Non Surgical Facelift In Rockville, MD

Our skin is so dynamic, changing as we age, consume the sun and our genetics. These factors contribute to wrinkles, dark spots, scars and aged skin. Though mostly cosmetic, these changes in skin can be a nuisance and/or bother patients. In order to keep a more youthful look people turn to effective treatments. But finding the treatment that provides results can tricky as there are so many on the market and the results can vary. In this article, we will provide information about skin rejuvenation and the treatments that provide effective outcomes and enhance one’s appearance.

Anatomy Of Skin

Skin is the largest organ in the body and covers the body’s entire external surface. It is made up of three layers, the epidermis, dermis, and the hypodermis, all three of which vary significantly in their anatomy and function. The skin’s structure is made up of an intricate network which serves as the body’s initial barrier against pathogens, UV light, and chemicals, and mechanical injury. It also regulates temperature and the amount of water released into the environment (NCBI)

Functions Of The Skin



Treatment Options

After consulting a medical professional, patients have the option to choose many different treatment options to repair their skin ailments. While most are outpatient like skin rejuvenation or non-surgical facelift, plastic surgeons sometimes suggest surgery options. Patients should be aware that surgery has a higher propensity for side-effects, down time, are costly and but can also yield more long-term results.

What is skin rejuvenation and resurfacing?

Skin resurfacing treatments help to restore a more youthful, beautiful complexion by removing the most damaged outer layers of skin, initiating new skin growth, subsequently removing dark spots, wrinkles and other skin ailments. Ideally, patients start to see a healthier-looking skin. Medical professionals use a variety of techniques to provide younger-looking skin.

What is skin rejuvenation
used for?

The specific type of treatment that will best address a patient’s concerns is determined after a consultation with your board-certified medical professional. Most skin treatments require a series of treatments and a multi-modality approach to achieving excellent results, with a spectrum of side effects. Moving forward, most medical professionals would encourage patients to commit to protecting their kind to continue to achieve long last results.

How does skin rejuvenation work?

Skin rejuvenation removes the most outer layer of skin, subsequently, removing dark spots, wrinkles, birth marks and/or other skin ailments that patients might be self conscience about. Medical professionals will use a variety of techniques to provide patients with skin rejuvenation; either through lasers, chemical peel, and dermabrasion. Skin rejuvaination treatments are considered a non-surgical facelift.

What is laser resurfacing?

A medical professional will use a laser to “resurface” the skin. These lasers will use concentrated pulsating beams of light and target irregular skin. This laser inturn removes unwanted, damaged skin in a very accurate manner one layer at a time. The laser beam used in laser resurfacing will remove your outer layer of skin, called the epidermis. It simultaneously heats the underlying skin, called the dermis. This action works to stimulate growth of new collagen fibers. As the treated area heals, the new skin that forms is smoother and firmer (Plastic Surgery).

What are chemical peels?

A chemical peel is a technique used to improve the appearance of the skin on the face, neck or hands. A chemical solution is applied to the skin that causes it to exfoliate and eventually peel off. The new, regenerated skin is usually smoother and less wrinkled than the old skin. The new skin is also temporarily more sensitive to the sun. There are three basic types of chemical peels:

Superficial Or Lunchtime Peel

Alpha-hydroxy acid or another mild acid is used to penetrate only the outer layer of skin to gently exfoliate it. Providing the patient with a more even skin tone. The treatment is also used to improve the appearance of mild skin discoloration and rough skin as well as to refresh the face, neck, chest or hands. And are able to be applied to a patient “during lunch” with little to no down time.

Medium Peel

Glycolic or trichloroacetic acid is applied to penetrate the out and middle layers of skin to remove damaged skin cells. The treatment is used to improve age spots, fine lines and wrinkles, freckles and moderate skin discoloration and dark spots. It also can be used to smooth rough skin and treat some precancerous skin growths.

Deep Peel

Trichloroacetic acid or phenol is applied to deeply penetrate the middle layer of skin to remove damaged skin cells. The treatment removes moderate lines, age spots, freckles and shallow scars. Most patients will end up seeing a dramatic improvement in skin appearance. The procedure is used on the face and only can be performed once (American Society of Dermatology Surgery).

What is dermabrasion?

Dermabrasion is a skin-resurfacing procedure that uses a rapidly rotating device to remove the outer layer of skin (Mayo Clinic). Dermabrasion can decrease the appearance of fine facial lines and improve the look of many skin flaws, including acne scars, scars from surgery, age spots and wrinkles. The procedure requires a medical professional to numb the patient’s skin (through a cream and/or general anesthesia) and then provide the treatment. Patients normally have blotchy, red, and sensitive skin for about 3 weeks, when they see results.

How do radiofrequency treatments work?

