Novel Modality for Neck Rejuvenation: A Prospective Multicenter Trial of Percutaneous Radiofrequency Ablation of the Cervical Branch of the Facial Nerve

Novel Modality for Neck Rejuvenation: A Prospective Multicenter Trial of Percutaneous Radiofrequency Ablation of the Cervical Branch of the Facial Nerve

BACKGROUNDNeck rejuvenation offers few modalities of treatments limited to either invasive plastic surgery or temporary neuromodulation using botulinum toxin. OBJECTIVETo access the efficacy, longevity, and safety of percutaneous monopolar radiofrequency (RF) ablation of the cervical branch of the f...

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Bibliographic Details
Published in:Dermatologic surgery Vol. 44; no. 2; pp. 209 - 217
Main Authors: Rivlin, Daniel, Skinner, D Ryan, Steinmetz-Rodriguez, Christina Y, Fabrikant, Jordan S, Stoddard, Marie A, So, Jeffrey J, Solomon, Shauntell J, Moy, Ronald L
Format: Journal Article
Language:English
Published: United States by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. All rights reserved 01-02-2018
Subjects:
Ablation Techniques - methods
Aged
Aged, 80 and over
Cosmetic Techniques
Facial Nerve
Female
Follow-Up Studies
Humans
Male
Middle Aged
Neck - innervation
Neck - pathology
Prospective Studies
Rejuvenation
Skin Aging
Superficial Musculoaponeurotic System - innervation
Treatment Outcome
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Summary:BACKGROUNDNeck rejuvenation offers few modalities of treatments limited to either invasive plastic surgery or temporary neuromodulation using botulinum toxin. OBJECTIVETo access the efficacy, longevity, and safety of percutaneous monopolar radiofrequency (RF) ablation of the cervical branch of the facial nerve innervating the platysma for neck rejuvenation. MATERIALS AND METHODSThis prospective, multicenter trial enrolled 19 adult patients with noticeable platysmal banding at 2 different centers. All patients underwent RF ablation on the cervical branch of the facial nerve. Response was assessed immediately after treatment and then at 1, 4, 12, and 24 weeks after the procedure using photography. Masked investigators compared baseline photography and follow-up intervals to evaluate the results. RESULTSSeventeen of the 18 patients had improvement in the platysmal banding. One patient was disqualified after ablation. Long-term sequalae such as scarring, burns, ulceration, hypopigmentation, or hyperpigmentation were not reported. CONCLUSIONThe results of this multicenter study support that RF ablation of the cervical branch of the facial nerve is a novel technique that results in improvement of platysmal banding. This technique is an emerging alternative, nonsurgical option for neck rejuvenation that is relatively safe, with little downtime for the patient.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
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ISSN:1076-0512
1524-4725
DOI:10.1097/DSS.0000000000001275