Radio Frequency Anti-Aging GUIDE (does RF melt facial fat?)

[@julieday8196]

Super important to keep the RF at the right temp! An inexperienced technician can melt fat if it goes 42 degrees Celsius or over!! I tell the new girls all the time it’s the first thing I teach them about RF especially in the face! Love listening to you educate!

[@DrStefaniKappel]

I agree!!

[@PalmSpringsEDGE]

I got thermage at LaserAway in Tustin. Machine had some sort of malfunction and operator was inexperienced. I have lost extensive amounts of facial fat and it’s only been 3.5 months post procedure. No collagen growth whatsoever. I am mortified at the results. Mortified. I look 6-10 years older than I did 3 months ago. Very unfortunate as I had very high hopes going in. I’ve filed a complaint with the BBB and will be filing with the board. Be careful where you go and who you trust.

[@Joannabanana1989]

Have you found a treatment to restore the fat?

[@VivianDavilaBeauty]

I tried the Pico under the eyes for the fine lines and they got worse. My under eyes got super puffy which usually are hollow. The skin under the eyes detached with the swelling. I went to one treatment and never returned again. I know another person who got the Morpheus for jowls and double chin and paid thousands of dollars and didn't see a bit of results! It is what you say about some treatments don't work or the person who is dong the treatment does not have the proper training to do it. I love all the information you are bringing to us! Very useful and I trust your expertise. Sending love! 💕💕💕💕💕💕💕💕💕💕

[@kasey33]

I wish o would have found your channel years ago!! Vivace RF melted my fat pad in my cheeks by an inexperienced med spa nurse. I didn’t no any better at the time and wish I had done more due diligence on my part and not blindly trust people. I had improvements with my texture but that’s it. Thank you for providing the community with your no bs advice and years of education! I really appreciate it and will save me money going forward.

[@SolElarien]

I love your in-depth videos, you give a lot of information but is well structured and summarized and it’s all very interesting. I’m an ENT but sometimes friends or family ask my opinion, as a doctor, about beauty treatments, and that makes me want to learn about it. I’ve been following you since you started your channel and it’s been very helpful. Thank you.

[@DrStefaniKappel]

Coming from a fellow physician I so appreciate it ❤️

[@Af30018]

I have an RF, EMS and LED home device. Can you talk about that? Thanks

[@Miss-Laine]

Hi. What at home devices do you recommend? Is there any that we can use at home? Thx

[@HealthWealth-sy2jq]

I had Pixel laser resurfacing. 5-6 treatments for acne scars. Did nothing to improve them and worst of all it melted the fat in my face. People literally were concerned about me and thought I was sick. Lasers can melt fat too. Be careful what lasers you use and the practitioner you go to.

[@mariamagnusdottir2749]

What about the home devices like Tripolar Stop VX? Does that device melt fat?

[@Af30018]

Can you talk about home RF devices?

[@drlwanga]

Excellent work. We appreciate your integrity and the time you put into sharing your knowledge with us😃😃

[@damolaalabi8211]

I am so happy that I found your channel! Your vids are very informative and I truly appreciate the time and effort you put into them. I was going to schedule a thermage session with Laser away NYC but during the virtual consultation,the practitioner mentioned that the procedure can be very painful but not to worry,they will numb me and it will be manageable. I immediately knew I wouldn’t go with them,I’ll keep looking for a doctor. I am so educated and I know the questions to ask,all thanks to you! I only wish you were closer,I’d pay any amount for you to do my Thermage😭

[@kls6612]

I appreciate how detailed your videos are. This is why I keep coming back to your channel instead of some else's. ❤

[@christinemack2153]

I loved the teachings so much and always appreciate your conviction! I follow you on IG and congratulations to your son on his first place surfing award. xo

[@DrStefaniKappel]

Awww thank you so much!!!!!! I still can’t believe he got first! Thank you again!! I was on the beach for 8 hours 😆

[@StKrane]

Thank you so much for this great educational video! 🙏🏻

[@maiabrix4647]

irst time seeing one of your videos, and Im truly impressed, finally someone who knows whta you are talking about. Its not long at all, Im watching with intereste, happy for having some real informatiom. Im watching videos to choose a at home rf device, and its a jungle, saw a video with a person saying she was a doctor, and she started the explanation saying "the description of rf by Wikipedia..." ... NO NO STOP!! Thank you for all this reliable information

[@saraf1084]

