as Thermage? I can't seem to find the hertz that is used in Thermage. May I know if you have any idea? Thank you Dr. :)

[@AmiyaPrasadMD]

Hi @Dandelion_flight, No, they are not the same as Pelleve is a radiofrequency treatment, and Thermage is high frequency ultrasound (HIFU). I don't use high frequency ultrasound in my practice as they heat too fast, and there is less control over temperature than radiofrequency, or laser devices. I hope this clarifies things for you.

[@wem-c9f]

@@AmiyaPrasadMD Hi Dr Prasad, thank you for taking time to reply me. I am a little confused. I thought that that Thermage is radiofrequency? In my understanding Ultherapy is ultrasound, the original before HIFU machines came out. At first I thought Pelleve is just alternate name used with Thermage your videos. I thought maybe Thermi is same as Thermage 😅😅. Does Pelleve work in the same way as some of the machines where it cools the epidermis but heats the deeper layers to help with tightening and collagen reproduction? Thank you.

[@AmiyaPrasadMD]

Hi@@wem-c9f, Sorry, my mistake. Thermage is a radiofrequency device, but I don't use it in my practice. It’s important to remember that the particular device does not determine results, or causes complications, but rather the experience and judgment of the doctor using the device. The device is just a tool, and it’s the doctor’s judgment using the tool that separates great results from ineffectiveness, or potential complications. You can refer to this video about it - kzbin.info/www/bejne/oYvYq2aGpLmcZqs

[@alexisgilgonzalez9268]

Excellent analysis. Congratulations.

[@AmiyaPrasadMD]

Thank you, @alexisgilgonzalez9268

[@goldenswallow5761]

Always love your educational videos! Please keep making more videos like this! Thank you!

[@AmiyaPrasadMD]

Thank you so much for watching, Golden Swallow! Yes, I will keep making videos to help people be more informed about cosmetic procedures, so they can make better decisions about them.

[@Centralvalleytoprealtor]

Hi Dr. I got PRP done and it left pigmentation on my skin. it took over 6 months to get better. is that normal. i am 43 yrs old. Looking for some treatment to youthful look. Please advise.

[@AmiyaPrasadMD]

Hi Manpreet Nagi, PRP should not cause pigmentation, but you may have had some bruising by hitting a blood vessel, depending on how it was injected by your doctor. You can refer to this video about facial aging procedures for people in their 40s - kzbin.info/www/bejne/mHPLgmehi892e6c

[@psychologicalvlog3292]

Hello doctor! what would happen to my face if you stop doing RF? Would my face get more wrinkles or saggy?Is it possible to do RF whenever I can or it has to do it regularly?

[@AmiyaPrasadMD]

Hi Geraldine Robinson, Radiofrequency treatment is not something you need to do constantly. Treatments are meant to help you look your best, but treatments do not stop facial aging, nor do they prevent the effects of environmental factors like excessive sun exposure or pollution, or lifestyle factors like diet or alcohol consumption. I hope this clarifies things for you.

[@psychologicalvlog3292]

@@AmiyaPrasadMD thank you so much, Doc. I appreciate your time for replying my message.

[@AmiyaPrasadMD]

You're welcome,@@psychologicalvlog3292

[@nathb3315]

Best doctor, how long those it takes and how many traetments do you need for result with radiofrequentie? Thank you loves Nathaliaxxx

[@AmiyaPrasadMD]

Hi Nath B, There are too many variables to give a number, such as the area you want treated, your age, the extent of the issue, skin type, other treatments used like PRP, etc. An examination is needed before your treatment plan can be approximated. I hope this helps you.

[@rajendraviews5528]

Sir I have melasma on my face What I do sir My age 28 I have take treatment INTENSE PULSED LIGHT OR CHEMICAL PEELING OR NON ABLATIVE RADIOFREQUENCY But no matter what I do, sir

[@AmiyaPrasadMD]

Hi Rajendra Verma, Melasma treatment may take more than one treatment session before you see results. You can refer to this video about how I treat it with lasers other than the ones you have mentioned - kzbin.info/www/bejne/hWXPqZ-PlJ6Uoa8

[@christinadelacroix2370]

IPL works great on my melasma

[@roshnijeswani9892]

thank you for the information i m going for the rf next week.

