Abstract
BACKGROUND: The condition of facial muscles is pivotal for a youthful appearance, because they define facial contours and significantly enhance overall facial aesthetics. Maintaining their tone and quality is, therefore, essential for preserving a refreshed and vibrant look. OBJECTIVES: To explore whether high-intensity facial electromagnetic stimulation (HIFES) and synchronized radiofrequency (RF) therapy can effectively enhance the tone and quality of targeted facial muscles, offering a potential advancement in achieving an improved appearance. METHODS: Ten adult patients (2 males and 8 females) received 4 noninvasive HIFES + synchronized RF treatments. Photographs of the face, along with ultrasound scans of the frontalis muscle and zygomaticus major muscle to assess muscles' echo intensity (EI), were taken at baseline, after the last treatment, and during the 1- and 3-month follow-up visits. Patient satisfaction and comfort were assessed using a 7-point Likert scale, whereas pain levels were evaluated using a 10-point Visual Analog Pain Scale. RESULTS: The EI decreased in both zygomaticus major muscle and frontalis muscle at 3 months (P <.005). This indicates an improvement in muscle quality and resting tone. The Global Aesthetic Improvement Scale detected improvement of at least 1 point in 87.5% of patients at 3 months. Therapy was perceived as comfortable and accompanied by high patient satisfaction of 87.5%. CONCLUSIONS: The simultaneous administration of HIFES + synchronized RF effectively stimulates the facial elevator muscles, possibly improving their quality.