Hi Dr. Stefani! 😊❤ Thank you for another, great video with all the information I was looking for! I so much appreciate your content and your detailed explanation of procedures and different situations. I had Scarlet radio frequency, micro needling done two times -the first time was all over the second time was just a lower face and neck with an extra deeper penetration in the vectors near my jawline. I am not really noticing that there is any fat loss, however, I’m also not convinced that it really did anything substantial to tighten. 🤷‍♀️ I think I will put my money towards Lasers in the future! Thank you so much again!😊❤

[@DrStefaniKappel]

I’m sorry to hear you had suboptimal results but I hear that all the time from people who have had those procedures. I love that this can be a safe forum where patients can share their experiences to help one another. Thank u so much for that feedback 🫶🏼

[@Martha-dj3fs]

"Thermage and radio frequency devices should never be painful. When they’re painful, you’re in fat melting, volume loss, danger zones." Dr Kappel - shouldn't there be SOME degree of pain or discomfort? Last year I had 3 treatments of Genius RF microneedling followed by LaseMD Ultra fractional laser, once per month for 3 months. I wasn't sold a package and they didn't recommend or pressure me to have the series. It was my decision because I thought that would produce the best results for collagen stimulation. They used a numbing cream on my face each time, and it was still a little painful. Bearable but I felt it. They did encourage me to give them feedback during the procedures so they could adjust the settings as needed. Should I not have had the numbing cream? Thank you! #askthedoc

[@Joannabanana1989]

I am getting rf micro soon and the girl said numbing cream is always applied there for more intense treatments. I assume the needles also hurt. Even with numbing cream, you can still feel things. I had the Halo done and still felt the sting of the laser even with an hour of numbing cream. Did you like your results?

[@samsungm20new]

Hi doctor, Do you think that Portable Home Used Handheld RF & HIFU also can cause Facial Fat Melting ? thanks

[@alwy2468]

As always, Thank you for sharing. I look forward to watching your video weekly and have gained invaluable knowledge from you.

[@deb5847]

What are your thoughts on the new injectable Renuva to restore fat loss?

[@DrStefaniKappel]

It’s actually not new and has been around for years. I think it works well and is used by many plastic surgeons.

[@elijahmlller]

Great content, thanks for sharing your knowledge with the world

[@tutuolu7909]

I had thermals treatment done few days ago. On my first appointment I did my lower face and neck area then I came back for upper face a week after because I couldn’t tolerate doing gave and neck area in one sitting. I feel the tightness but hopping for a better result. Thanks you Dr for educative information. I arrive at my appointment asking all the good questions

[@AyeshaKha007]

Perfect timing of this video. I had this exact question in mind and wanted your opinion. Looks like you read my mind. 😊 Thank you so much Dr. Stephanie for your honest recommendation. It is absolutely beneficial. God bless you ❤

[@DrStefaniKappel]

you’re so welcome

[@lucyy9447]

Thanks for being so informative!! 😊 I just wanted to ask you, do you think one can have thermage done despite having Rosacea? I'm just not sure because I guess rosacea is a form of constant inflammation and perhaps the heat could make it worse? Hoping that's not the case of course... It's so difficult for us sensitive skins to find anything they can do anti aging wise... Thank you!! :) ❤

[@fab1204]

I love your videos. Thank you so much for taking the time to share your knowledge. It is so appreciated. ❤

[@DrStefaniKappel]

You are so welcome!

[@dammar117]

Yes, it does! I was doing great taking care of myself, and then I decided to incorporate an at-home RF device to prevent jowls. So, I only used it in the lower face. After four months, I noticed to my dismay that I was actually developing laxity in that area! I stopped right away, but three years later, I haven't been able to reverse the damage, only halt it. In fact, later that same year, I made the problem worse when I got dental surgery, because I had to stretch my jaw to the max for six hours. Yes, I noticed two months after the surgery that the laxity was suddenly much worse. That same area that was already compromised by the RF. A double whammy I sorely regret.

[@Aurla-R2-D2]

I'm extremely sorry to hear this! Which at-home RF device did you use? Thank you for sharing your experience, and warning others

[@dammar117]

@@Aurla-R2-D2 I don't remember the brand. I got it on Amazon. But it sure cured me of ever wanting to get RF anywhere.

[@sonudeol9053]

Question! What do you think about the Endymed 3Deep? My derm wants me to try it

[@nectarbadillo9400]

Hi doctor I like to know your experience with the face mask with light for home use. If they are good which are the best. Thanks.

