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Skin Tightening

Sagging skin can be hard to deal with -over the cheekbones, around your chin, under your arms, or your waistline—loose skin is a struggle. Surgery or injectables have been the solution for skin tightening, not anymore. Non-surgical radio frequency treatments rejuvenate the skin by safely and comfortably heating the tissue under the skin’s surface. This triggers the production of collagen and elastin, key building blocks of healthy, youthful skin. The result is tighter, smoother, younger skin.

Laser Radio-frequency Skin Tightening Treatment

Complete facial rejuvenation through


eTwo™ is the newly introduced, FDA cleared aesthetic device that includes two unique treatments called Sublative® and Sublime™ for a Complete Facial Rejuvenation.

What makes eTwo™ different from other skin rejuvenation devices?

Patients today desire face-lift-type results, yet do not want the weeks–to even months–of downtime associated with those treatments. Aggressive treatments also come with limitations on the range of skin types that can be treated, due to the high risk of skin discoloration and scarring. Although classified as an aggressive treatment, Sublative® (also known as eMatrix) and Sublime™ (also known as ReFirme) Rejuvenation are unique because they delivers optimal efficiency with minimal downtime at an affordable price point–and it’s safe for ALL skin types.

To achieve the best possible results when addressing any skin imperfection, the energy, whether it be laser or light, must be delivered below the skin without overheating the top layer of the skin. This has been the challenge with current more aggressive treatments, because they work by overheating the top layer of the skin to the point of complete ablation (removal), forcing new skin to develop, which translates to a long and painful downtime.

The benefit of radio frequency is that this type of energy is able to penetrate into the dermal layer where the collagen and elastin are made with little to no disruption of the surface of the skin!  Meaning the recovery or downtime is greatly reduced and sometimes there is none at all.

If eTwo™ is not a laser, what exactly is it?

eTwo™ replaces laser energy with highly controlled bi-polar radio frequency (RF). The newly FDA-cleared Sublative RF is the only fractional resurfacing device utilizing this form of non-laser based fractional energy delivery, greatly enhancing both safety and patient outcomes for skin of all colors.

Sublative® RF – a new kind of non-laser fractional skin resurfacing for the widest diversity of skin types and colors

What does Sublative® RF treat?

  • wrinkles
  • acne scarring
  • poor skin texture
  • enlarged pores
  • sun damage
  • uneven skin tone
  • skin laxity on the neck

How does Sublative® RF work?

Sublative® Rejuvenation uses fractional bi-polar radio frequency to penetrate through the skin–to allow more energy beneath the surface of the skin, to really maximize collagen production–while keeping the top layer of the skin intact.

The Sublative® RF works by treating the selected skin area via a grid of tiny spots. The surrounding skin acts as a healing reservoir, regenerating and restoring collagen while accelerating the healing process to ensure limited downtime. The heat from the radio frequency energy creates a collagen response at selected levels and at selected coverage concentration of skin area.

Post treatment, you may notice mild to moderate wrinkles and superficial skin discolorations are reduced, and the texture of your skin becomes smoother and more elastic.

Where can Sublative® RF be used?
In addition to facial areas, Sublative RF treatments can be performed on many areas of the body, whereas most other fractional ablative systems using laser are limited to the face only.

Is there downtime?
At the moderate levels expect 2-3 days of redness and swelling and up to 7 days of the light crusts or bronzing left from the fractionated tip, which is completely normal and expected. At higher treatment energy levels this is not a lunchtime procedure and most people will choose to do this when they have a few days off work or their social activities.  We recommend avoiding “thermal trauma” to treated skin for 24-48 hours – any activity that will make the treated area hot, such as exercise, hot water, sun exposure.  Makeup may be applied 24 hours after the treatment.

Tiny crusts form in 24 – 72 hours in the treated zones. These will fall off naturally and should not be rubbed or picked.  You may not see these but you will be able to feel them.

Does Sublative® RF resurfacing hurt?
Most patients feel a warm or pinprick sensation during treatment but agree the actual treatment is very tolerable.  A warm or hot sensation will gradually build within the skin for about 2 hours after treatment and then subside.

Do I need more than one treatment?
Most patients opt for 3 or 4 treatments. Each treatment takes about 30 minutes. Results are cumulative and improve over time as collagen processes work beneath the skin surface.  Because the treatment does not remove full surface skin, healing is quicker and far more risk free.  It will take up to 6 months for the full effect of each treatment to be visible.

Sublime™ Wrinkle Reduction and Skin Contouring

Sublime™ utilizes Syneron’s proprietary elōs technology of light (infra-red) and bi-polar radio frequency for deep dermal heating required to improve the deeper placed imperfections like wrinkles and skin laxity.

The FDA-cleared Sublime™ Applicator offers virtually painless and fast treatment for wrinkle treatment and skin contouring. Conventional skin treatments are time – and treatment – intensive and often too painful for many patients. With Sublime™, patients can have firm and contoured skin without surgery.

Sublime™ is ideal for targeting those telltale signs of aging, including sagging jawline and nasolabial folds.

How Sublime™ Works
Sublime™ combines safe and effective levels of infrared light and bipolar radiofrequency energies to remodel the dermal layer of the skin by stimulating new collagen growth. Sublime’s exclusive combination of energies provides ideal treatment outcomes with a very low risk of side effects and virtually no down-time.

Sublime™ uses the elōs combination of IR and Bi-Polar RF to provide controlled deep dermal heating. This predictable heating of the deep dermis both stimulates and shortens aged collagen fibers, resulting in the immediate and long term improvement of wrinkles and facial contour.

What results can I expect from Sublime™?
Sublime uses two modalities to induce collagen contraction and new collagen production leading to softening of lines and wrinkles as well as visible skin tightening. A series of 5-7 treatments is recommended for optimal results. We will discuss a regimen to accelerate your results and help you maintain your improvements once you complete your series of treatments. As with any cosmetic procedure, your degree of improvement will fade over time but the treatment can be repeated as often as is necessary to maintain your youthful look.

Who is a candidate for Sublime™?
Sublime™ is not a substitute for the traditional facelift but provides an outstanding alternative for patients who don’t want invasive surgery or aren’t quite ready for it. It is the fastest and most effective non–invasive treatment on the market for mild sagging skin, regardless of skin type or color, and can quickly restore the facial texture and contour of your youth. It is ideal for patients with a busy lifestyle who don’t want the expense, downtime, and risks associated with traditional surgery. Anyone wishing to reduce or delay the signs of aging will benefit from this procedure. Sublime™ is an excellent addition to a superior facial rejuvenation regimen, which may include Botox, fillers, skin rejuvenation, and lasers.

The Sublime Laser provides a non-invasive wrinkle treatment. It uses the elōs® system to combine levels of infrared (IR) light and bi-polar radio frequency (RF) energies to remodel the deep dermal layer of the skin by stimulating new collagen growth. This predictable heating of the deep dermis stimulates and shortens aged collagen fibers, resulting in immediate and long-term improvement of wrinkles.

The Sublative Laser is a fractionated bi-polar RF technology using heat energy to encourage significant increases of collagen and elastin in the upper dermis – with low epidermal disruption for a broad range of skin types.  Less affected tissue surrounding the matrix points may be stimulated by heat, which helps accelerate the healing process, leading to a smoother, rejuvenated appearance of the skin. 

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