RADIOLIFT

Radiofrequency: A New Tool for Non Surgical Skin Lifting (Radio-lift)By Prof. Osama B. Moawad

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Prevention and Treatment of aging

The passage of time or intrinsic ageing might be due genetic factors that involve telomere shortening , mitochondrial DNA damage and increased Reactive oxygen species (ROS). Other factors such as hormones, expression lines, sleep lines and gravity all contribute to Intrinsic aging. Superimposed on intrinsic aging extrinsic photoaging. UVR directly damage cutaneous biomolecules with production of ROS that damage extracellular proteins

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Intrinsic Aging (Biologic Clock)

The underlying network of collagen and elastic fibers that provides framework for skin and determines its degree of firmness and elasticity loosens thus altering the appearance and function of the skin with development of wrinkles, folds and sagging.It is estimated that we loose 1% of dermal collagen yearly

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Intrinsic Aging (Biologic Clock)

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Extrinsic Aging (Photo-ageing)

Fine WrinklesSuperimposed on intrinsic aging extrinsic photoaging. UVR directly damage cutaneous biomolecules with production of ROS that damage extracellular proteins. Clinically photo aged skin is characterized by pigmentary changes, increased fragility and telangiectasia, fine wrinkles and delayed wound healing

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Extrinsic Aging (Photo-ageing) The level of elastin increases, and abnormally accumulates under the epidermis, forming so-called elastotic material. Collagen, becomes disorganized with enhanced breakdown and reduced network formation. These alterations contribute to fine wrinkles

Normal Skin Photodamaged Skin

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it is the physician's responsibility to select the most appropriate intervention(s) based on the patient's age, physical needs and concerns, extent and location of volume loss, and cosmetic goals

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Treatment of Photo-aging :Primary Prevention

Preventing photoaging by Sun avoidance, Protective Clothing, frequent application of Sun blocks is more cost effective than trying to reverse the signs of photoaging ,

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Treatment of Photo-ageing: Secondary PreventionRetinoid is the second cost effective tool we have to prevent photo aging and treat intrinsic aging Antioxidants, Estrogen, Cytokines and Growth factors are all promising

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The clinical treatment of choice to benefit both intrinsic and extrinsic aging is the use of topical retinoids. It reverse age related changes in the collagenous and elastic dermal matricesTreatment of Photoaging: Topical Retinoids

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The clinical treatment of choice to benefit both intrinsic and extrinsic aging is the use of topical retinoid. It reverse age related changes. It can be combined successfully with whitening agentTreatment of Photoaging: Kligmans Formula

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Wake Up Skin !!!!!!!!!!

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Local Treatment for AgingSkin penetration enhancement techniques have been developed to improve bioavailability and increase the range of drugs for which topical and transdermal delivery is a viable option

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Transdermal Drug Delivery SystemSkin penetration enhancement techniques have been developed to improve bioavailability and increase the range of drugs for which topical and transdermal delivery is a viable option

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Meso-therapy / Meso-lift

Not only we improve how we deliver active ingredients by Mesogun and Dermal roller but also we improve what we deliver by injecting a mixture of Antioxidant, Vitamins, Minerals and Amino acids. The skin looks tighter and revitalized after these procedures

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No Needle Mesotherapy or Electroporation

Electroporation creates spaces (pores) between the cells that allow the passage of solution of less than 40.000 Dalton without needles. The pores closed immediately after Treatment

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Dermal Rollers

Dermal rollers not only allow the passage of active ingredients deep into the skin but also works by producing thousands of microscopic needle holes in the dermis, which prompts the skin to produce new collagen and elastin

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Vampire Face Lift

PRP drawn from your own blood containing numerous growth and healing factors are put back into the skin to regrew hair and to rejuvenate or heal the face rapidlyPlatelets Rich Plasma (PRP)

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Oxygen TherapyOxygen levels in the skin decrease with age which results in the appearance of fine lines, wrinkles and poor skin elasticity. Oxygen Therapy replenishes lost levels by pulsing oxygen deep into the skin, rejuvenating and restructuring skin

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Non Surgical Eyebrow ElevationLocal Treatment of Aging: BotoxCairo-3 Talaat Harb Square.Egypt.-Giza 28 Murad St. Egypt- (+20) 23901616-01000082880www.msimedspa.com