[@denasmith2359]

I am wondering about those masks too. I use sunscreen to block out infrared and blue light, so these blue and red light masks don't make sense to me. #askthedoc

[@cocoscorner6365]

Hello doctor ! Could you please explain HIFU as well. Love your channel. Hope we get more of your day VLOGS. Sending you Love

[@summonivus5785]

What are your thoughts on branded at home devices like Tripollar and Newa?

[@fallon12]

You are amazing on so many levels. TY!!! ❤

[@DrStefaniKappel]

Wow, thank you! ❤️❤️

[@Jim-oc3sp]

What are your thoughts on microcurrent and nanocurrent home devices such as zip halo or nuface devices?

[@lauriemullay2960]

Thank you for your in depth knowledge sharing! ❤️

[@caritadetellis]

I’m curious to hear a comparison of Emsculpt v Coolsculpting for body weight loss. Is it a safer way to achieve comparable fat reduction?

[@DB6904.]

Thank you for the information!

[@DrStefaniKappel]

You bet!

[@natalienetanya7401]

I just love learning about this stuff. This way I know what I need to have done.

[@jesss9927]

Thoughts on forma ??

[@lynnkandola6220]

I’m almost 73 -I just started getting wrinkles in lower face/jaw area -just started to see marionette lines starting to appear what would you recommend? - I feel nowadays women/girls starting treatments way too soon- For good skin get 7-8 hrs sleep- and main thing is healthy eating-& keep skin moisturized-I tried RF treatment 2 years ago- cheek area looked great but skin areas around mouth seemed too tight so I’m reluctant to do again. But I was interested in your talk to get more info first to see if I should try again. Yes people always think I look young for my age- for me less treatments have worked best Sign me hesitant

[@melissawatson4135]

Thanks Dr Kappel! 💖

[@DrStefaniKappel]

You’re so welcome!!

[@busternbear]

Is the Dermawand safe to use at home as a daily routine ?

[@Jim-oc3sp]

Have you done anything for upper cheeks for skin laxity/sagging? What would you recommend for us for these areas?

[@tutuolu7909]

And how can we buy you skincare you don’t talk about it enough. I will like to try it

[@grnddesign]

I hated Ultherapy and it hurt like crazy. I was unimpressed with my results after 2 treatments with RF Microneedling (Morpheus). I did it twice as I was told that more then one treatment was needed to see results. I liked the response I got from Thermage but it was more $$$

[@DrStefaniKappel]

I hear this all the time. Thank you for confirming this anecdotal data for everyone so they hear it from someone else other than me :)

[@liviusss]

Hi Dr. Kappel, how about Sofwave, it seems to be a newer platform?

[@melissanoell7510]

What do you suggest for malar mounds? I am at my wit’s and. I know you are not a fan of RF microneedling but I’ve heard this in addition to perhaps CO2 laser is beneficial. Thoughts?

[@phoxxmusic]

Read up on tetracycline injections for malar bags ❤

[@beth4698]

Hope they have affordable device for us for used at home.

[@MyMaria1224]

Doctor would you apply growth factors before your vitamin c or retinol? Do you recommend growth factors? ❤❤❤

[@dr.leehyun11690]

I have a fam member who saw amazing result from morpheus 8 but she got it for deep acne scars and large pores NOT face tightening. She's only 28.

[@Rubyruppells]

Dr Stefani, what is your opinion on Exilis Ultra on face? I had 3 rounds last year as a 30yr old bc the derm /laser clinic claimed it would tighten jawline and submental laxity. It did pretty much nothing so I felt like it was a waste of money but maybe it worked as a preventative measure??🤷🏻‍♀️

[@shanebowers2768]

I have heard its best to stay away from any heat gadgets on your face

[@DrStefaniKappel]

Not entirely true. Advanced technology that heats the reticular dermis where the collagen is but keeps the subcutaneous fat below and the epidermis a above cool are safe an effective.

[@elainelaguna3132]

I agree. I did thermage it was expensive and the results were not impressive. I also worry about fat loss. I wouldn't take any chances on RF u never know what can happen. I definitely will not do anything like that again

[@howardgans9906]

Does the Thermage machine warn the provider if the temp gets too hot? Also, how long does it take for fat loss to appear on the face after getting Thermage if the temp was set too high?

[@kathyburton3142]

I have lost facial fat because I can't eat as much since I hit menopause. Iv been on hrt for 6 months my skin is very hydrated and soft from taking it but still no fat. I might have deep fillers but ln9t really sure what ones.