[@AmiyaPrasadMD]

You're welcome Roshni Jeswani! I hope it's the right procedure for you, and it works out well!

[@roshnijeswani9892]

+Amiya Prasad, M.D. yes indeed sir.

[@ebemchaebemcha4062]

Hii can you tell me the price of radio frequency

[@AmiyaPrasadMD]

Hi Ebemcha Ebemcha, We don’t have set costs for treatment as each patient has different needs, and some treatments are more extensive than others. You can contact our offices or our websites for a price range. Our offices are located in Manhattan, New York City which you can call at [phone]; Garden City, Long Island at [phone]; or Vienna, Virginia at [phone]. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.

[@flyingfox5640]

Very candid, straight forward advice! Appreciate the insights about "device" marketing directly to the public by manufacturers. Always thought there was more than one 'technology' that could be used to address a specific problem area, and that a sound strategy would be inclusive of a multi-modal approach. Thank you for being honest and direct! I wish I lived closer so I could schedule a consultation with your practice.

[@AmiyaPrasadMD]

Hi KM Kenngott, Thank you! It's important to approach cosmetic procedures from the solution to an individual's issue, not as a device that can help everyone. I hope you can find a doctor you feel comfortable with!

[@michedvzzz2058]

so true-i'm just impatiently waiting for a bank deposit & sorting a few other issues no need to currently go on about lol- that said i want to try an rf facial nearby, i think it looks like the best!

[@vocalofqueen5707]

Is mnrf with prp is good for dusky indian skin for mild fine lines and mild pigmentation

[@AmiyaPrasadMD]

Hi Vocal of Queen, I don't use radiofrequency microneedling in my practice, but I do perform these procedures separately. The best treatments for your skin, and the issues you want treated need to be determined with a physical examination. I hope this clarifies things for you.

[@tinaha6273]

HI Doctor, what kind of Non-Ablative laser skin tightening for the neck that you mention? Thanks

[@AmiyaPrasadMD]

Hi tina ha, You can see examples of it in these videos: kzbin.info/www/bejne/ZpSXdoSvfMyhiZI kzbin.info/www/bejne/fnywaIB9nZ1jiK8

[@eshaalalvi81]

Would radio frequency help with Malar bags?

[@AmiyaPrasadMD]

Hi eshaal alvi, Thermal treatments like radiofrequency, and lasers are generally not appropriate to treat malar bags. I hope this clarifies things for you.

[@eshaalalvi81]

@@AmiyaPrasadMD ok, thanks for your help. What would you recommend for them?

[@AmiyaPrasadMD]

Hi@@eshaalalvi81, Malar bags are particularly challenging to treat as they are often caused by fluid trapped in numerous small chambers. Depending on the cause, surgery may remove them, or they may need to be camouflaged so they are not so prominently seen. You can refer to these videos about it: kzbin.info/www/bejne/bny0XnWgbb10jZY kzbin.info/www/bejne/l5CXhaGOlKZjgKM

[@eric1467]

hi doc, can rf treatment help lessen nasolabial folds? and whick is better hifu or rf?