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Local Treatment of Ageing: BotoxCairo-3 Talaat Harb Square. Egypt.-Giza 28 Murad St. Egypt- (+20) 23901616-01000082880www.msimedspa.comNon Surgical Wrinkle Reduction

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Surgical Treatment of AgingHair TransplantsEye & Breast SurgeryLifts & TucksVolume SurgeryLiposuctionAblative and Minimal Ablative Skin Resurfacing

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Minimal Ablative Skin Resurfacing.The definition of skin resurfacing (rejuvenation) is to make the skin smooth again. To attain smooth skin there is mechanical, chemical or laser abrasion. The idea is strip out the surface skin minimally and to and promote the regeneration of new smooth, younger looking skin.

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Diamond or Crystal Peel

Removes 35% of stratum corneum and dead cells. Accelerate skin renewal and enhance collagen production reducing fine wrinkles and superficial scars and pigmentationMinimal Ablative Skin Resurfacing

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Minimal Ablative Skin Resurfacing

Salicylic Acid PeelLight peels helps to correct fine wrinkles, superficial scars and pigmentation. It can be used over the entire face and neck area

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Superficial light PeelCairo-3 Talaat Harb Square. Egypt.-Giza 28 Murad St. Egypt- (+20) 23901616-01000082880www.msimedspa.comMinimal Ablative Skin Resurfacing

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Ablative Skin Resurfacing (Rejuvenation)Ablative techniques broadly grouped as mechanical, chemical, and laser or thermal abrasion. First, the outer layers of damaged skin are stripped away. It result in upper to mid-dermal wound. Then, as new cells form during the healing process, a smoother, tighter, younger-looking skin surface appears. Surgical Treatment of Aging

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Skin PigmentationMedium-depth peels are used to correct moderate defects, and deep peels are used to correct deep defects of sun damage. It can be used over the entire face for wrinkles, scars and Skin pigmentationAblative Skin Resurfacing (Rejuvenation)

Medium Depth-TCA Chemical Peel

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Surgical Treatment of Aging

Hair Transplants: Restore the LostHair transplantationis a surgical technique that moves individualhair folliclesfrom a part of the body called the 'donor site' to bald or balding part of the body known as the 'recipient site'. It is primarily used to treat male pattern baldness

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Blepharoplasty: Remove, Reinforce RepositionBlepharoplasty is operation for correcting defects, deformities, and disfigurations of the eyelids With the excision and the removal, or the repositioning (or both) of excess tissues, such as skin and fat, and the reinforcement of the corresponding muscle and tendonsSurgical Treatment of Aging

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Surgical Treatment of AgeingLiposuction: Remove the Excess FATLiposuction, ("suction-assisted fat removal") or simplylipo,is a cosmetic surgery procedure that removes fat from many different sites on the human body.

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Volume surgery has revolutionized the way we treat aging. Wrinkles can be treated with fillers superficially while soft tissue defect is better addressed deeply with fatSurgical Treatment of Aging: Volume Surgery

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Today we have many natural, synthetic, or and mixture of both injection that can be utilized to treat superficial defects or as fat substitute

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Fillers are useful for lips and as a quick fix with no time for fat grafting

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Fillers: Injectable Liquid Implants

In my opinion temporary fillers are justified only in lip rejuvenation

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Fillers: Injectable Liquid ImplantsTemporary Fillers are used a quick fix before important occasionWhen there is no time for fat transfer

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Fillers: Injectable Liquid ImplantsTemporary Fillers are useful for minor defect when little is needed

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Fat harvested contains pure concentrated viable adipocytes probably with pre-adipocyts and adipocytes derived stem cell. It capable of expressing multiple growth factors that help to retain fat and help in overall rejuvenation. Results are enhanced by the addition of platelets rich plasma (PRP)Surgical Treatment of AgeingThe Natural Fillers: Fat Graft + PRP

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Refill The Lost Fat The Natural Fillers: Fat Graft + PRP Surgical Treatment of AgeingCairo-3 Talaat Harb Square.Egypt.-Giza 28 Murad St. Egypt- (+20) 23901616-01000082880 www.msimedspa.com

