April 2, 2024
Lifting Without Cutting #4: FaceTite & AccuTite w/ Dr. Sherrell Aston
Plastic surgeon Dr. Sherrell Aston, who uses FaceTite or AccuTite as a complementary procedure with almost every facelift he does, joins Dr. Bass in the 4th episode of our series "Lifting Without Cutting," to discuss how it delivers more complete rejuvenation.
Dr. Aston often pairs these bipolar radiofrequency treatments with face and neck lifts to address what surgery alone cannot, such as wrinkles or localized areas of laxity.
While FaceTite and AccuTite are in a large class of devices using radiofrequency energy to heat and remodel tissue, they stand out because they deliver far more energy to the underlying tissue and can be more precisely customized to each patient’s needs.
A wide range of people can benefit from these treatments, from young patients with some skin laxity who aren’t ready for surgery to post-facelift patients who want to touch up their results.
Patients appear visibly tighter and more contoured almost immediately after FaceTite or AccuTite, but the results don’t stop there. Improvements in tightness and overall skin quality continue over the following months as new collagen continues to build.
Hear Dr. Aston and Dr. Bass discuss how this cutting edge non-surgical treatment is done, best candidates, what's involved in terms of the experience and recovery, and how it’s shaping the future of aesthetics.
About Dr. Sherrell Aston
Dr. Sherrell Aston is a professor of plastic surgery at New York University School of Medicine, a past president of the American Society for Aesthetic Plastic Surgery, and was the chair of plastic surgery at Manhattan Eye, Ear and Throat Hospital for 23 years. He also has run an international symposium that was for many years the largest aesthetic plastic surgery meeting in the world.
Learn more about Dr. Sherrell Aston
About Dr. Lawrence Bass
Innovator. Industry veteran. In-demand Park Avenue board certified plastic surgeon, Dr. Lawrence Bass is a true master of his craft, not only in the OR but as an industry pioneer in the development and evaluation of new aesthetic technologies. With locations in both Manhattan (on Park Avenue between 62nd and 63rd Streets) and in Great Neck, Long Island, Dr. Bass has earned his reputation as the plastic surgeon for the most discerning patients in NYC and beyond.
To learn more, visit the Bass Plastic Surgery website or follow the team on Instagram @drbassnyc
Subscribe to the Park Avenue Plastic Surgery Class newsletter to be notified of new episodes & receive exclusive invitations, offers, and information from Dr. Bass.
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Welcome to Park Avenue
Plastic Surgery Class,
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the podcast where we explore controversies
and breaking issues in plastic
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surgery. I'm your co-host, Doreen Wu,
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a clinical assistant at Bass
Plastic Surgery in New York City.
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I'm excited to be here with Dr. Lawrence
Bass Park Avenue plastic surgeon,
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educator, and technology innovator.
This is episode four in our series,
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Lifting Without Cutting, where we explore
non-surgical options for skin laxity.
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In today's episode, we are discussing
FaceTite and AccuTite. FaceTite
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sounds like what everyone wants.
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What a brilliant name for a technology
and easy for me to understand still.
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I know there's always a backstory.
Can you share it with us, Dr. Bass?
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Well, FaceTite is a device
that uses radio frequency.
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In this regard it's in a large
class of devices using this type of
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energy to heat and remodel tissue.
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So what's different about FaceTite?
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Well,
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the device is applied using an
electrode that's placed under the
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skin through a tiny incision.
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This brings a lot more
energy to the target tissue,
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the deep or underneath surface of
the skin and the fat and connective
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tissue fibers that hold
skin down compared to other
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technologies that try to put
energy through the skin for
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safety and to better assure
heating to the right endpoint.
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There are various forms of feedback
control that dose the correct
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amount of energy with the FaceTite device.
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So this is a really important
feature with radio frequency.
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The amount of energy absorbed is
based on the resistance called the
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impedance in the tissues,
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and this varies a lot from person to
person and then limits the precision of
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a lot of RF devices that
don't employ feedback control.
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It's a better treatment through science.
Sounds like an advanced approach,
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but what can you tell me about what
the device can do and who is the right
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candidate for this treatment?
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Well, to answer those questions,
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I've brought an expert to share
his experience with the device.
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Dr. Sherrell Aston is
my chairman and mentor
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in aesthetic plastic surgery.
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He is one of the most accomplished
aesthetic plastic surgeons in
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the world,
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practicing very successfully
in New York City.
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He is a professor of plastic
surgery at New York University,
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a past president of the American
Society for Aesthetic Plastic Surgery
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for more than 23 years,
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chairman of plastic surgery at
Manhattan Eye, Ear and Throat Hospital.
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And he's also taught a
cutting edge symposium on
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technologies and techniques
in plastic surgery.
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That was one of the largest
aesthetic symposia in the world,
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attended by leading surgeons from
all over the world to upgrade
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their capabilities.
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So I'm very happy to have
Dr. Aston join us today.
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Thanks, Dr. Bass for that introduction.
It's a pleasure to be here with you.
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I must say you've been a part of these
educational teaching programs that we've
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had for many years and I
recognize you as one of the
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world's leaders in aesthetic surgery,
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particularly the new
technology section of facial
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rejuvenation or body
rejuvenation in general.
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And so your accomplishments are
well known by the world also.
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So it's a pleasure to be here with you
and I've enjoyed having you on my radio
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show over the past 15
years on multiple times.
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So we've shared a lot of educational
materials for the public for many years
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together. Thank you for
having me this time.
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My pleasure.
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Welcome Dr. Aston. Thank you for
joining us on the podcast today.
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Thank you, Doreen.
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So Dr. Bass touched on it, but can you
detail how the treatment is performed?
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What is involved for the patient in
terms of local anesthesia treatment
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experience and time, and
what is the surgeon doing?
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Okay, so let me tell
you a little bit more,
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just amplify a little bit
of what Dr. Bass said.
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The thing about FaceTite
is it's a bipolar radio
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frequency,
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which means that the electrode that Dr.
Bass spoke of that goes under the skin
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is delivering the heat energy,
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but there's also an electrode
on the surface of the skin.
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So heat from internal electrode
to the external electrode bipolar
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radio frequency,
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which makes this technology very different
and the heats that's generated from
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the internal electrode
can be very intense.
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In fact, Dr. Bass indicated that
the machines have controls on 'em,
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so you can't generate too much energy,
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it'll turn the machine
off before it'll burn the
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skin.
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Now the technology itself has
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expanded a great deal.
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I first started doing the
bipolar radio frequency
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technology in 2017 I think it was,
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and we've expanded the use of
that technology greatly today.
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Initially we used it for,
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we thought it was going to be used
for what we would call treatment gap
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patients.
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That was three groups of patients
that we didn't have a procedure for
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that was a young person that had some
changes in their face that really wouldn't
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be ready for one of our
surgical procedures.
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Patients who needed a facelift
but didn't want it, we said,
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I'll be happier with something
that's less than a great result,
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but would make me better.