[@grnddesign]

If I wanted to try and find a local office using the most up-to-date Thermage platform/equipment, what would I ask the office when doing my research? What is the model number of the machine or the number of the software that they ought to have?

[@DrStefaniKappel]

Ask if they have the FLX platform and make sure they purchased or leased it directly from the company Solta. Not a third party laser broker.

[@grnddesign]

@@DrStefaniKappel Thank you so much for your quick response!! While I wrote that before I got to the complete end of the video when you discuss this a bit more, I'm glad that you mentioned the information above. I'll do my homework on this now. Wish I could see you in CA but I'm in FL

[@elainelaguna3132]

I did thermage flx . Spent alot of money and wasnt impressed with the results at all! Not worth it to me. I will never get anything with RF again. . I Worry about fat loss. In my opinion I think sculptra would be a better choice.

[@9372013]

Hi what is the max heat on face for thermage for not to melt fat

[@pnevlud]

What do you think about Opus?

[@ZoeMC369]

Thank you for this. Just curious your opinion- what would you recommend for restoring fat after Morpheus8 thinned out my neck and face? I’m thinking dilute radiesse in neck and fat transfer in face

[@DrStefaniKappel]

I’d try Sculptra first

[@cleopatrajones7096]

@zoe. Please don’t put sculptra in the neck. Hyperdilute radiesse. It cause nodules. For a Dr, surprised how in incomplete the answer was because it could have been misunderstood.

[@DrStefaniKappel]

Sorry I happened to see this when I was in clinic and didn’t have a lot of time to respond. Now that I do, yes hyperdilute radiesse or skinvive would be a good option for restoring volume on the neck. However, for the face Sculptra would still be my product of choice. Hopefully that wasn’t confusing:)

[@ZoeMC369]

Thank you dr Kappel! I’m definitely going to try hyperdilute radiesse and skinvive to tighten this neck back up. Having a procedure make things worse is such a nightmare. 🙏🏼

[@pnevlud]

I have had Morpheus in the past at my surgeons office with nice results. This is the game plan for next session. She knows I fear facial fat loss Morpheus8 or Opus, adding growth factor or exosomes to it in addition to prp to make sure you have collagen build up to get the skin tighter, but also more hydrated and rejuvenated. Thoughts? I am over 60 and very good skin!! Don’t want to mess that up. Just rejuvenate it.

[@DB6904.]

"Ask the doc" Do you believe that Triniti is a good option or do you think it's out of date?

[@DrStefaniKappel]

It’s not very effective:/

[@DB6904.]

​​@@DrStefaniKappel thank you. I lost facial hair in places it was used. I thought it was a good option at the time, the Dr said it would not affect the hair, unfortunately the only results I saw was unwanted hair loss. I'm hoping now about 10 months later it will still come back in:/... Now I'm scared to go in for anything...

[@wanderbear2171]

What do you think about medicube ussera age r deep shot?

[@sharlanelson7800]

Can we get a virtual consult with you with recommendations and go to a clinic that’s in our area? #askthedoc

[@jenniferlouise8042]

Is forma safe

[@sponsponm1]

I wanted to do this under eyes😊

[@HealthspanFans]

I, on the other hand, have a science education and want all your data.

[@Chanel15477]

Thanks for the info, Stephanie.

[@jacobjche]

I LOVE YOU!!!❤🎉

[@Ally-jn6mt]

So if they plan on giving you gas for numbing during RF Profound microneedling, not a good idea! Got it!!! Thanks for your honesty! So glad I didn't get it after watching this video!!!❤

[@4TheAsianDream]

i did RF Microneedling once, had some sun pigmentation on my nose and it got better but then it came back ha

[@MyMaria1224]

Does thermage work on the neck ?

[@DrStefaniKappel]

Yes :)

[@elainelaguna3132]

I have thermage done the results were very minimal and they did not last. At least for me. I Will Not Waste money on RF treatments they only last a few months and then you have to repeat it can get very expensive. And you also need to worry about fat loss you have to be careful

[@theateam4777]

If a patient has had CO2 laser on upper and lower eyelids, how long would you wait to do Thermage around eyes. Or would you even recommend it. Thanks for all your great 😊 no!

[@DrStefaniKappel]

You can even do them at the same time. No time needs to pass but of course I’d ask your provider as this chanel is not a replacement for medical advice.