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Refill The Lost Fat Cairo-3 Talaat Harb Square.Egypt.-Giza 28 Murad St. Egypt- (+20) 23901616-01000082880 www.msimedspa.comThe Natural Fillers: Fat Graft + PRP Surgical Treatment of Ageing

Eliminate the need for blepharoplasty Refill The Lost Fat The Natural Fillers: Fat Graft + PRP Surgical Treatment of AgeingCairo-3 Talaat Harb Square.Egypt.-Giza 28 Murad St. Egypt- (+20) 23901616-01000082880 www.msimedspa.com

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Hand RejuvenationRefill The Lost Fat The Natural Fillers: Fat Graft + PRP Surgical Treatment of AgeingCairo-3 Talaat Harb Square.Egypt.-Giza 28 Murad St. Egypt- (+20) 23901616-01000082880 www.msimedspa.com

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In a novel approach I used the power assisted liposuction machine connected to special cannula to subcise the lower face allowing wound healing and collagen remodeling that result in skin tightening Surgical Treatment of AgeingScar Free Face Lift

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Scar Free Face and Neck Lift

Subcision+Full Face Fat Transfer+ Liposuction NeckCairo-3 Talaat Harb Square.Egypt.-Giza 28 Murad St. Egypt- (+20) 23901616-01000082880 www.msimedspa.com

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Surgical Treatment of Ageing : Re-DrapeFace and Neck LiftsAs we age, our skin loses its elasticity and begins to sag. This process can leave your face looking tired and worn, with deep wrinkles, hollow cheeks, jowls and loose skin in the lower face and neck. Facelift can address all of these issues and help you look 10 or even 20 years younger.

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Surgical Treatment of Ageing : RefillRestore Lost Fat : Silicon ImplantsThe surgical implantation approach effects the global augmentation of the breast hemisphere using abreast implant, either an implant filled with saline-solution, or an implant filled with silicone-gel.

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The surgical augmentation approach can include the application of transplanted autologous fat from your bodySurgical Treatment of Ageing : RefillBreast Augmentation: Fat Transfer

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Surgical Treatment of Ageing : Lift Breast lift, technically called mastopexy, is surgery that raises and firms the breasts by removing excess skin and tightening the surrounding tissue to reshape and support the new breast contour.Breast Lift

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Surgical Treatment of Ageing : Re-DrapeTummy Tuck Abdominoplastyor "tummy tuck" procedure is used to make theabdomemore firm. The surgery involves the removal of excessskinandfatfrom the middle and lower abdomen in order to tighten themuscle andfascia of the abdominal wall.

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Non Surgical Treatment of Aging Energy Based Skin Resurfacing (Rejuvenation)

EMR is our main source of energyThe spectrum ranges from very short, high frequency, high energy, ionizing gamma rays to very long wavelength longer than the distance to the moon, low frequency low energetic radiofrequency

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Electromagnetic

Chemical

Mechanical

Electrical

Sound

Heat

Nuclear

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Temperature CEffect on Tissue37CNon or reversible changes or stimulatory to fibroblast40-45CEnzymes induction;edema; membrane breakup (stimulatory to fibroblast)

60CDenaturation of proteins, beginning of coagulation and necrosis80CDenaturation of collagens; defects of membranes100CDrying out150CCarbonization300CVaporization

The Art Of Heat Therapy In Skin RejuvenationThe effect of Heat on the skin may range from none or reversible changes at 37C or stimulatory to fibroblast at 40-45C to collagen denaturation and collagen shrinkage ranging from 60-80 to drying out 100C,carbonization at 150C and vaporization at 300C

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The art of Heat demands the delivery of heat to specific tissue target in the most precise and controlled manner. The art of heat therapy will include what to deliver how we deliver, where to deliver, how much heat is delivered and for how longThe Art Of Heat Therapy In Skin Rejuvenation

Multiple modalities have been described for skin photo-rejuvenation, including ablative, non-ablative and fractional laser resurfacing which fills the gap between the ablative and non-ablative modalitiesAblative Sup.Ablative Fractional Non AblativeFractional Ablative

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Ablative Laser Skin Resurfacing

Ablative Laser skin resurfacing (LSR) remains the gold standard for the treatment of wrinkles and sun-damaged skin, offering unsurpassable results.