[@AmiyaPrasadMD]

Hi e, Nasolabial folds are more due to facial volume loss, and can be treated by enhancing facial volume. You can refer to these videos about it: kzbin.info/www/bejne/qHTNpoh3pMt4fLc kzbin.info/www/bejne/eGKsc5WHfZh7d7M

[@littlebeebs1]

Great video. But I am a little bit confused. I don’t feel like you discussed what radio frequency can do to help under the eyes. I understand that it takes multiple approaches. But I would love to know what radio frequency can do to benefit under the eyes. I have heard it can’t even be used near the eyes. But I see radio frequency, model, micro, needling All over KZbin. Some physicians use the scarlet model. I like to research all I can before I go to positions. Because many of the ones in my area want to market things to me that I personally don’t think would work for me based on my research. Can you please clarify if it is truly safe to use radio frequency, micro, needling, or regular frequency around the eyes. Thank you so much! I meant physicians. Not positions lol. Many physicians here we’ll just try to push you to do the Newest whatever machine they have. Or they will just recommend something that you can’t afford. That’s why I try to do my own research before going so that I am prepared when they recommend something.

[@AmiyaPrasadMD]

Hi @littlebeebs1, The treatments you mention like microneedling, which also include lasers, and radiofrequency are collagen induction therapies, which trigger the body to generate collagen to strengthen the skin. These work by creating a controlled injury to the skin, so the body generates collagen to heal the injury, and strengthen the skin. Radiofrequency, and laser treatments use heat to create an injury, but radiofrequency can be used in darker skin types that are prone to hyperpigmentation, hypopigmentation, and scarring from lasers, and microneedling. You can refer to these videos about different collagen induction therapies, and collagen induction therapies that can be used on darker skin more safely: kzbin.info/www/bejne/i6uxp6ekZbmrg8U kzbin.info/www/bejne/bpy3p5iVqap1l6s

[@ghofrane00]

Hello Dr. İm 34 yreas old and i didnt have a single wrinkle before, but after having a transconjunctival blepharoplasty 1 month ago..when i smile i look like im 75 years old.. whats yhe best way to get ride of theme.. is it fractional co2 laser? My skin is between medium and fair.. Thank you

[@AmiyaPrasadMD]

Hi Ghofrane E, Skin bunching that appear only when you smile are not actual wrinkles. However, it may be possible to still improve quality and thickness of your lower eyelid skin. You may not be able to completely get rid of them, but they may be improved. You can refer to these videos about the under eye area - kzbin.info/www/bejne/homwmYxvZbmFm68

[@sachchitnepal9179]

Hello Dr which technology is good for under eye dark circle?

[@AmiyaPrasadMD]

Hi Sachchit Nepal, While a physical examination is needed before making specific recommendations for you, these videos feature the ways I treat under eye dark circles in my practice: kzbin.info/www/bejne/h3PZm52srbWnaMk kzbin.info/www/bejne/iWfCn4eIp5ann9E kzbin.info/www/bejne/oIK4k2lth9WUd68 kzbin.info/www/bejne/iHmtoJeYaZhqpZY

[@poisonivy6477]

How long do the results last for?

[@AmiyaPrasadMD]

Hi Poison Ivy, Treatment can improve quality of the skin, which does last. However, treatment does not stop normal facial aging, nor can it prevent the effects of lifestyle factors like excessive sun exposure, diet, lack of sleep, etc. I hope this clarifies things for you.

[@MariaGarcia-nv8ek]

Thank you for all the information. My question is what wave is best for Mexican descent. Fitzpatrick 4-5, 42 yrs old minimal wrinkles, no sun damage, minimal post inflammatory hyper pigmentation from hormonal acne. Collage and elastin are good. The main concern is cheek acne scars not acne scoriee but looks close. Please advise. I can send picture to email.

[@AmiyaPrasadMD]

Hi Maria Garcia, There are several treatments available to help with acne scarring, from radiofrequency, microneedling, subcision, injectable fillers, PRP, and others. I can't say what's best for you until examining your skin and the type of scars you have. Also, treating acne scars may require more than one mode of treatment, and done over several sessions for best results. I hope this clarifies things for you.

[@macreviewz7187]

Mexican means nothing. Some are white, some are Spanish,some are actec / mayan (=asian).

