Abstract
Bipolar fractional radiofrequency has gained popularity in the treatment of wrinkles and rhytids, as well as in the treatment of acne and traumatic scars. In this review, the technology will be described, the clinical trials associated with the technology reviewed and how it works in everyday clinical practice. This important modality has transformed lives with its unique characteristics of minimal epidermal disruption and deep dermal heating. Through its mechanism of action, improvements in skin are seen and downtime is kept to a minimal. Post-inflammatory hyperpigmentation is also seen with low frequency with this modality, and it is useful in all skin types, as radiofrequency is colorblind.
Financial & competing interests disclosure
MH Gold has performed clinical trials for Syneron. The author has no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed.
No writing assistance was utilized in the production of this manuscript.
Key issues
• Bipolar fractional radiofrequency (RF) is a novel type of fractional energy-based systems.
• Bipolar fractional RF can successfully treat wrinkles and rhytids.
• Bipolar fractional RF can successfully treat acne and traumatic scars.
• Downtime with this technology is minimal; post-inflammatory hyperpigmentation is very rare.
• Clinical trials support its effectiveness.