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Ablative laser resurfacing works by causing epidermal destruction and subsequent wound formation in the dermis. Epidermal wounding is necessary for impressive results. Disadvantages of this modality include significant side effects and considerable downtimeAblative Laser Skin Resurfacing

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Fractional Skin Resurfacing

The concept behind this approach is to thermally alter a fraction of the skin , leaving intervening areas of normal skin untouched similar to ablative laser resurfacing the areas of thermally ablated tissue are repopulated by fibroblast activity of neo-collagenesis and epidermal stem cell reproduction

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Fractional Ablative Laser ResurfacingThousands of microscopic wounds completely surrounded by viable tissue for rapid healing. Epidermal coagulation for superficial resurfacing effect while dermal denaturation account for deep remodeling new collagen formation

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Fractional Ablative Laser Resurfacing

As compared to ablative resurfacing fractional resurfacing results in faster and fewer side effects on the expense of improvement in wrinkle reduction and photo-damage when compared with ablative CO2

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Fractional Ablative Laser ResurfacingCairo-3 Talaat Harb Square. Egypt.-Giza 28 Murad St. Egypt- (+20) 23901616-01000082880www.msimedspa.com

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Non Ablative Skin Resurfacing Non-ablative technology replaced traditional ablative systems such as carbon dioxide laser. Non ablative techniques were designed to use a revolutionary process that delivers the laser/light/RF/Ultrasound energy through your skins surface, to reverse the signs of aging skin without disruption o f skin integrity, minimal downtime and low risk factors

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Non ablative skin resurfacing (subsurfacing) has been classified into two types: type 1 rejuvenation relates to treatment of ectatic vessels, irregular pigmentation and pilosebaceous changes; while type 2 refers to dermal remodeling as wrinkle reduction and/or skin tightening Non Ablative Skin Resurfacing (Subsurfacing)

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Non Ablative Skin Resurfacing Color specific lasers are concerned with vascular ectasia and irregular pigmentation The same applies for IPL in addition to induce dermal collagen remodeling (coined the term photo-rejuvenation). The mid infra red lasers has only dermal effect

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WavelengthExposure durationFluencySpot sizeLasers: Selective PhotothermolysisThe concept of treating specific skin target by orchestrating specific laser parameters such as wavelength, exposure duration , fluency and spot size was coined the term selective photothermolysis and it is by far the most precise use of heat in all medicine. Color specific lasers such are best example

Non Ablative Light Skin Resurfacing

Skin chromospheres can serve as targets that absorb color specific laser wavelength converting it into thermal energy that will dissipate in the surrounding tissue. Heat production will recruit inflammatory cells that release cytokines and other growth factors that influence collagen re-modelling. The action is potentiated with photosensitizer in PDT

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Facial Telangiectasia

Selective Non Ablative LASER Vascular Laser SurgeryPDL 595nm Laser

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Selective Non Ablative LASER LentigensPigmented Laser SurgeryQ-switch KTP 532nm Laser

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Soft Laser Peel

We use Q-Switched Nd YAG laser 1064nm with Carbon Lotion in induce mild peeling and some dermal remodeling

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Intense Pulsed Light (IPL) is non coherent light that produce non specific dermal heating

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Intense Pulsed Light + Radiofrequency (elos) IPL is combined with thermal effect of bipolar radiofrequency for better efficacy and less side effects. In photo-damged skin pigmentation and vascularity improved dramatically while wrinkles reduction showed modest results.

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Non Ablative Skin Resurfacing Improvement in telangiectasia, pigmentation , pores sizes and overall skin textureType I Skin Rejuvenation

Light emiting diodes or( LED) is a non-ablative procedure that activates skin cells with pulses of low-level, non-coherent and non-thermal light energy. LED red and and Blue delivers powerful therapeutic benefit to living tissue. The action is potentiated if combined with photosensitizer in photodynamic TherapyRed and Infra Red LED

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To augment the effect of visible laser or intense pulse light or LED a photosensitizer material such as 5-ALA is used. It accumulates in photodamaged cells preferentially resulting in their destruction either by apoptosis or an immune mediated response

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Non Ablative Laser Skin Resurfacing

