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How the combination of hardware procedures can lift and remodel the skin of our face and body – questions and answers

Author: Dr. Lora Terzieva

Какво представлява метода HIFU?

HIFU is a non-invasive method in which focused, fractionated high-intensity ultrasonic energy selectively heats the tissues in depth, physiologically starting the production of new collagen and elastin fibers without compromising the integrity of the skin. With it we aim to lift and retract the sagging skin by acting on the so-called SMAS- superficial muscular-aponeurotic layer.

What problem areas do you most often treat with it?

The most common age-related problem areas are the contour of the lower jaw, the double chin, as well as the relaxation of the cheekbones, nasolabial folds and eyebrows. It is also used in the abdomen, thighs, arms.


How do your patients perceive the procedure?

The procedure is associated with minimal discomfort and is absolutely tolerable without local anesthesia.

Is there a recovery period after the procedure?

This is one of the advantages of the procedure, as it does not disrupt social life and does not take patients out of their usual professional rhythm. Immediately after the procedure, slight redness and sometimes slight swelling may be observed, which disappear within a day. The other big advantage is that it can be applied on all skin types regardless of the season.

What results do you observe and after how many procedures?

Tightening is seen immediately after the procedure, but the final effect unfolds after about 3-6 months, as it takes time to synthesize new collagen fibers. One procedure is usually needed, and the effect lasts for about a year, even two. For optimal tightening effect, it can be combined with methods that also act on the surface as a fractionated radio frequency.

“Surgery” without a scalpel in the 21st century.

The future is in fractionated high-intensity ultrasound ablation – no incisions, no visible scars!


You also work with Morpheus8. What are its advantages over other procedures you have worked with?

With the help of microneedles, fractionated radio frequency energy is generated at a depth of 1 to 4 mm, which again aims to stimulate the production of collagen and elastin, and hence tighten and tighten the skin. In addition, the procedure is suitable for treating acne scars, improving turgor and erasing fine wrinkles, stretch marks.

What is the mechanism of operation when combining HIFU and Morpheus8?

While with HIFU we aim to lift and retract the sagging skin, influencing in depth, with the fractionated radio frequency we can treat the more superficial layers of the skin. As a result, the skin begins to tighten and tone over time. The advantage is that both procedures can be performed during the summer season without the risk of pigmentation.

You also work with the VenusViva device, what are its advantages?

VenusViva is a powerful technology for remodeling and renewing the skin, helping to reduce acne scars, stretch marks, dyschromia, shrink enlarged pores, smooth fine lines and uneven skin texture. In it, the power is regulated according to the patient and allows the medical specialist to conduct treatment aimed at the specific problems of the patient.

What is the mechanism of working with VenusVuva?

It uses a nozzle with nanofractional radio frequency, which allows fractional ablation and coagulation of the epidermis and dermis, thanks to which the skin is remodeled more effectively in mild and severe skin problems.

How is VenusViva different from other procedures?

Unlike other procedures that work in depth, VenusViva works more superficially, up to 0.5 mm, which complements the methods we use to treat the deeper layers of the skin.

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