[@chennae91]

@@macreviewz7187 that's why she mentioned her Fitzpatrick score

[@stelladalton-kirby315]

hi i am 76 years of age . i have a lot of wrinkles round my mouth and between my eyebrows. i am fine round my eyes. how high do i have the heat, and can i use this more than once a week?. by the way i am white British

[@AmiyaPrasadMD]

Hi stella dalton-kirby, I would have to examine your face before saying this is the right treatment for you, and the ideal temperature if it's the right treatment for you. These treatments do have to be spaced out for more than a week. If you have light skin, then there are more treatment options available for your skin type, such as lasers. Radiofrequency is often used for darker skin types as lasers can cause pigmentation issues in darker skin. I hope this clarifies things for you.

[@nikkicohen126]

Hi Dr Prasad. I'm a 40yr young Indian and due to years of eczema flare ups and eye rubbing, I have static under eye wrinkles. I don't want anything invasive but have heard radiofrequency microneedling can "improve" the look. Are you available to have consultations online? I'm from London UK

[@AmiyaPrasadMD]

Hi NIKKI COHEN, While I don't use radiofrequency microneedling in my practice, you can refer to this other video on the different options to treat under eye wrinkles - kzbin.info/www/bejne/homwmYxvZbmFm68 We do consultations online, but a consultation fee is required, but it can be fully applied to the cost of treatment. Our offices are located in Manhattan, New York City which you can call at [phone]; Garden City, Long Island at [phone]; or Vienna, Virginia at [phone]. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.

[@vibha.anand3856]

Hi doctor, RF dissolves fat slowly.. So is it safe to use around eyes,,, won't it cause hollowness? Is microneedling Rf good option for eye area for lines and wrinkles?

[@AmiyaPrasadMD]

Hi Aleesha Sayed, Radiofrequency does not dissolve fat when used with limited exposure. You can refer to this video about what I do for most cases of wrinkles under and around the eyes - kzbin.info/www/bejne/homwmYxvZbmFm68

[@SruthiRaghavan2002]

Is the rf harmful and can cause any disease?

[@AmiyaPrasadMD]

Hi Sruthi Raghavan, RF treatment will not cause a disease, but it's important to understand that results, or complications are determined by the judgment, experience, and skill of the doctor or practitioner using the device, not the device itself. I hope this clarifies things for you.

[@jthroo]

Can you get wrinkles after going to beach without sunscreen for long hours? Even if you do it only once would i still get wrinkles?

[@AmiyaPrasadMD]

Hi Anada Wan, Long-term photo damage/ photoaging is not likely to occur after being under the sun just once without protection, as it's more of a cumulative issue. I hope this clarifies things for you.

[@jthroo]

@@AmiyaPrasadMD even hours being in the sun once?

[@jthroo]

@@AmiyaPrasadMD for example i go to the beach without sun protection for like 3 hours and do it only once, i wouldnt get wrinkles?

[@AmiyaPrasadMD]

Hi@@jthroo , Wrinkles happen over time, not after one day. You may get a sunburn, though. I hope this clarifies things for you.

[@tanujadas665]

Sir I've a question....does it remove skin pigmentation or spots???

[@michaelusi7117]

no the purpose of this is to tightening the skin.

[@srujanar4777]

Hi Doctor, can I use home RF device which we get on amazon? Is it safe to use on face and under eye?

[@AmiyaPrasadMD]

Hi srujana R, I generally don't recommend thermal devices for home use as the person using it on themselves are not properly trained to know the limitations of the device, the safe use of heat, and realistic expectations and results. I hope this clarifies things for you.

[@christopherlopez9316]

Does the rf burn the fat around your eyes

[@AmiyaPrasadMD]

Hi Christopher Lopez, I don't recommend that be attempted as lower eyelid skin, which is the thinnest in the body, will be damaged. It is possible to excise or cauterize prolapsed orbital fat with a laser, but this is done surgically from behind the eyelid. I hope this clarifies things for you.