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And the patients who had had facelift
surgery and they got some recurrent laxity
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in the face collections
of jowls, et cetera.
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Now we've expanded this technology.
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I incorporate it in almost
every facelift that I do today
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as well as a number of
standalone procedures.
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And your question, you asked me,
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what is the patient doing
about local anesthesia? Yes,
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we use local anesthesia
for many of these patients
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when you're treating specific
areas and we can go into that
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area and we can talk about
it when you're ready.
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And is there any recovery
time after FaceTite treatment?
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Is it a single treatment or series?
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Well, FaceTite itself,
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and we'll get into AccuTite
a little bit later.
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FaceTite itself is usually
a one and done procedure.
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It's a procedure that we use primarily
for the neck, the jawline, the cheeks.
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The other bipolar radio
frequency that we use in
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conjunction with the
FaceTite is called Morpheus8,
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which is fractionated bipolar radio
frequency and something people call that
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a radio radiofrequency microneedling.
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So we combine 'em together.
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The recovery process depends on how
much you have to do and it's just like a
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facelift procedure, any other aesthetic
surgery procedures we perform,
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it depends on what you
need to do for the patient.
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So if you have somebody who
just has a little bit of jowls,
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you can take it away and they're not
going to have much of recovery times.
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Some people will,
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they'll bruise like crazy and
others will have minimal bruising.
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You see 'em a day after surgery and
they have a little yellow blue and some
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people can be really bruised. So
it varies from person to person,
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just like most aesthetic procedures.
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What about results?
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How much improvement can I expect and
how long does it take to see the results?
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Exactly what features are being targeted?
You touched on this briefly before.
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Sure. Well,
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the results with a FaceTite procedure,
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you can see before you put the bandage on,
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you can change the jawline, the neck
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immediately you see it happening
on the table. As a matter of fact,
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just a couple hours ago I posted
on Instagram an AccuTite that I did
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today in a minute and 13 seconds,
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you see the jowl, not,
excuse me, not the jowl,
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the nasal labial fo on the patient's
left side go from protruding forward
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to flattening out and it
had some injection in it.
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So when the swelling's all gone,
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it'll be better than the result
that's right now on Instagram.
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So you see the result depending on most
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procedures that we do and Dr.
Bass would and certainly agree,
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the more you need to do for a
patient, the more change they need,
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the more results you're
going to see as you're doing.
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But people certainly change.
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Now, can you tell me who is an
ideal candidate for the treatment?
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Well, if we're talking about FaceTite,
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and this is where we
have to lump in AccuTite,
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if you see someone whose primary
concern is the jowls or the nasolabial
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folds, then you can just put the
AccuTite electrode, the difference.
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Let me tell you the
difference. A FaceTite cannula,
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the probe that goes under the skin's
10 centimeters long and the head of it,
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the tip where the energy is
generated is 1.3 millimeters.
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Stop and think about
it, that's pretty small.
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1.3 millimeters in diameter
and the AccuTite is six
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centimeters long and the little
tip that it generates energy is,
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is 0.9 millimeters. Okay.
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So we can pass that at either of
these instruments through a small
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puncture incision under the skin and
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do the procedure we want to
do. You can take away the jowl,
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melt the nasolabial fold
because see that energy
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is producing what we call thermal
lipolysis or heat breakdown of
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fat. And you can contour that jowl.
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Now what's the difference between that
and say liposuction because you're doing
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some breaking down of fat,
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remove some fat as Dr.
Bass said at the outset,
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we're applying energy to
the underlying foundation.
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What we're doing with that energy is
getting what we call contraction of the
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fibroseptal network. That means we're
targeting the tissue with the AccuTite,
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FaceTite, so that the
fibroseptal that attaches
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the skin to the underlying foundation
are shrinking, you're tightening them.
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So you're tightening the skin.
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You'll see that contour
change on the table.
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The other thing that's interesting
is when you see the patient a year
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after surgery,
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they'll tell you that they're better a
year after surgery than there were three
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months after surgery. Why is that?
Because they're building collagen.
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They're tightening as the
skin has an opportunity to
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build new collagen. In other words,
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you're getting what I call
an architectural biological
rejuvenation of the skin
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because you're making that
skin more like younger skin.
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I think that's a really important
point. And not only the skin,
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but that fibroseptal tissue that
gets heated up adjacent to the
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fat, that tissue as it remodels
and adds collagen is going to
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densify and lock down the skin.
When we're young, we're not loose.
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Our connective tissue fibers
hold our skin close against are
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underneath.
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And by firming up that connective
tissue component under the
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skin,
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it locks us in better and in a progressive
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way as you build that collagen in
the months following the treatment.
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I totally agree. Dr.
Bass, excellent points.
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So I'm curious to hear your opinion,
Dr. Aston. We talked about loose skin,
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but are these under the skin treatments
helping with wrinkles as well?
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Or is that where you really
flip over to Morpheus8?
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Well, obviously that varies somewhat
from person to person because the
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quality of the skin is extremely
important. And by the way,
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we should point out that when
people get to a certain age in
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life and they have super thin
skin and they've been smoking all
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their life and they've been in the
sun, that sort of stuff, they're very,
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very difficult to stimulate collagen
production with any technology known to
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man. But you can get some contraction
of the fibroseptal network that
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Dr. Bass was just talking about.
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So you are getting some changes
in the underlying foundation
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and before this technology came along,
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we just didn't have that wrinkles in the
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skin. I treat with the Morpheus,
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the fractionated bipolar
radio frequency needles
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and we find that that helps a great deal,
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but you need multiple sessions with that.
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Sure, that makes sense. Now,
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this technology grew out
of the body type devices,
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the sort of bigger version that
was used for body contouring in
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conjunction with liposuction.
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So we worry a lot more about
loose skin in the face and neck,
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but sometimes there still are
issues with fat that we need to
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contour.
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So what's the role of this
technology for contouring or for
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fat reduction in the face and neck area?
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Well, I think it can compliment
if you have large amounts of fat
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removed,
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you still do the FaceTite because that
will give you the fibroseptal network
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contraction that you don't
get with liposuction alone.
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And if you have a great
deal of loose skin,
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obviously you've got to take away that
extra skin. Today I blend FaceTite
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or AccuTite into my
facelift procedure. I think,
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as I said a few minutes ago
on a majority of patients.
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So I use this as a
complimentary technology to get
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changes in the skin we couldn't get
before. If you have a lot of loose skin,
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you got to tighten the skin, take it away,
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and then you make the skin
quality better by using the
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technology. If you have someone,
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Dr. Bass is alluding to just
isolated locations of fat pockets
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under the chin or the jowl area,
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you add a little technology to that.
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If there's large amount of fat,
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you can liposuction it after you
apply the technology and it helps the
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skin contract.
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That makes perfect sense.
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So you spoke a little bit about the
difference between FaceTite and AccuTite,
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and I'm just curious to
hear you catalog when
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you use each as a standalone and
when you use it at the same time
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as a surgical facelift,
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00:15:52,401 --> 00:15:56,510
what spots on the face do
you usually chase with these
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technologies when you're doing
a facelift at the same time?