When applied to the area treated, it causes a molecular friction, producing heat. The actual source of the heat is the frictional resistance of the tissue. By doing this, medical professionals can contract the collagen fibres, resulting in an immediate skin-tightening effect, as well as delayed collagen synthesis, meaning the results are both instant and cumulative (Hapers Bazaar). Radiofrequency (RF) is one category and includes a lot of common energy types we use every day: WiFi signals, radio and TV waves, and microwave ovens. The RF energy used in skin tightening is in the ballpark of 450 kilohertz, which is on the slow end of the radiofrequency range (American Board of Cosmetic Surgery).

What is mechanical resurfacing?

This is “non-laser” procedures that use intense pulse light (IPL) can be used to remove discolored skin pigmentation and reduce the appearance of wrinkles (American Board of Cosmetic Surgery).

Who should perform skin resurfacing treatments?

Certain skin resurfacing treatments should only be performed by a board-certified cosmetic surgeon. These include deep chemical peels and certain ablative laser treatments. Other treatments, such as microneedling, light peels, and microdermabrasion, can be safely and effectively performed by a highly trained registered nurse or licensed aesthetician. The credentials required to perform skin resurfacing treatments vary from state to state, but regardless of what is allowed in an area, patients should always choose a provider who is licensed for his or her position, works under the supervision of a qualified cosmetic surgeon (if the provider is a nurse or aesthetician) and is very experienced in medical skin care. This will provide a safer environment, an option for a non-surgical facelift for people in Rockville and more predictable results for all patients (American Board of Cosmetic Sugery).

What is TempSure Envi?

Tempsure Envi is a non-invasive skin rejuvenation treatment that uses radiofrequency energy to smooth fine lines and tighten skin. Primarily used on the face, the FDA-cleared treatment can minimize the appearance of forehead lines, frown lines, crow’s feet, smile lines and many other skin ailments. Harnessing RF energy waves, Tempsure Envi works to provoke your skin’s natural healing response and regenerate the collagen that provides its structure. It delivers heat deep into your skin, where new collagen is produced. Following your treatments, your skin works to renew itself, leading to a skin tightening effect. Tempsure Envi is a one of a kind treatment, as it is the only treatment of its kind to use radio frequency stimulating the nerves so minimally, it allows the providers to use a higher temperature and prompt faster results without pain

What is the tempsure envi procedure like?

Most places (like the full face, the full abdomen, above the knees, and behind the thighs) take 20 minutes each, with results seen almost immediately. Four treatments needed for all patients. Most patients will see results within 4-6 weeks.

Envi Procedure

Price for Tempsure You can expect to pay between $2,000 and $4,000 for a set of four treatments.

Preventative and Protecting Skin

It is well known that your skin will continue to age as your body ages. Combined with genetics, environmental factors, and lifestyle choices, it’s a good idea for patients to continue to keep a healthy lifestyle, dont (or quick) smoke and wear sunscreen daily. This will help prolonge any results a patient gets from the above treatments.


Chemical peels can be used successfully due to proper selection of patients and peeling agents, relatively noninvasive characteristics, minimal side effects, and relative cost efficiency, compared to laser therapy (Springer, 2021)

Commentary on Prospective Clinical Trial of the Latest Generation of Noninvasive Monopolar Radiofrequency for the Treatment of Facial and Upper Neck Skin Laxity (Dermotologic Surgery, 2021)

The questionnaire concerned the degree of wrinkle number reduction and their depth, as well as the improvement of skin elasticity. Twenty-one out of 24 patients subjected to non-ablative fractional laser treatment observed significant improvement of elasticity of the skin around eyes and eyelids. In the group undergoing bipolar radiofrequency, a considerable proportion of participants “had no opinion” on the effects of therapy. A large portion of participants observed improvement of skin elasticity, and reduced number and depth of wrinkles (Springer, 2021)

Carboxytherapy delivered via a gel mask after skin rejuvenation procedures is a safe and effective strategy to improve clinical outcomes and reduce post-treatment side effects (Europe PMC, 2021)

This chapter discusses the various newer non-surgical facial rejuvenation modalities and their integration with other time-tested non-surgical procedures such as fillers, botulinum toxin, and lasers to offer the most powerful non-surgical facelift called the Thomas Lift (LLFR™) (Springer Link, 2021)

Nonsurgical fat reduction has become a very popular cosmetic treatment category with energy-based devices demonstrating, in clinical trials, safety, and efficacy. These devices, which use both radiofrequency and cold, will be presented in this manuscript, and their documented efficacy will be reviewed. As well, the new field of high intensity focused electromagnetic technology is gaining excitement for not only muscle stimulation, but also for fat reduction and now skin tightening. And finally, pharmaceutical agents are being used and investigated for their clinical effects on reducing fat. The myriad of treatment options now available provide clinicians with great choices, with documented safety and efficacy, to reduce fat, tighten the skin, and stimulate muscle formation (Wiley Online Library, 2021)


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