To over come shortcomings of light and visible lasers a longer wavelengths 1320nm,1450nm and1540nm in the infra red part of EM were invented . These lasers used water as a chromophore demonstrated mild but reproducible improvement in clinical wrinkles reductionType II Skin Rejuvenation

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To over come shortcomings of light and visible lasers a longer wavelengths 1320nm,1450nm and1540nm in the infra red part of EM were invented . These lasers used water as a chromophore demonstrated mild but reproducible improvement in clinical wrinkles reduction. Epidermal Changes respond to IPLNon Ablative Laser Skin Resurfacing Type II Skin Rejuvenation

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Non Ablative Laser Skin Resurfacing

The drawback of infrared laser non-ablative skin rejuvenation is that it induces onlydermal changes and, therefore, has a limited benefit for patients with photo-aging who have both epidermal and dermal changes. Type I & II Skin Rejuvenation

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Non Ablative Skin Resurfacing

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?MicrowaveThe Art Of Heat Therapy In Skin RejuvenationThe use of optical-based systems such as laser or IPL alone to heat the dermis has several challenges because of tissue scattering, diffraction and absorption. It significantly decrease light penetration and the amount of energy available to heat the dermis. To overcome these shortcomings non optical energy sources such as radiofrequency and ultrasound were invented

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Radiofrequency uses the same wavelength that we use to listen to our favorite FM radio-station or to watch a TV or send a Text message. It penetrates the skin as an alternating electric current

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Laser/Light/RF Electric Current

RF electrical current streams through the tissue and ions rapidly change polarity back and forth and heat is generated. When compared with laser/light the energy produced is not liable to be diminished by tissue diffraction scattering or absorption. As such, RF-based systems are appropriate for any skin type to produce volumetric bulk heating in the dermis.

Radiofrequency Thermal Effect When dermal collagen is heated up to 65-75C, some fibers becomes denatured. This results in thickening and shortening of collagen fibrils , and ultimately immediate tightening. More tightening usually follows due to natural inflammatory wound healing response that triggers neo-collagenesis Collagen Triple Helix

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Radiofrequency Based Devices

Five forms of RF delivery have been developed: Monopolar, Bipolar, Fractional, Tripolar and Unipolar

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Monopolar/Bipolar Radiofrequency

The monopolar RF devices have one active electrode placed on the skin and a grounding electrode allowing for deep penetration. The bipolar configuration consists of two active electrodes placed a short distance apart allowing superficial penetration

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eprimeFractional Radiofrequency

MicroneedlesNeedle free The energy is delivered in a fraction of the skin through micro-needles or through needles free multiple pins in a fraction of the skin leaving adjacent normal unaffected skin in order to tissue tightening in less healing time

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Optical vs Non Optical Energy Based Skin Resurfacing The deposition of heat with optical energy based sources such as laser or light is little and superficial when compared with non optical energy sources such as monopolar radiofrequency (MPRF) that cause deep bulk heating of dermis and subcutaneous fatty tissue

Superficial and little heating to the dermisDeep bulk heating of the dermis and fatty layer

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Non Surgical Skin Tightening (Radio-Lift)

Radio lift is a method of physical therapy that involves generating local heat in the tissue by high frequency electrical current. It is FDA approved

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43mm24.5mm8mmBodyFaceEyes Biorad RadiofrequencyHeating Depends on the size and the geometry of the treatment tips

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Monopolar RadiofrequencyIn mono polar RF one electrode is used to transmit the RF energy to the skin and a return pad is placed on the body to close the circuit. In Biorad it is two grounding pads for more safety.How to Do It: Grounding Pads

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One can choose the target area with its treatment parameters. The speed of energy delivery is adjustable into five level according to the comfort of the patient. The epidermis is kept cooled between -5-10CMonopolar RadiofrequencyHow to Do It:The Protocol

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Part Tips Time (min)Electrode padsEnergy rangeFACENeck Small & middle20-30the upper armMid:60-150J,small:30-60JJowl Small & middle20-30the upper armMid:100-220J,small:20-50JEye-pit Small & middle15-20the upper armMid:80-150J,small:30-80JForehead Small & middle10-15the upper armMid:80-150J,small:30-80JBODYShoulder&backbig40-60the upper arm100-250JWaist&abdomenbig40-60thigh120-280JLeg big40-60Crus180-300JButtocks big40-60thigh200-300JArm big40-60Lower arm100-250JThe back of handSmall & middle30-40the upper armMid:100-200J,small:50-80J ScarsSmall & middle30-40the upper armMid:100-220J,small:20-50J

Energy: Time: Tip Sizes Ranges

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Radiofrequency: Reverse Thermal gradient

A reverse thermal gradient is created by contact cooling of the treatment tip which spare heating of the epidermis allowing volumetric heating at the depth of 1.5mm and temperature of 65-70C

Radiolift: How to Do It?