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00:16:00,830 --> 00:16:03,650
Most time Dr. Bass, if
I'm using the AccuTite
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to complement the facelift, it's
reducing the nasolabial fold.
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00:16:10,130 --> 00:16:15,050
And if the skin is particularly not
so good quality along the jowl area,
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I'll also use the AccuTite and I use the
AccuTite for nasolabial fold and jowl
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00:16:20,630 --> 00:16:25,430
just because it's a smaller
tool and that's it easier to
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00:16:25,850 --> 00:16:29,360
manage as a surgical instrument
if you will. In this case,
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a minimally invasive
procedure complementing
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00:16:34,310 --> 00:16:37,100
surgery. So the jowl is
very good for AccuTite,
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00:16:38,630 --> 00:16:39,980
jowl is very good for AccuTite.
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00:16:40,490 --> 00:16:45,470
And in patients who have a lot of laxity
in the skin and the anterior face,
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I'll do AccuTite
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or FaceTite more often AccuTite because
I'll be dealing with the anterior lower
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00:16:53,001 --> 00:16:57,650
portion of the face where the wrinkles
are extremely bad. I'll do the AccuTite.
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00:16:57,651 --> 00:17:01,190
I get a fibroceptal nerve
contracture, I'll undermine the skin,
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00:17:01,640 --> 00:17:05,750
often go under the same area where
I just did the fibroceptal network
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00:17:07,490 --> 00:17:11,510
contracture technology and
finish that up with the
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00:17:12,200 --> 00:17:14,180
Morpheus8 over the same area.
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So that skin has had the
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00:17:20,660 --> 00:17:24,290
the undermining of the surgery and
the Morpheus right over top of it.
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And that has helped me with the patients
who have really poor quality skin,
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a lot of wrinkles out
very far on the face.
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I guess I new degree a hundred percent.
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The patients have a lot of
laxity and wrinkles very far,
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almost to the corner of the mouth.
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They're very difficult to
just get out with a facelift.
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Yeah, I do agree a hundred percent.
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And I think an area that I find
particularly troublesome is that area
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right by the corner of the mouth.
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It's north of where the jowl is
and there's often a bulge there.
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There's often lax skin
or wrinkled skin there.
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00:18:06,780 --> 00:18:11,610
And facelifting alone doesn't
a hundred percent address that
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00:18:11,611 --> 00:18:12,444
area.
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00:18:12,540 --> 00:18:17,430
And a lot of patients come back and
point to it and want to know what can be
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done. So this is a good way
to chase it, it sounds like.
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Well, it certainly can be a complementary,
can make some people better.
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And as you know from having
done hundreds of these yourself,
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that little bulge sometimes at the corner
of the mouth is more muscle than fat.
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00:18:36,630 --> 00:18:41,580
And you can't get 'em exactly
where the patient would like to
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00:18:41,581 --> 00:18:44,370
go or where we want to
make it go away for 'em.
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00:18:44,790 --> 00:18:47,460
But we make 'em as good as we can. Right?
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00:18:48,240 --> 00:18:52,950
At least we get it better. It's a way
of amplifying the response that's right.
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Now another spot that's often troublesome
is getting that last little drop
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of skin out right at
the cervicomental angle,
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right at the part of the neck between
the horizontal and the vertical.
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We get 95%, but sometimes it's
hard to get a hundred percent.
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00:19:11,430 --> 00:19:16,080
Is a little energy at the
same time as the facelift or
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00:19:16,081 --> 00:19:20,940
maybe at a later sitting just
with a little drop a local
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00:19:20,941 --> 00:19:24,840
anesthesia in the office. Would that
be a good way to chase that feature?
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00:19:25,440 --> 00:19:27,120
Both times would be correct,
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00:19:27,121 --> 00:19:31,560
if they have that little bit of
laxity wrinkle skin low in the neck,
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00:19:31,561 --> 00:19:36,150
I agree with you, that's a very
difficult area. I'll do the facelift,
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00:19:36,151 --> 00:19:39,360
tighten the neck, do
Morpheus at the same time.
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00:19:39,690 --> 00:19:43,860
And having told most of 'em, depending
on how much loose skin they have,
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00:19:44,040 --> 00:19:46,710
they we're going to do this another three
times and you're going to come to the
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office, we're going to put
a topical anesthesia on.
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00:19:49,921 --> 00:19:54,840
You sit in the chair and do your emails
for about 40 minutes and we'll do
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00:19:54,841 --> 00:19:59,400
it with the Morpheus. You go home,
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00:19:59,401 --> 00:20:03,870
you may be a little bit pink on
your neck that day the next day.
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00:20:03,871 --> 00:20:07,170
But really when we have downtime,
most people agree with that.
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00:20:07,180 --> 00:20:08,160
They're happy to do it.
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00:20:09,030 --> 00:20:11,580
Lastly, as we come to a close, Dr. Aston,
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00:20:11,610 --> 00:20:15,040
what takeaways would you
leave our listeners with
when it comes to FaceTite and
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AccuTite?
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00:20:16,260 --> 00:20:20,160
Well, I think they would have to say
that FaceTite and AccuTite add to the
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00:20:20,161 --> 00:20:25,050
armamentarium of the plastic surgeon
for facial rejuvenation procedures.
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00:20:26,460 --> 00:20:31,380
It gives us something that we can
do that's minimally invasive to help
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00:20:32,130 --> 00:20:35,040
rejuvenate the appearance of the skin.
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00:20:35,460 --> 00:20:39,690
And it's also a tool that we can use to
complement the results of our surgical
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00:20:39,691 --> 00:20:44,130
procedures. So it has
become sort of an everyday
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00:20:46,470 --> 00:20:50,170
tool to use in trying
to make people better.
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00:20:50,890 --> 00:20:55,720
So I really think it's been a
great step in the right direction
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00:20:55,721 --> 00:20:57,730
for facial rejuvenation,
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00:20:57,731 --> 00:21:00,850
particularly minimally
invasive procedures.
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00:21:01,570 --> 00:21:02,770
And Dr. Bass, your takeaways?
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00:21:03,790 --> 00:21:06,490
So I'll start with what
Dr. Aston just said.
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It is a minimally invasive
treatment and by putting the
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00:21:11,770 --> 00:21:15,370
skin in, putting the
energy in under the skin,
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00:21:15,400 --> 00:21:20,200
we can get much more energy in
than with the wholly noninvasive
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00:21:20,210 --> 00:21:21,100
treatments.
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00:21:21,760 --> 00:21:26,590
So that allows an amplification
of the effect that we're
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00:21:26,591 --> 00:21:27,490
going for.
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00:21:28,330 --> 00:21:33,280
So this kind of treatment is good as
a standalone for earlier stages of
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00:21:33,281 --> 00:21:37,600
skin laxity that don't have
major amounts of hanging skin.
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00:21:38,080 --> 00:21:42,520
And it's also grade in conjunction
with a facelift and neck lift
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00:21:43,120 --> 00:21:46,390
for features that are not well
addressed by the surgery alone.