[@michelleurbano0809]

Hi Doc, Is there a non-invasive treatment , option for sunken and hollow eyes. Prp and Ha fillers are injectables. 🥲

[@AmiyaPrasadMD]

Hi Michelle Urbano, Since hollow eyes are due to lacking volume underneath the skin, or having eye bags that make the adjacent area look hollow, an invasive procedure is needed to treat behind the skin. PRP is for treating skin quality, not a treatment for hollowing. You can refer to these videos about the different treatment options for hollow under eyes: kzbin.info/www/bejne/jKvdpJWEedGUfrM kzbin.info/www/bejne/h2G0moF-bLGIjKs

[@michelleurbano0809]

@@AmiyaPrasadMD Thank you for this Doc!! Also watched the videos. Thank you ! ❤️

[@AmiyaPrasadMD]

You're welcome,@@michelleurbano0809 !

[@hareshkheni8001]

Diamond microdermabrasion is helpful for acne scar Along with dermaroller plus prp ??

[@AmiyaPrasadMD]

Hi ANKIT KHENI, Microdermabrasion can help with removing the top layer of skin so a new layer of skin can grow in. If you are having it done professionally, then they would likely use microneedling and not a dermaroller, which doesn't roll so it doesn't unnecessarily stretch the micro holes, and aggressiveness can be controlled by a professional. You can watch this video about why there is no best treatment for acne scars, and it does depend on your unique case - kzbin.info/www/bejne/Z3Ksg4SYftqDqK8

[@sanjaynagarkatti9230]

While doing RF should we take care of undertissue area above eyebrows & below lips

[@AmiyaPrasadMD]

Hi Sanjay Nagarkatti, It is always important to be conscious of the underlying tissue when doing radiofrequency or any other thermal treatment like lasers because excessive heat and exposure can compromise the essential fat layer below the skin. Talk to your performing doctor about preventing fat and tissue loss with thermal energy treatments. I hope this clarifies things for you.

[@sanjaynagarkatti9230]

Hello doctor, today my wife went for hair removal, but on the forearm, underside the skin has come up in welts and is red. Cold compress for past four hours has not subsidef the redness. The attendant was using a new diode machine with pre-programmed settings for skin colour. The plug kept slipping through the treatment and probably on that point the setting changed to darker skin. Will there be any serious damage to underlying tissues. Could it lead to cancer. What are the implications. Kindly reply urgently. Can I buy any medications for her.

[@AmiyaPrasadMD]

Hi Sanjay Nagarkatti, Sorry to hear about what happened to your wife. Although settings can be adjusted for skin color, they don't prevent overexposure by the practitioner. This is why I keep insisting that devices are just tools, and it's the practitioner's experience that matters most. It is highly unlikely to cause cancer, but you will have to consult your physician about managing the symptoms as I would need to perform a physical exam on the skin, and know the details about the procedure before giving exact recommendations for skin rehabilitation. I hope this helps you.

[@circusdu_soleil]

I’ve been binging your videos for a week now and they’re incredible. Thank you so much for all of this information! I was wondering since you said RF stimulates collagen production from your own skin & there’s a limit to how much collagen each person has. Would that mean that using RF in your early twenties would make it so that there is less collagen to work with in your 30s?

[@AmiyaPrasadMD]

Hi Tahseen Reza, You're welcome, and thank you for watching! While the body synthesizes collagen throughout your life, it's the capacity to synthesize collagen as one gets older that declines, which decreases by about 1% a year after age 25. As your body's collagen synthesis is still at its peak in the early 20s, collagen induction treatments are generally not advised at this age. If you are still in your early 20s, I would only advise you keep your skin protected with sunscreen and moisturizer, as well as limit excessive sun exposure to prevent premature aging, but usually not collagen induction treatments. I hope this clarifies things for you.

[@circusdu_soleil]

@@AmiyaPrasadMD yes it does! Thank you so much! ☺️ already on the consistent sunscreen & moisturizer train 🕶☀️

[@AmiyaPrasadMD]

You're welcome,@@circusdu_soleil. It's good to hear you are taking care of your skin.