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Cairo-3 Talaat Harb Square.Egypt.-Giza 28 Murad St. Egypt- (+20) 23901616-01000082880www.msimedspa.comRadio lift: How to Do It?

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30J

10J

We adopted Low Fluency multiple passes approach as opposed to the usage of high fluency single pass approach. We believe that it is more comfortable, lessening potential side effects such as skin burns or fat atrophyRadio-lift: How to Do It?

Radio lift: IS IT PAINFUL?

I dont feel a thingOuch that hurts!!!In a scale of 1 to 4 where 1 means that the patient does not feel a thing and 4 means that it actually hurts. The patient should be told that RF pulses should always be at a 2 or 3 level, lower levels denote under treatment and higher levels denote a higher risk element.

After half the decided number of pulses is delivered to the desired area, the patient sits and the area is inspected for tightening due to the immediate collagen contraction ,if were not there yet then we should increase the number of pulses delivered. There is slight erythema and edema.Erythema and immediate tightening Radiolift:When Should I Stop?

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After half the decided number of pulses is delivered to the desired area, the patient sits and the area is inspected for tightening due to the immediate collagen contraction ,if were not there yet then we should increase the number of pulses delivered. There is slight erythema and edema.Erythema and immediate tightening Radio lift: When Should I Stop?

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Monopolar RF systems treat laxity of the periorbital areas, forehead, cheeks, nasolabial folds, marionette lines, jawline, and neck. Aside from wrinkles reduction, successful treatment of moderate to severe cystic acne, acne scarring, and cellulite have been reported.Who will Benefit from Non Surgical lifts?

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The benefits of non surgical tissue tightening are clear. It has limited downtime , it is relatively safe that can be use on any skin type, on non facial areas with little or no side effectsWho will Benefit from Non Surgical lifts?

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Surgical vs Non Surgical Skin Tightening Tissue tightening is not meant to replace surgical procedures such as face, eyelid and neck lifts, but it is good option for some patients

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J Am Acad Dermatol 2011;64:524-35.Who Can Not Benefit from Non Surgical lifts?

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Moetaz El-Domyati, MD,a Tarek S. El-Ammawi, MD,a Walid Medhat, MD,a,b Osama Moawad, MD,c Donna Brennan, MS,b My~ G. Mahoney, PhD,b and Jouni Uitto, MD, PhDb Al-Minya and Cairo, Egypt, and Philadelphia, PennsylvaniaRadiofrequency facial rejuvenation:Evidence-based effectJ Am Acad Dermatol 2011;64:524-35.

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Radiofrequency facial rejuvenation:Evidence-based effectThe study was conducted in collaboration of Department of Dermatology, Al-Minya University; Department of Dermatology and Cutaneous Biology, Thomas Jefferson University, Philadelphia; and Moawad Skin Institute for Cosmetic surgery and Laser, Cairo,

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The Aim of the WorkThe aim of the present study was to evaluate clinical efficacy and safety of monopolor radiofrequency device (Biorad) in rejuvenating photo-damged skin and to see if multiple treatment session will affect the clinical outcome. In addition to objectively quantify the histopathological changes in the skin immediately at the end of treatment and 3month post-treatment

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Base LineEnd of ttt3 ms after tttH&E (Histometry)Significant increase in the thickness of the epidermis with the formation of rete ridgesThe Thickness of The Epidermis

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Immuno-peroxidase Staining

9.8 um11.6 um15.6umTotal CollagenSignificant increase in the thickness of collagen band at 3month

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Collagen types ( I & III)Immuno-peroxidase Staining Significant Increase in Collagen type I&III at 3month

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Immunofluorescence Type VII Collagen

Significant Increase in Collagen type VII 3month after Radiolift

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Picrosirius Red Stain Neo-collagen Synthesis