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00:21:46,391 --> 00:21:50,440
And to amplify the overall quality and
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00:21:50,441 --> 00:21:53,950
completeness of the
result of the facelift.
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00:21:54,670 --> 00:21:57,850
Facelift is A,
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00:21:57,850 --> 00:21:59,680
and we want to get it as close to A+,
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00:22:00,340 --> 00:22:02,650
as close to a hundred percent as we can.
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00:22:03,010 --> 00:22:07,840
And by using a multimodality
approach instead of just
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00:22:07,841 --> 00:22:09,100
one tool,
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00:22:09,220 --> 00:22:13,810
it's possible to really come
a little closer to complete
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00:22:13,820 --> 00:22:18,760
rejuvenation. It also has a
role in early rejuvenation,
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00:22:18,761 --> 00:22:19,451
as I said,
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and for an aging facelift
that's not ready to be
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00:22:24,071 --> 00:22:28,630
redone yet as a post-surgical
maintenance treatment in the
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00:22:28,631 --> 00:22:33,520
years following a facelift. So Dr. Aston,
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00:22:33,521 --> 00:22:35,080
I'd like to thank you.
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00:22:35,081 --> 00:22:39,580
It's been a pleasure having
you on the podcast and you
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00:22:39,581 --> 00:22:43,150
continue to innovate
and look at new options,
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00:22:43,151 --> 00:22:47,410
and that's why everyone listens to you
when you get up on the lecture podium
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00:22:47,830 --> 00:22:50,320
because you always have
something important to say.
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00:22:50,710 --> 00:22:52,060
You're very kind, Dr. Bass,
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00:22:52,210 --> 00:22:54,640
and thank you for the opportunity
to be on your podcast.
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00:22:55,240 --> 00:22:58,540
Thank you Dr. Aston, for sharing
your expertise with our listeners.
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00:22:58,541 --> 00:23:02,380
I really enjoyed hearing your fascinating
perspective on the current state of
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00:23:02,381 --> 00:23:05,890
affairs in nonsurgical options
with and without surgery.
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00:23:07,330 --> 00:23:11,050
Thank you for listening to the Park
Avenue Plastic Surgery Class podcast.
357
00:23:11,440 --> 00:23:13,660
Follow us on Apple
Podcasts, write a review,
358
00:23:13,690 --> 00:23:15,040
and share the show with your friends.
359
00:23:15,460 --> 00:23:18,550
Be sure to join us next time to avoid
missing all the great content that's
360
00:23:18,551 --> 00:23:22,060
coming your way. If you want to
contact us with comments or questions,
361
00:23:22,090 --> 00:23:23,710
we'd love to hear from you.
362
00:23:23,710 --> 00:23:27,730
Send us an email at podcast@drbass.net
or DM us on Instagram
363
00:23:28,550 --> 00:23:28,600
@drbassnyc.
00:00:00,630 --> 00:00:03,690
Welcome to Park Avenue
Plastic Surgery Class,
2
00:00:03,690 --> 00:00:07,290
the podcast where we explore controversies
and breaking issues in plastic
3
00:00:07,291 --> 00:00:09,750
surgery. I'm your co-host, Doreen Wu,
4
00:00:09,960 --> 00:00:13,140
a clinical assistant at Bass
Plastic Surgery in New York City.
5
00:00:13,590 --> 00:00:18,060
I'm excited to be here with Dr. Lawrence
Bass Park Avenue plastic surgeon,
6
00:00:18,420 --> 00:00:23,040
educator, and technology innovator.
This is episode four in our series,
7
00:00:23,070 --> 00:00:27,540
Lifting Without Cutting, where we explore
non-surgical options for skin laxity.
8
00:00:28,290 --> 00:00:31,650
In today's episode, we are discussing
FaceTite and AccuTite. FaceTite
9
00:00:33,420 --> 00:00:34,710
sounds like what everyone wants.
10
00:00:34,890 --> 00:00:39,090
What a brilliant name for a technology
and easy for me to understand still.
11
00:00:39,091 --> 00:00:42,120
I know there's always a backstory.
Can you share it with us, Dr. Bass?
12
00:00:42,720 --> 00:00:46,980
Well, FaceTite is a device
that uses radio frequency.
13
00:00:47,280 --> 00:00:52,050
In this regard it's in a large
class of devices using this type of
14
00:00:52,060 --> 00:00:55,320
energy to heat and remodel tissue.
15
00:00:56,610 --> 00:00:57,443
So what's different about FaceTite?
16
00:00:59,010 --> 00:00:59,490
Well,
17
00:00:59,490 --> 00:01:04,050
the device is applied using an
electrode that's placed under the
18
00:01:04,051 --> 00:01:06,060
skin through a tiny incision.
19
00:01:06,780 --> 00:01:10,800
This brings a lot more
energy to the target tissue,
20
00:01:11,580 --> 00:01:16,350
the deep or underneath surface of
the skin and the fat and connective
21
00:01:16,351 --> 00:01:20,850
tissue fibers that hold
skin down compared to other
22
00:01:20,860 --> 00:01:25,650
technologies that try to put
energy through the skin for
23
00:01:25,651 --> 00:01:30,420
safety and to better assure
heating to the right endpoint.
24
00:01:30,840 --> 00:01:35,820
There are various forms of feedback
control that dose the correct
25
00:01:35,830 --> 00:01:39,870
amount of energy with the FaceTite device.
26
00:01:40,680 --> 00:01:43,980
So this is a really important
feature with radio frequency.
27
00:01:43,981 --> 00:01:48,720
The amount of energy absorbed is
based on the resistance called the
28
00:01:48,750 --> 00:01:51,270
impedance in the tissues,
29
00:01:51,300 --> 00:01:56,280
and this varies a lot from person to
person and then limits the precision of
30
00:01:56,281 --> 00:02:01,080
a lot of RF devices that
don't employ feedback control.
31
00:02:01,650 --> 00:02:05,400
It's a better treatment through science.
Sounds like an advanced approach,
32
00:02:05,700 --> 00:02:09,240
but what can you tell me about what
the device can do and who is the right
33
00:02:09,250 --> 00:02:10,470
candidate for this treatment?
34
00:02:11,070 --> 00:02:13,050
Well, to answer those questions,
35
00:02:13,051 --> 00:02:17,040
I've brought an expert to share
his experience with the device.
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00:02:17,490 --> 00:02:22,350
Dr. Sherrell Aston is
my chairman and mentor
37
00:02:22,410 --> 00:02:24,420
in aesthetic plastic surgery.
38
00:02:25,350 --> 00:02:30,240
He is one of the most accomplished
aesthetic plastic surgeons in
39
00:02:30,241 --> 00:02:31,074
the world,
40
00:02:31,830 --> 00:02:36,030
practicing very successfully
in New York City.