[@marysingh3557]

How much it cost can you used it on body

[@AmiyaPrasadMD]

Hi Ingrid Mincey, There are no set costs for treatment as each patient has different needs, and some treatments are more extensive than others. Our offices are located in Manhattan, New York City which you can call at [phone], Garden City, Long Island at [phone], or Vienna, Virginia at [phone]. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.pufffyeyes.com by filling out a contact form, and we will get back to you regarding price range. I hope to hear from you soon.

[@sarahsarah786]

Limensugar - i got Empty nose syndrome and severe nasal nerve pain from this exact method!!!! from RAVOR CURIS radiofrequency to turbinates and septoplasty. THE ENT SAID IT WAS TOTALLY SAFE. 1 month ago

[@umarajivrao8107]

Doctor Prasad, you didn’t answer the question that was asked … could RF be used on the upper eye lid.

[@AmiyaPrasadMD]

Hi Uma Rajiv Rao, It's covered in the video that radiofrequency can be used on the upper eyelids, but it's not the only option treatment, and a combination of treatments are also a possibility. As treating any issue with unique factors in individual people, a physical examination is needed to determine the best treatment approach, and not just recommending one device for all people. I hope this clarifies things for you.

[@umarajivrao8107]

@@AmiyaPrasadMD Thanks for your reply Dr.Prasad. Yes, this reply did help clarify things for me.

[@AmiyaPrasadMD]

You're welcome,@@umarajivrao8107

[@Eemmee77]

thank you

[@AmiyaPrasadMD]

You're welcome, eemmee77! I'm glad you found the video helpful!

[@thanna.1880]

Is it safe with implanted IUD?

[@AmiyaPrasadMD]

Hi Kaye Anne, Yes, it's safe as there is no contraindication between an IUD and radiofrequency treatment. I hope this clarifies things for you.

[@yaraabboud7926]

What about Legato fractional radiofrequency for face rejuvenation? Is it good?

[@AmiyaPrasadMD]

Hi Yara Abboud, I don't use Legato in my practice, but it's just a tool for the doctor. Results are determined by the doctor's use of the tool, or choosing a different method and rate of exposure for your situation, as the tool itself does not determine results. I hope this clarifies things for you.

[@yaraabboud7926]

@@AmiyaPrasadMD does it in anyway melt subcutaneous fat? I ve done it five times. Fifth time failed to scrub and clean my face properly got a slight infection which faded but then I developed an acne after 2 months. I treated it but ever since my skin has become so sensitive. I cannot use any cream. They used to tell me I have resistant skin more than normal but now am not sure anymore. Though my face is proportional and I started it at 30. Now at 35 I feel the facial volume has decreased a lot. Am not sure if it s due to this or aging too.

[@AmiyaPrasadMD]

Hi@@yaraabboud7926, I don't use the device, and radiofrequency generally doesn't get as hot lasers, but thermal treatments can literally cook subcutaneous fat if overused. You can refer to this video about it - kzbin.info/www/bejne/npm9Z4iXa5WrZ9E

[@yaraabboud7926]

@@AmiyaPrasadMD Thanks. It was marketed as preventative, for skin rejuvenation and they advised 5 sessions for good results: three the first year and then one for the fourth year and another for the fifth year. Each time they kept saying my skin was resistent and increasing the frequency. Anyway, my face looks normal but I notice it's hallow beneath the eyes more than what I would expect at 35.Usually a session is only 10 to 20 minutes long.

[@lorestrahan2207]

Can surgery correct fine lines when I smile?

[@AmiyaPrasadMD]

Hi Lore Strahan, Fine lines that appear when you smile, called dynamic lines, can often be improved without surgery using treatments such as Botox, perhaps laser or radiofrequency treatments, and filler is a possibility as well. An examination is needed to determine what is appropriate for you. I hope this clarifies things for you.

[@lorestrahan2207]

@@AmiyaPrasadMD Thanks for answering.

[@AmiyaPrasadMD]

You're welcome, @@lorestrahan2207!