Significant Increase in newly synthesized collagen formation 3month

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Base LineEnd of ttt3 ms after tttVerhoeff-van Gieson special stainElastic FibersElastic fibers are decreased with restoration of normal appearing elastic fibers

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DAPI

The Rate of Elastin BiosynthesisSignificant Increase in the rate of elastin biosynthesis as evident by quantifying newly synthesized tropoelastin

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BeforeAt the End3ms afterJ Am Acad Dermatol 2011;64:524-35.Radiofrequency facial rejuvenation:Evidence-based effectSignificant clinical improvement of skin tightening and wrinkles reduction

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BeforeAt the End3ms afterRadiofrequency facial rejuvenation:Evidence-based effectSignificant clinical improvement in skin tightening and wrinkles reduction in the periorbital and forehead areas

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BeforeAt the End3ms afterRadiofrequency facial rejuvenation:Evidence-based effectSignificant clinical improvement in skin tightening and wrinkles reduction in the nasolabial folds

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Radiolift: Non Surgical Skin TighteningCairo-3 Talaat Harb Square.Egypt.-Giza 28 Murad St. Egypt- (+20) 23901616-01000082880www.msimedspa.com

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Cairo-3 Talaat Harb Square.Egypt.-Giza 28 Murad St. Egypt- (+20) 23901616-01000082880www.msimedspa.comRadiolift: Non Surgical Skin Tightening

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Cairo-3 Talaat Harb Square.Egypt.-Giza 28 Murad St. Egypt- (+20) 23901616-01000082880www.msimedspa.comRadiolift: Non Surgical Skin Tightening

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Cairo-3 Talaat Harb Square.Egypt.-Giza 28 Murad St. Egypt- (+20) 23901616-01000082880www.msimedspa.comRadiolift: Non Surgical Skin Tightening

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Cairo-3 Talaat Harb Square.Egypt.-Giza 28 Murad St. Egypt- (+20) 23901616-01000082880www.msimedspa.comRadiolift: Non Surgical Skin Tightening

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Cairo-3 Talaat Harb Square.Egypt.-Giza 28 Murad St. Egypt- (+20) 23901616-01000082880www.msimedspa.comRadiolift: Skin Tightening

Cairo-3 Talaat Harb Square.Egypt.-Giza 28 Murad St. Egypt- (+20) 23901616-01000082880www.msimedspa.comNeck skin Tightening Radiolift: Skin Tightening

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The ultrasound waves penetrate into tissue, leading to vibration in molecules at the site of beam focus. The friction between tissue molecules produces heat and thermal injury at the focal site of the beam. Penetration depth is determined by frequency in which higher frequency waves produce a shallow focal injury zone and lower frequency waves have a greater depth of penetration.

Non Surgical Face Lift :Intense Focused Ultrasound

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Non-Surgical Body Reshaping and Cellulite Treatment

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Non Surgical Body Reshaping: Treatment Options

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Non surgical Energy Based Body ContouringThough surgical options remain the gold standard in many cases, these non-surgical treatments attract patients that are fearful of undergoing surgery or went to surgery and still want to improve the results

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Non surgical Body Contouring: RadiofrequencyHow to Do it?Body Treatment is similar to facial treatment however, we use larger treatment tip, we deliver more total pulses per site and usually we use higher energy levels

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The amount of energy produced depends on the amount of the current and the resistance of the targeted tissue. High-resistant tissues, such as subcutaneous fat, generate a greater amount of energy and have deeper thermal effectRadiofrequency: In The Subcutaneous Tissue

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Non surgical Body Contouring- MPRFRF technology offers unique advantages for non-invasive selective heating of relatively large volumes of subcutaneous adipose tissue. Accelerate Blood circulation and toxin removal. The collagen-based fibrous septa are also preferentially heated, leading to further collagen denaturation and immediate contraction Delayed fat cell Death leading to fat reduction in addition to new collagen deposition that lead to skin tightening and lifting

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Non surgical Body Contouring- MPRF

Non Surgical Body Contouring-MPRFCairo-3 Talaat Harb Square.Egypt.-Giza 28 Murad St. Egypt- (+20) 23901616-01000082880www.msimedspa.com