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00:02:37,080 --> 00:02:41,070
He is a professor of plastic
surgery at New York University,
42
00:02:41,430 --> 00:02:45,660
a past president of the American
Society for Aesthetic Plastic Surgery
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00:02:46,860 --> 00:02:48,990
for more than 23 years,
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00:02:48,991 --> 00:02:53,280
chairman of plastic surgery at
Manhattan Eye, Ear and Throat Hospital.
45
00:02:54,360 --> 00:02:59,040
And he's also taught a
cutting edge symposium on
46
00:02:59,530 --> 00:03:03,250
technologies and techniques
in plastic surgery.
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00:03:03,640 --> 00:03:08,440
That was one of the largest
aesthetic symposia in the world,
48
00:03:08,860 --> 00:03:13,690
attended by leading surgeons from
all over the world to upgrade
49
00:03:13,691 --> 00:03:15,040
their capabilities.
50
00:03:15,340 --> 00:03:19,510
So I'm very happy to have
Dr. Aston join us today.
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00:03:20,470 --> 00:03:24,520
Thanks, Dr. Bass for that introduction.
It's a pleasure to be here with you.
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00:03:25,960 --> 00:03:30,760
I must say you've been a part of these
educational teaching programs that we've
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00:03:30,761 --> 00:03:35,500
had for many years and I
recognize you as one of the
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00:03:35,530 --> 00:03:37,570
world's leaders in aesthetic surgery,
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00:03:37,571 --> 00:03:41,950
particularly the new
technology section of facial
56
00:03:41,951 --> 00:03:45,070
rejuvenation or body
rejuvenation in general.
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00:03:45,730 --> 00:03:49,600
And so your accomplishments are
well known by the world also.
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00:03:50,320 --> 00:03:53,710
So it's a pleasure to be here with you
and I've enjoyed having you on my radio
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00:03:53,720 --> 00:03:57,430
show over the past 15
years on multiple times.
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00:03:57,431 --> 00:04:02,140
So we've shared a lot of educational
materials for the public for many years
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00:04:02,141 --> 00:04:04,300
together. Thank you for
having me this time.
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00:04:04,690 --> 00:04:05,523
My pleasure.
63
00:04:06,130 --> 00:04:09,490
Welcome Dr. Aston. Thank you for
joining us on the podcast today.
64
00:04:09,700 --> 00:04:10,533
Thank you, Doreen.
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00:04:10,600 --> 00:04:14,950
So Dr. Bass touched on it, but can you
detail how the treatment is performed?
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00:04:15,370 --> 00:04:19,930
What is involved for the patient in
terms of local anesthesia treatment
67
00:04:19,940 --> 00:04:22,720
experience and time, and
what is the surgeon doing?
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00:04:23,350 --> 00:04:25,780
Okay, so let me tell
you a little bit more,
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00:04:25,781 --> 00:04:29,110
just amplify a little bit
of what Dr. Bass said.
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00:04:30,520 --> 00:04:34,930
The thing about FaceTite
is it's a bipolar radio
71
00:04:34,931 --> 00:04:35,764
frequency,
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00:04:36,130 --> 00:04:41,080
which means that the electrode that Dr.
Bass spoke of that goes under the skin
73
00:04:41,560 --> 00:04:43,360
is delivering the heat energy,
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00:04:43,361 --> 00:04:46,900
but there's also an electrode
on the surface of the skin.
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00:04:46,901 --> 00:04:51,520
So heat from internal electrode
to the external electrode bipolar
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00:04:52,570 --> 00:04:53,590
radio frequency,
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00:04:53,591 --> 00:04:58,450
which makes this technology very different
and the heats that's generated from
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00:04:58,451 --> 00:05:02,590
the internal electrode
can be very intense.
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00:05:03,340 --> 00:05:07,990
In fact, Dr. Bass indicated that
the machines have controls on 'em,
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00:05:07,991 --> 00:05:10,510
so you can't generate too much energy,
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00:05:10,511 --> 00:05:14,320
it'll turn the machine
off before it'll burn the
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00:05:14,980 --> 00:05:15,813
skin.
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00:05:16,360 --> 00:05:20,710
Now the technology itself has
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00:05:20,711 --> 00:05:22,300
expanded a great deal.
85
00:05:22,310 --> 00:05:27,250
I first started doing the
bipolar radio frequency
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00:05:27,640 --> 00:05:31,090
technology in 2017 I think it was,
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00:05:31,750 --> 00:05:36,400
and we've expanded the use of
that technology greatly today.
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00:05:37,480 --> 00:05:40,090
Initially we used it for,
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00:05:40,091 --> 00:05:44,140
we thought it was going to be used
for what we would call treatment gap
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00:05:44,150 --> 00:05:44,983
patients.
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00:05:45,760 --> 00:05:50,260
That was three groups of patients
that we didn't have a procedure for
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00:05:50,680 --> 00:05:54,280
that was a young person that had some
changes in their face that really wouldn't
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00:05:54,700 --> 00:05:56,860
be ready for one of our
surgical procedures.
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00:05:57,500 --> 00:06:00,440
Patients who needed a facelift
but didn't want it, we said,
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00:06:00,441 --> 00:06:02,750
I'll be happier with something
that's less than a great result,
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00:06:02,750 --> 00:06:04,160
but would make me better.
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00:06:05,000 --> 00:06:09,350
And the patients who had had facelift
surgery and they got some recurrent laxity
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00:06:10,070 --> 00:06:12,830
in the face collections
of jowls, et cetera.
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00:06:13,250 --> 00:06:15,470
Now we've expanded this technology.
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00:06:15,800 --> 00:06:20,420
I incorporate it in almost
every facelift that I do today
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00:06:20,780 --> 00:06:23,810
as well as a number of
standalone procedures.
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00:06:24,800 --> 00:06:27,140
And your question, you asked me,
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what is the patient doing
about local anesthesia? Yes,
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we use local anesthesia
for many of these patients
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00:06:35,331 --> 00:06:39,410
when you're treating specific
areas and we can go into that
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00:06:40,970 --> 00:06:44,360
area and we can talk about
it when you're ready.
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00:06:45,500 --> 00:06:48,320
And is there any recovery
time after FaceTite treatment?
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00:06:48,590 --> 00:06:50,750
Is it a single treatment or series?
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00:06:51,410 --> 00:06:53,540
Well, FaceTite itself,
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and we'll get into AccuTite
a little bit later.
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00:06:57,590 --> 00:07:01,250
FaceTite itself is usually
a one and done procedure.
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It's a procedure that we use primarily
for the neck, the jawline, the cheeks.
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00:07:08,720 --> 00:07:13,310
The other bipolar radio
frequency that we use in
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00:07:13,311 --> 00:07:16,700
conjunction with the
FaceTite is called Morpheus8,
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00:07:16,701 --> 00:07:21,620
which is fractionated bipolar radio
frequency and something people call that
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00:07:21,950 --> 00:07:25,160
a radio radiofrequency microneedling.
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00:07:25,610 --> 00:07:27,410
So we combine 'em together.