[@elizabetha7]

after two lots of plasma bt and thre lots of exillis elite beneath my eyes, my eyes seem worse now they are more lined

[@AmiyaPrasadMD]

Hi elizabeth bullock, Sorry to hear about your problem. It's not the devices used that determine your results, but the practitioner choosing and using them. You may still get the results you want from further treatment, either from your current practitioner, or a new one. I hope this helps you.

[@KyleTO7]

All I can imagine is that the skin underneath that's being cooked is like a cooked piece of chicken. Does the the body eat away all the cooked skin and replace it with new skin underneath? Or is it just heat up hot enough just for the skin to get a reaction?

[@AmiyaPrasadMD]

Hi Kyle 0, "Cooking" the skin and/or essential fat under the skin is another term for burning, which is not what you want to do. Using thermal devices should be done so there is enough heat to create a controlled injury, so the skin contracts and tightens, and the body recognizes the injury so collagen is stimulated in the area to heal it, and improve skin texture and strength. You can refer to this video about it - kzbin.info/www/bejne/q2exmJZ3n8qWfdE

[@12theunknown12]

So RF and ultrasound tech isn’t good for darker skin?

[@AmiyaPrasadMD]

Hi G&T HD, The point of the video is radiofrequency treatment can be used on darker skin, especially if certain lasers can cause hyper or hypopigmentation. Lasers can also be adjusted for darker skin, but a physical exam is needed to determine the best mode of treatment for you. I hope this clarifies things for you.

[@smilewithme974]

is there any treatment for 11 lines except botox, fillers??

[@AmiyaPrasadMD]

Hi jawar Lal, Those are the two primary treatments for number 11 lines, in addition to platelet-rich plasma (PRP) to improve skin quality in that area. PRP is usually applied in conjunction with a cosmetic filler for number 11s. I hope this clarifies things for you.

[@keyakitchenmagic.7850]

Kolkata ma ya tried mant hoga

[@sanjaynagarkatti9230]

Dr Anand while doing RF

[@tdawgt5866]

I’m glad he bought up that issue of drug companies marketing to consumers! Like why, we can’t buy it or even tell the doctor “give me this medication for this illness” a doctor is not a middle man.

[@sonusahu7234]

Contract no chahiye

[@AmiyaPrasadMD]

Hi Sonu Sahu, Consultations are by appointment only, but you can make an appointment by contacting our offices or websites. Consultations do require a consultation fee, but the fee can be applied to the cost of treatment. Our offices are located in Manhattan, New York City which you can call at [phone]; Garden City, Long Island at [phone]; or Vienna, Virginia at [phone]. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.

[@sanjaynagarkatti9230]

Hi

[@AmiyaPrasadMD]

Hi Sanjay Nagarkatti. Something I can help you with?

[@justlookattheflowers4239]

I would love to come and see you, but I bet your really expensive

[@AmiyaPrasadMD]

Hi Just look at the Flowers, Quality care is certainly not cheap. However, I would advise that you have not have any procedure done at all, than to settle for a cheaper procedure which may cost you more in revision work and skin damage. I hope this helps you.

[@denizdeniz2059]

You are Lucky, so many hair 😉

[@AmiyaPrasadMD]

Thank you, deniz Deniz!

[@christineking8183]

I have dark circles that give a purplish color.

[@AmiyaPrasadMD]

Hi Christine King, Sorry to hear about your problem, but the appearance of dark circles can be improved. While a physical examination is needed before making specific recommendations for you, these videos feature the ways I treat under eye dark circles in my practice: kzbin.info/www/bejne/h3PZm52srbWnaMk kzbin.info/www/bejne/iWfCn4eIp5ann9E kzbin.info/www/bejne/oIK4k2lth9WUd68 kzbin.info/www/bejne/iHmtoJeYaZhqpZY

[@shabishah6531]

Plz translate ur video in hindi

[@mssinggoldy2789]

Shabi Shah Pls translate to Hindi