Ultherapy & TempSure Envi: Combining Face Lifting Procedures

Perhaps one of the most noticeable indicators of one’s age is the appearance of their skin, especially the face and neck.

Over time, our skin experiences a loss of elasticity and volume due to breakdown of collagen and elastin fibers in the skin – as we age, their production naturally drops. Skin laxity can be attributed to intrinsic factors as well as extrinsic factors, such as sun exposure and poor dietary habits.

As age and gravity take their toll on your skin, you may start to notice sagging skin, deep forehead lines, wrinkles and crow’s feet – all of which can make you look your age, or even older. Your skin also loses its elasticity, tone and youthful glow.

Facial ageing is more than just wrinkles

Our skin is made up of three layers: epidermis, dermis and hypodermis. They each contain connective tissue with collagen fibers that provide the necessary support for the skin’s flexibility and strength.

The ageing process affects the entire facial structure such as the facial bones, muscles, subcutaneous fat and skin. These changes can be seen in three ways:

Volume loss: subcutaneous fat deposits lose their support and this affects the structure of the skin. The face looks less firm and more hollowed over time.

Sagging: lax tissue and loose skin are noticeable through the appearance of hollow or sunken cheeks. Due to tissue degeneration as well as elastin and collagen loss, the skin sags and forms wrinkles and lines in the lower half of the face – this results in jowls and drooping skin under the neck and jawline.

Wrinkling: elastin and collagen are produced at a slower rate, and the skin becomes more fragile and sensitive to external factors. Apart from causing the dull, tired look, the skin also loses its healthy texture and tone, giving way to age spots and static wrinkles.

With the advancement of technology, there are various non-surgical treatments available today to refresh and rejuvenate your face without any invasive procedure or a long recovery time.

In this article, we will be talking about Ultherapy and TempSure Envi – both of which are non-surgical, non-invasive treatments used to encourage the body to produce both collagen and elastin for firmer skin. The main difference is in the type of energy platform – Ultherapy utilises High Intensity Focused Ultrasound (HIFU), whilst the TempSure Envi uses Radiofrequency to achieve its effect.

High Intensity Focused Ultrasound (HIFU) – Ultherapy

The non-invasive therapy of using focused ultrasound waves has been widely used for treating tumours¹.

But in the last decade, HIFU was found to be effective and safe for aesthetic purposes too – particularly for facial lifting and improving wrinkles. The ultrasound energy causes the tissue to heat up rapidly and produces controlled, focused cellular damage, which actually helps to stimulate the cells in producing more collagen.

A study done in 2010 showed that almost 66% of 93 patients who were treated with HIFU reported improvement in the lower half of their face and neck².

How does Ultherapy work

Ultherapy is the original, first-in-class HIFU machine that uses micro-focused ultrasound energy to target deep structural layers of the skin while preserving the integrity of the epidermis. It also incorporates ultrasound imaging which enables doctors to see the actual tissue layers they are treating. This ensures that the treatment energy is delivered to areas where it will be most beneficial.

With just the right amount of energy delivered at the right depths, it will stimulate the body’s tissue repair process and jumpstart its own collagen production.

Ultherapy is the only FDA-cleared device that can help to lift the neck, cheeks and brows, as well as improve wrinkles and lines on the décolletage. Results may continue to improve for the next three to six months and can last for a year or longer.

For those who don’t prefer to go under the knife, Ultherapy provides a non-invasive alternative to surgical facelifts that can be done in an hour or so. It gives the skin its youthfulness again and treats any loose skin to appear firmer and more toned.

Radiofrequency – TempSure Envi

Radiofrequency is also ideal for facial rejuvenation, as the energy produced can heat the skin’s deeper layers and stimulate the collagen remodelling response. Without causing damage to the outer skin layers, the heating effect will cause microscopic changes to the tissues and collagen contraction.

At the same time, it also has a positive impact on the lymphatic system to improve deep blood circulation and enhance the skin’s luminosity for a natural-looking glow.

How does TempSure Envi work

TempSure Envi delivers radiofrequency technology through a probe or massage wand that gently heats your skin to cause a thermal reaction and induce new collagen production. Its low frequency is monitored real-time to reach the optimal temperature without overheating to ensure safe penetration to the skin.

Apart from using real-time temperature monitoring, what makes TempSure Envi unique is its Therapeutic Logic Control (TLC) which helps to stimulate your nerves much less than other devices. This means that your skin can be treated more comfortably at a higher temperature for quicker, more effective results. This treatment in fact feels like a hot stones massage to most patients, and coupled with soothing spa tones, makes for a very comfortable treatment for the majority of patients.

TempSure Envi is commonly used for the eyes (crow’s feet), upper face (frown and forehead lines), lower face, upper chest as well as cellulite on the body.

Treatment sessions are typically less than an hour and a touch-up session is recommended every six months to a year. With no major side effects or downtime, you can see initial tightening effects after the first treatments, with full results setting in after four to six weeks. Over time, you can expect a smoother, tighter and more toned complexion.

A hybrid of two face lifting procedures

Despite the difference in technologies used to heat up deep skin tissues, both options can be combined to produce optimal outcomes in treating age-related skin laxity on the face and neck³.

As we age, our face starts to display a mix of wrinkling and sagging. Because each treatment is able to reach various depths in the skin, Ultherapy and TempSure Envi can be utilised together as a unique approach to a multi-layered skin tightening treatment for ageing skin with optimal results.

The combined effect allows faster, more uniform heating of the skin to increase the responsivity to the treatment and enable greater tissue remodeling as well as collagen production for overall rejuvenation of the face and neck.

Regain a youthful look

Talk to a skin dermatologist to help assess your skin laxity and address the suitability of face lifting treatments for your complexion. At Angeline Yong Dermatology, Dr Yong is an MOH-accredited dermatologist in Singapore who has over 15 years of medical practice. She will listen to your skin concerns attentively before recommending a bespoke-tailored solution to achieve desirable effects.

After serving more than a decade in the National Skin Center, she opened up her own private practice providing innovative dermatological solutions through medical, cosmetic and surgical treatments. With clinical interests in areas including Cosmetic Dermatology and Hair Transplant Surgery, Dr Yong also carries out sought-after treatments such as the Picosure laser and FUE hair transplant to patients seeking to improve their appearance.

Contact our dermatology clinic today and consult with Dr Yong for all your skin ageing concerns!

Reference:
1. Izadifar, Z., Izadifar, Z., Chapman, D., & Babyn, P. (2020). An Introduction to High Intensity Focused Ultrasound: Systematic Review on Principles, Devices, and Clinical Applications. Journal of clinical medicine, 9(2), 460. https://doi.org/10.3390/jcm9020460
2. Georgette Oni, Ron Hoxworth, Sumeet Teotia, Spencer Brown, Jeffrey M. Kenkel, Evaluation of a Microfocused Ultrasound System for Improving Skin Laxity and Tightening in the Lower Face, Aesthetic Surgery Journal, Volume 34, Issue 7, September 2014, Pages 1099–1110, https://doi.org/10.1177/1090820X14541956
3. Catinis CA, Chilukuri S. The benefit of combined radiofrequency and ultrasound to enhance surgical and nonsurgical outcomes for the face and neck. Plast Aesthet Res2020;7:9. http://dx.doi.org/10.20517/2347-9264.2019.68

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Ultherapy & TempSure Envi: Combining Face Lifting Procedures