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00:07:28,040 --> 00:07:32,870
The recovery process depends on how
much you have to do and it's just like a
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00:07:32,871 --> 00:07:36,170
facelift procedure, any other aesthetic
surgery procedures we perform,
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00:07:36,620 --> 00:07:38,930
it depends on what you
need to do for the patient.
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00:07:39,950 --> 00:07:42,110
So if you have somebody who
just has a little bit of jowls,
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00:07:42,860 --> 00:07:46,130
you can take it away and they're not
going to have much of recovery times.
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00:07:46,280 --> 00:07:46,941
Some people will,
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00:07:46,941 --> 00:07:50,330
they'll bruise like crazy and
others will have minimal bruising.
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00:07:50,331 --> 00:07:55,280
You see 'em a day after surgery and
they have a little yellow blue and some
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00:07:55,281 --> 00:07:58,190
people can be really bruised. So
it varies from person to person,
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00:07:58,191 --> 00:08:00,260
just like most aesthetic procedures.
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00:08:01,490 --> 00:08:02,450
What about results?
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00:08:02,870 --> 00:08:07,390
How much improvement can I expect and
how long does it take to see the results?
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Exactly what features are being targeted?
You touched on this briefly before.
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00:08:11,540 --> 00:08:12,770
Sure. Well,
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00:08:13,640 --> 00:08:16,640
the results with a FaceTite procedure,
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you can see before you put the bandage on,
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00:08:19,910 --> 00:08:23,420
you can change the jawline, the neck
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00:08:26,870 --> 00:08:30,590
immediately you see it happening
on the table. As a matter of fact,
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00:08:32,510 --> 00:08:37,310
just a couple hours ago I posted
on Instagram an AccuTite that I did
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00:08:37,311 --> 00:08:40,610
today in a minute and 13 seconds,
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00:08:41,090 --> 00:08:44,810
you see the jowl, not,
excuse me, not the jowl,
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00:08:44,811 --> 00:08:49,190
the nasal labial fo on the patient's
left side go from protruding forward
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00:08:49,700 --> 00:08:53,870
to flattening out and it
had some injection in it.
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00:08:54,230 --> 00:08:56,700
So when the swelling's all gone,
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00:08:56,701 --> 00:09:00,090
it'll be better than the result
that's right now on Instagram.
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00:09:01,230 --> 00:09:06,210
So you see the result depending on most
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00:09:06,211 --> 00:09:09,870
procedures that we do and Dr.
Bass would and certainly agree,
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00:09:10,140 --> 00:09:14,580
the more you need to do for a
patient, the more change they need,
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00:09:14,581 --> 00:09:16,560
the more results you're
going to see as you're doing.
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00:09:17,070 --> 00:09:19,440
But people certainly change.
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00:09:20,220 --> 00:09:23,580
Now, can you tell me who is an
ideal candidate for the treatment?
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00:09:24,540 --> 00:09:26,790
Well, if we're talking about FaceTite,
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00:09:28,350 --> 00:09:32,430
and this is where we
have to lump in AccuTite,
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00:09:33,270 --> 00:09:37,380
if you see someone whose primary
concern is the jowls or the nasolabial
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00:09:38,320 --> 00:09:43,320
folds, then you can just put the
AccuTite electrode, the difference.
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00:09:43,530 --> 00:09:47,490
Let me tell you the
difference. A FaceTite cannula,
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00:09:47,640 --> 00:09:52,380
the probe that goes under the skin's
10 centimeters long and the head of it,
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00:09:52,381 --> 00:09:55,710
the tip where the energy is
generated is 1.3 millimeters.
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00:09:55,950 --> 00:09:57,630
Stop and think about
it, that's pretty small.
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00:09:57,631 --> 00:10:02,070
1.3 millimeters in diameter
and the AccuTite is six
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00:10:02,071 --> 00:10:05,700
centimeters long and the little
tip that it generates energy is,
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00:10:06,330 --> 00:10:09,390
is 0.9 millimeters. Okay.
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00:10:09,990 --> 00:10:14,640
So we can pass that at either of
these instruments through a small
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00:10:14,650 --> 00:10:19,500
puncture incision under the skin and
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00:10:19,740 --> 00:10:23,940
do the procedure we want to
do. You can take away the jowl,
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00:10:24,780 --> 00:10:29,070
melt the nasolabial fold
because see that energy
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00:10:29,520 --> 00:10:34,230
is producing what we call thermal
lipolysis or heat breakdown of
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00:10:34,231 --> 00:10:37,890
fat. And you can contour that jowl.
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00:10:38,580 --> 00:10:43,170
Now what's the difference between that
and say liposuction because you're doing
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00:10:43,350 --> 00:10:45,030
some breaking down of fat,
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00:10:45,031 --> 00:10:48,540
remove some fat as Dr.
Bass said at the outset,
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00:10:48,900 --> 00:10:51,390
we're applying energy to
the underlying foundation.
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00:10:51,400 --> 00:10:55,920
What we're doing with that energy is
getting what we call contraction of the
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00:10:55,921 --> 00:10:59,910
fibroseptal network. That means we're
targeting the tissue with the AccuTite,
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00:11:00,450 --> 00:11:02,160
FaceTite, so that the
fibroseptal that attaches
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00:11:04,140 --> 00:11:09,030
the skin to the underlying foundation
are shrinking, you're tightening them.
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So you're tightening the skin.
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00:11:12,840 --> 00:11:15,360
You'll see that contour
change on the table.
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The other thing that's interesting
is when you see the patient a year
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after surgery,
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00:11:22,140 --> 00:11:26,250
they'll tell you that they're better a
year after surgery than there were three
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00:11:26,251 --> 00:11:30,330
months after surgery. Why is that?
Because they're building collagen.
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00:11:30,480 --> 00:11:35,220
They're tightening as the
skin has an opportunity to
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00:11:35,230 --> 00:11:37,680
build new collagen. In other words,
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00:11:38,220 --> 00:11:42,510
you're getting what I call
an architectural biological
rejuvenation of the skin
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00:11:42,750 --> 00:11:46,710
because you're making that
skin more like younger skin.
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00:11:47,460 --> 00:11:52,350
I think that's a really important
point. And not only the skin,
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00:11:52,351 --> 00:11:56,920
but that fibroseptal tissue that
gets heated up adjacent to the
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00:11:56,921 --> 00:12:01,870
fat, that tissue as it remodels
and adds collagen is going to
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00:12:01,871 --> 00:12:06,760
densify and lock down the skin.
When we're young, we're not loose.
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00:12:06,770 --> 00:12:11,200
Our connective tissue fibers
hold our skin close against are
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00:12:11,201 --> 00:12:12,040
underneath.
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00:12:12,490 --> 00:12:17,440
And by firming up that connective
tissue component under the
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00:12:17,441 --> 00:12:18,274
skin,
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00:12:18,460 --> 00:12:23,080
it locks us in better and in a progressive
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way as you build that collagen in
the months following the treatment.
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00:12:28,330 --> 00:12:30,850
I totally agree. Dr.
Bass, excellent points.