[@cceats9009]

Not All reps are trying to ‘trick’ the physicians. It’s a way of learning new things new infos in the industry :))

[@DrStefaniKappel]

Some reps but definitely not all reps. I think it’s important for patients to know what goes on bts. I had one waiting for me by my car last week. They can be pretty aggressive. Especially with the money they offer us to have paid partnerships. I won’t babe the company but a couple of year ago a rep offered me a free device plus $150k in exchange for 5 patient reviews a week for one year. That’s why when patients tell me they see all these positive reviews it doesn’t mean anything to me anymore.

[@emeraldleafs1905]

Your are amazing! Thank you for your honesty 👏 but! omg you don't even look 46! You're kidding me?! You honestly look like 26!

[@eddydizon7174]

grabe youtalk like a computer are you not reading what youre saying? fantastic

[@DrStefaniKappel]

@eddydizon7174 my brain is the computer 🧠 😘

[@ann6406]

I had Ultherapy..my results were okay but i feel like i lost abit of facial fat. In my opinion..i don't believe the cosmetic surgeons are recommending surgeries because of the money ..i spoke to a few surgeons and they dont believe the RF treatments and Ultherapy just don't do anything. If your older i believe the surgical route is best. bbl skin laser and Vbeam seems okay .. i read so many stories on how these non surgical treatments have destroy their face .

[@canesugar911]

She is talking about the so called "bad collagen" claims, made by surgeons. They claim that energy based devices, sculptra(and other biostimulators) create bad collagen and makes future surgery hard. She is not against surgery and says that she plans on getting a face lift sometime in the future.

[@GlendaLamb-l8n]

I am despatate to find a well trained Thermage provider in GA,SC,FL) PLEASE help me out! I am 61 years old and I need lower face tightening. $Thank you!

[@elainelaguna3132]

In my opinion Thermage is not worth the money at least for me I only saw minimal results that only lasted a few months and it was not cheap. I had it done when I was 51 and was not impressed with results you also have to be very careful of fat loss with any RF treatments

[@Aris-Darling]

I have literally been looking for an answer to this!!

[@DrStefaniKappel]

So glad I could help! ❤️

[@veronicaarchaga8306]

I been going to doctors office and is NOT THE DOCTOR WHO IS DOING THE JOB IS THE ESTHETICIAN!!!! So highly educated yet the esthetician is doing the job

[@sarahb406]

I think saying 90% of the time patients are unhappy with results from RF microneedling is a HUGE reach. I've seen amazing results from patients who have gotten RF micro. To each their own, but no need to come up with a ridiculous number to explain your distaste in RF micro.

[@CreoleLadyBug]

You barely look 20 years old ❣️

[@VADACHE]

I appreciate your videos however they’re way too long and way too many details done we it’s just too much details and we’re never going to remember because you studied for 10 years to get here so please save yourself time and our time, I would like to continue watching your videos but it’s too much academia here. I am sorry I am not in medical school

[@fallon12]

Couldn’t disagree more!!!

[@cmnguyen221]

I disagree, I love how scientific she gets and have learned SO much from her in depth videos!

[@DrStefaniKappel]

I teach you guys just as I do when I teach the derm residents and medical students. I’f you’re not ready for that then you probably shouldn’t subscribe or watch. However if you’re ready to take your understanding of aesthetics to the next level then stick with it and you’ll be a more informed consumer in a world that is becoming increasingly more corrupted to protect yourself.

[@susanthomas5883]

In all respect, I’m guessing you aren’t very familiar with skincare videos from doctors. She’s right on time. She’s Goldilocks… she gets it just right.

[@kimberlythomas7510]

Completely disagree! I like details and data. It can never be too much. This is why I follow Dr. Kappel. If you feel something is too long you can just forward through the topic or to the end and move on.

[@rosamariav_09]

[@JP-qx2wb]

Thank you so much for all the info!

[@lynnkandola6220]

I’m almost 73 -I just started getting wrinkles in lower face/jaw area -just started to see marionette lines starting to appear what would you recommend? - I feel nowadays women/girls starting treatments way too soon- For good skin get 7-8 hrs sleep- and main thing is healthy eating-& keep skin moisturized-I tried RF treatment 2 years ago- cheek area looked great but skin areas around mouth seemed too tight so I’m reluctant to do again. But I was interested in your talk to get more info first to see if I should try again. Yes people always think I look young for my age- for me less treatments have worked best Sign me hesitant