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Cairo-3 Talaat Harb Square.Egypt.-Giza 28 Murad st. Egypt- (+20) 23901616-01000082880www.msimedspa.comNon Surgical Body Contouring-MPRF

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Very common sequela after traditional lipsuction periumbilical area is difficult to smooth outAfter 3 session of Monopolar RadiofrequencySkin Tightening-MPRF

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Cairo-3 Talaat Harb Square.Egypt.-Giza 28 Murad St. Egypt- (+20) 23901616-01000082880www.msimedspa.comPost Liposuction in an old multiparaTwo sessions of Monopolar RadiofrequencySkin Tightening_MPRF

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Cairo-3 Talaat Harb Square.Egypt.-Giza 28 Murad St. Egypt- (+20) 23901616-01000082880www.msimedspa.comPost Liposuction Skin Folding in the periumbalical area4 session of Monopolar RadiofrequencySkin Tightening-MPRF

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Cairo-3 Talaat Harb Square.Egypt.-Giza 28 Murad St. Egypt- (+20) 23901616-01000082880www.msimedspa.comSubcision+ Monopolar Radiofrequency

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In areas where I need good skin tightening such as neck, arms, abdomen, I advise my patient to do 6 sessions of MPRF skin tightening one week apart using larger tip, more pulses and higher energy as compared to facial treatment. I believe that combination of multiple energy sources will result in the best results in body reshaping Ultrasound & Power Assisted LiposculpturePost Liposuction and Monopolar Radiofrequency

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Ultrasound & Power Assisted LiposculpturePost Liposuction and Monopolar RadiofrequencyIn areas where I need good skin tightening such as neck, arms, abdomen, I advise my patient to do 6 sessions of MPRF skin tightening one week apart using larger tip, more pulses and higher energy as compared to facial treatment. I believe that combination of multiple energy sources will result in the best results in body reshaping

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Post Liposuction and Monopolar RadiofrequencyIn areas where I need good skin tightening such as neck, arms, abdomen, I advise my patient to do 6 sessions of MRF skin tightening one week apart using large tip, more pulses and higher energy when compared to facial treatment. I believe that combination of multiple energy sources will result in the best results Ultrasound & Power Assisted Liposculpture

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In areas where I need good skin tightening such as neck, arms, abdomen, I advise my patient to do 6 sessions of MRF skin tightening one week apart using large tip, more pulses and higher energy when compared to facial treatment. I believe that combination of multiple energy sources will result in the best results Post U-PAL and MPRFUltrasound & Power Assisted Liposculpture

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Ultrasound & Power Assisted LiposculpturePost Liposuction and Monopolar RadiofrequencyIn areas where I need good skin tightening such as neck, arms, abdomen, I advise my patient to do 6 sessions of MRF skin tightening one week apart using large tip, more pulses and higher energy when compared to facial treatment. I believe that combination of multiple energy sources will result in the best results

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Post Liposuction and Monopolar Radiofrequency may improve CelluliteUltrasound & Power Assisted LiposculptureA special cannula is attached to the power machine to subcise fibrous septa in targeted area. The vibrating cannula can do excellent job for subcision. Patient advised to do 6 sessions of MPRF post procedure to augment skin tightening Cellulite

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Ultrasound & Power Assisted LiposculpturePost Liposuction and Monopolar Radiofrequency may improve CelluliteA special cannula is attached to the power machine to subcise fibrous septa in targeted area. The vibrating cannula can do excellent job for subcision. Patient advised to do 6 sessions of MPRF post procedure to augment skin tightening

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Radiofrequency: A New Tool for Non Surgical Skin Lifting (Radio-lift)Conclusion

ConclusionRadiofrequency: A New Tool for Non Surgical Skin Lifting (Radio-lift)

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ConclusionRadiofrequency: A New Tool for Non Surgical Skin Lifting (Radio-lift)

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I believe in Energy combination to obtain the best results in fat reduction, body reshaping, and skin tightening

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Reverse Facial Ageing We can retain skin function with skin care products relax dynamic wrinkles with botox , reverse fat re-distrubtion with liposuction we can fill atrophic skin and subcutaneous tissue with fat and fillers we can tighten the skin and re-drape it surgically with lift surgery or non surgically with energy based technologies , and we can resurface to improve its texture

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