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00:12:32,170 --> 00:12:36,790
So I'm curious to hear your opinion,
Dr. Aston. We talked about loose skin,
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00:12:37,270 --> 00:12:41,710
but are these under the skin treatments
helping with wrinkles as well?
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00:12:41,711 --> 00:12:45,100
Or is that where you really
flip over to Morpheus8?
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00:12:45,880 --> 00:12:50,830
Well, obviously that varies somewhat
from person to person because the
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00:12:51,310 --> 00:12:54,040
quality of the skin is extremely
important. And by the way,
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00:12:54,130 --> 00:12:57,430
we should point out that when
people get to a certain age in
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00:12:58,870 --> 00:13:03,700
life and they have super thin
skin and they've been smoking all
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00:13:03,710 --> 00:13:06,730
their life and they've been in the
sun, that sort of stuff, they're very,
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00:13:06,731 --> 00:13:11,470
very difficult to stimulate collagen
production with any technology known to
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00:13:11,890 --> 00:13:16,630
man. But you can get some contraction
of the fibroseptal network that
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00:13:17,710 --> 00:13:19,540
Dr. Bass was just talking about.
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00:13:19,541 --> 00:13:24,100
So you are getting some changes
in the underlying foundation
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and before this technology came along,
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00:13:28,180 --> 00:13:32,860
we just didn't have that wrinkles in the
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skin. I treat with the Morpheus,
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00:13:36,490 --> 00:13:41,140
the fractionated bipolar
radio frequency needles
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and we find that that helps a great deal,
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but you need multiple sessions with that.
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00:13:50,830 --> 00:13:53,890
Sure, that makes sense. Now,
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00:13:54,370 --> 00:13:58,870
this technology grew out
of the body type devices,
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00:13:59,020 --> 00:14:03,640
the sort of bigger version that
was used for body contouring in
216
00:14:03,650 --> 00:14:05,590
conjunction with liposuction.
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00:14:05,591 --> 00:14:10,060
So we worry a lot more about
loose skin in the face and neck,
218
00:14:10,070 --> 00:14:14,320
but sometimes there still are
issues with fat that we need to
219
00:14:14,321 --> 00:14:15,160
contour.
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00:14:15,460 --> 00:14:20,050
So what's the role of this
technology for contouring or for
221
00:14:20,051 --> 00:14:22,810
fat reduction in the face and neck area?
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00:14:23,560 --> 00:14:27,940
Well, I think it can compliment
if you have large amounts of fat
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00:14:28,660 --> 00:14:29,493
removed,
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00:14:29,630 --> 00:14:34,180
you still do the FaceTite because that
will give you the fibroseptal network
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00:14:34,360 --> 00:14:37,150
contraction that you don't
get with liposuction alone.
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00:14:37,750 --> 00:14:41,110
And if you have a great
deal of loose skin,
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00:14:41,111 --> 00:14:45,220
obviously you've got to take away that
extra skin. Today I blend FaceTite
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or AccuTite into my
facelift procedure. I think,
229
00:14:50,990 --> 00:14:54,380
as I said a few minutes ago
on a majority of patients.
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00:14:54,860 --> 00:14:59,810
So I use this as a
complimentary technology to get
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00:14:59,811 --> 00:15:04,580
changes in the skin we couldn't get
before. If you have a lot of loose skin,
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00:15:04,581 --> 00:15:06,620
you got to tighten the skin, take it away,
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00:15:06,890 --> 00:15:10,910
and then you make the skin
quality better by using the
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00:15:10,911 --> 00:15:13,160
technology. If you have someone,
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00:15:14,150 --> 00:15:18,980
Dr. Bass is alluding to just
isolated locations of fat pockets
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00:15:19,490 --> 00:15:21,800
under the chin or the jowl area,
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00:15:22,310 --> 00:15:25,430
you add a little technology to that.
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00:15:25,431 --> 00:15:27,650
If there's large amount of fat,
239
00:15:27,830 --> 00:15:32,540
you can liposuction it after you
apply the technology and it helps the
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00:15:32,541 --> 00:15:33,470
skin contract.
241
00:15:34,220 --> 00:15:35,990
That makes perfect sense.
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00:15:36,770 --> 00:15:40,970
So you spoke a little bit about the
difference between FaceTite and AccuTite,
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00:15:41,150 --> 00:15:45,650
and I'm just curious to
hear you catalog when
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00:15:45,830 --> 00:15:50,780
you use each as a standalone and
when you use it at the same time
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00:15:50,781 --> 00:15:52,400
as a surgical facelift,
246
00:15:52,401 --> 00:15:56,510
what spots on the face do
you usually chase with these
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00:15:56,520 --> 00:16:00,380
technologies when you're doing
a facelift at the same time?
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00:16:00,830 --> 00:16:03,650
Most time Dr. Bass, if
I'm using the AccuTite
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00:16:05,300 --> 00:16:09,500
to complement the facelift, it's
reducing the nasolabial fold.
250
00:16:10,130 --> 00:16:15,050
And if the skin is particularly not
so good quality along the jowl area,
251
00:16:15,500 --> 00:16:20,360
I'll also use the AccuTite and I use the
AccuTite for nasolabial fold and jowl
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00:16:20,630 --> 00:16:25,430
just because it's a smaller
tool and that's it easier to
253
00:16:25,850 --> 00:16:29,360
manage as a surgical instrument
if you will. In this case,
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00:16:29,361 --> 00:16:32,300
a minimally invasive
procedure complementing
255
00:16:34,310 --> 00:16:37,100
surgery. So the jowl is
very good for AccuTite,
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00:16:38,630 --> 00:16:39,980
jowl is very good for AccuTite.
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00:16:40,490 --> 00:16:45,470
And in patients who have a lot of laxity
in the skin and the anterior face,
258
00:16:45,830 --> 00:16:46,663
I'll do AccuTite
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00:16:48,290 --> 00:16:53,000
or FaceTite more often AccuTite because
I'll be dealing with the anterior lower
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00:16:53,001 --> 00:16:57,650
portion of the face where the wrinkles
are extremely bad. I'll do the AccuTite.
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00:16:57,651 --> 00:17:01,190
I get a fibroceptal nerve
contracture, I'll undermine the skin,
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00:17:01,640 --> 00:17:05,750
often go under the same area where
I just did the fibroceptal network
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00:17:07,490 --> 00:17:11,510
contracture technology and
finish that up with the
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00:17:12,200 --> 00:17:14,180
Morpheus8 over the same area.
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00:17:14,450 --> 00:17:18,530
So that skin has had the
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00:17:20,660 --> 00:17:24,290
the undermining of the surgery and
the Morpheus right over top of it.
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00:17:24,950 --> 00:17:28,640
And that has helped me with the patients
who have really poor quality skin,
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00:17:28,650 --> 00:17:32,150
a lot of wrinkles out
very far on the face.
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00:17:33,050 --> 00:17:35,990
I guess I new degree a hundred percent.
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00:17:36,110 --> 00:17:40,850
The patients have a lot of
laxity and wrinkles very far,
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00:17:41,240 --> 00:17:42,950
almost to the corner of the mouth.
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00:17:43,640 --> 00:17:47,780
They're very difficult to
just get out with a facelift.
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00:17:48,230 --> 00:17:51,030
Yeah, I do agree a hundred percent.
274
00:17:51,300 --> 00:17:56,220
And I think an area that I find
particularly troublesome is that area
275
00:17:56,221 --> 00:17:57,900
right by the corner of the mouth.
276
00:17:58,140 --> 00:18:02,850
It's north of where the jowl is
and there's often a bulge there.
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00:18:02,860 --> 00:18:06,450
There's often lax skin
or wrinkled skin there.
278
00:18:06,780 --> 00:18:11,610
And facelifting alone doesn't
a hundred percent address that
279
00:18:11,611 --> 00:18:12,444
area.
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00:18:12,540 --> 00:18:17,430
And a lot of patients come back and
point to it and want to know what can be
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00:18:17,440 --> 00:18:21,180
done. So this is a good way
to chase it, it sounds like.
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00:18:21,630 --> 00:18:25,770
Well, it certainly can be a complementary,
can make some people better.
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00:18:26,280 --> 00:18:30,630
And as you know from having
done hundreds of these yourself,
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00:18:31,200 --> 00:18:36,150
that little bulge sometimes at the corner
of the mouth is more muscle than fat.
285
00:18:36,630 --> 00:18:41,580
And you can't get 'em exactly
where the patient would like to
286
00:18:41,581 --> 00:18:44,370
go or where we want to
make it go away for 'em.
287
00:18:44,790 --> 00:18:47,460
But we make 'em as good as we can. Right?
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00:18:48,240 --> 00:18:52,950
At least we get it better. It's a way
of amplifying the response that's right.
289
00:18:53,280 --> 00:18:58,260
Now another spot that's often troublesome
is getting that last little drop
290
00:18:58,261 --> 00:19:01,620
of skin out right at
the cervicomental angle,
291
00:19:01,860 --> 00:19:05,760
right at the part of the neck between
the horizontal and the vertical.
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00:19:06,480 --> 00:19:11,040
We get 95%, but sometimes it's
hard to get a hundred percent.
293
00:19:11,430 --> 00:19:16,080
Is a little energy at the
same time as the facelift or
294
00:19:16,081 --> 00:19:20,940
maybe at a later sitting just
with a little drop a local
295
00:19:20,941 --> 00:19:24,840
anesthesia in the office. Would that
be a good way to chase that feature?
296
00:19:25,440 --> 00:19:27,120
Both times would be correct,
297
00:19:27,121 --> 00:19:31,560
if they have that little bit of
laxity wrinkle skin low in the neck,
298
00:19:31,561 --> 00:19:36,150
I agree with you, that's a very
difficult area. I'll do the facelift,
299
00:19:36,151 --> 00:19:39,360
tighten the neck, do
Morpheus at the same time.
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00:19:39,690 --> 00:19:43,860
And having told most of 'em, depending
on how much loose skin they have,
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00:19:44,040 --> 00:19:46,710
they we're going to do this another three
times and you're going to come to the
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00:19:46,711 --> 00:19:49,920
office, we're going to put
a topical anesthesia on.
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00:19:49,921 --> 00:19:54,840
You sit in the chair and do your emails
for about 40 minutes and we'll do
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00:19:54,841 --> 00:19:59,400
it with the Morpheus. You go home,
305
00:19:59,401 --> 00:20:03,870
you may be a little bit pink on
your neck that day the next day.
306
00:20:03,871 --> 00:20:07,170
But really when we have downtime,
most people agree with that.
307
00:20:07,180 --> 00:20:08,160
They're happy to do it.
308
00:20:09,030 --> 00:20:11,580
Lastly, as we come to a close, Dr. Aston,
309
00:20:11,610 --> 00:20:15,040
what takeaways would you
leave our listeners with
when it comes to FaceTite and
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00:20:15,041 --> 00:20:15,874
AccuTite?
311
00:20:16,260 --> 00:20:20,160
Well, I think they would have to say
that FaceTite and AccuTite add to the
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armamentarium of the plastic surgeon
for facial rejuvenation procedures.
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It gives us something that we can
do that's minimally invasive to help
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rejuvenate the appearance of the skin.
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And it's also a tool that we can use to
complement the results of our surgical
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procedures. So it has
become sort of an everyday
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tool to use in trying
to make people better.
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So I really think it's been a
great step in the right direction
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for facial rejuvenation,
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particularly minimally
invasive procedures.
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And Dr. Bass, your takeaways?
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So I'll start with what
Dr. Aston just said.
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It is a minimally invasive
treatment and by putting the
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skin in, putting the
energy in under the skin,
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we can get much more energy in
than with the wholly noninvasive
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treatments.
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So that allows an amplification
of the effect that we're
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going for.
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So this kind of treatment is good as
a standalone for earlier stages of
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skin laxity that don't have
major amounts of hanging skin.
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And it's also grade in conjunction
with a facelift and neck lift
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for features that are not well
addressed by the surgery alone.
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And to amplify the overall quality and
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completeness of the
result of the facelift.
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Facelift is A,
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and we want to get it as close to A+,
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as close to a hundred percent as we can.
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And by using a multimodality
approach instead of just
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one tool,
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it's possible to really come
a little closer to complete
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rejuvenation. It also has a
role in early rejuvenation,
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as I said,
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and for an aging facelift
that's not ready to be
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redone yet as a post-surgical
maintenance treatment in the
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years following a facelift. So Dr. Aston,
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I'd like to thank you.
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It's been a pleasure having
you on the podcast and you
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continue to innovate
and look at new options,
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and that's why everyone listens to you
when you get up on the lecture podium
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because you always have
something important to say.
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You're very kind, Dr. Bass,
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and thank you for the opportunity
to be on your podcast.
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Thank you Dr. Aston, for sharing
your expertise with our listeners.
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I really enjoyed hearing your fascinating
perspective on the current state of
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affairs in nonsurgical options
with and without surgery.
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Thank you for listening to the Park
Avenue Plastic Surgery Class podcast.
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Follow us on Apple
Podcasts, write a review,
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00:23:13,690 --> 00:23:15,040
and share the show with your friends.
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00:23:15,460 --> 00:23:18,550
Be sure to join us next time to avoid
missing all the great content that's
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00:23:18,551 --> 00:23:22,060
coming your way. If you want to
contact us with comments or questions,
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we'd love to hear from you.
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00:23:23,710 --> 00:23:27,730
Send us an email at podcast@drbass.net
or DM us on Instagram
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@drbassnyc.
Sherrell Aston, MD
Plastic Surgeon
Dr. Sherrell Aston is a professor of plastic surgery at New York University, a past president of the American Society for Aesthetic Plastic Surgery, and was the chair of plastic surgery at Manhattan Eye, Ear and Throat Hospital for 23 years. He also has run an international symposium that was for many years the largest aesthetic plastic surgery meeting in the world.