Skin Tightening with RF (Accent and Pellevé)

Questions and Answers


What is skin tightening?

Skin tightening refers to any technique that reduces skin laxity and sagging.

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What does RF mean?

RF stands for “radio frequency” or radio waves. These waves are part of the electromagnetic spectrum. They are way beyond visible light and beyond infrared light and microwaves. They are harmless. They are bombarding all of us every day from the sun and from every radio station within listening distance. (Harmful waves are found at the opposite end of the spectrum: ultraviolet, X-ray, and gamma waves.)

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What can be done to tighten skin?

Prior to the last decade, the only method to reduce skin laxity was surgery. Now we can offer you non-invasive skin tightening .
Since about 2002 several methods have been developed that can tighten skin without surgery. These include radio frequency, intense pulsed light, mesotherapy (injections of biochemicals and herbals) and micro-needling.
Patented technology, the Accent and Pellevé, tighten skin by applying harmless radio waves with virtually no pain and no downtime.*
*Results may vary.

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How does RF skin tightening work?

The Accent and Pellevé RF devices apply an intense field of radio waves through the handpiece that is held directly on the skin. Radio waves induce electrical current in the tissue. This current flows easily through blood and muscle, and has no effect. Collagen resists the flow, so heat is produced. The skin heats up to between 40C and 45C.
Collagen tightens up, and collagen production is boosted, tightening the skin.*
*Results may vary.

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What areas can be treated?

Any area with loose skin can be treated. This is most commonly the face and neck, but the tummy and legs are also commonly treated areas. We avoid the area over the thyroid gland (below the Adam's apple) because of a theoretical chance of injury to this gland which lies just under the skin.

The Pelleve is used for the face, because it has a small highly manoeuvrable hand piece. This makes it ideal for treating small areas like under the eyes, a very commonly treated area.

The Accent has a much larger very powerful hand piece making it the device of choice for treating large areas like tummies and legs.

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Who is a good candidate for Accent and Pellevé RF therapy?

Everyone with loose skin can be treated with the RF, but there are limits. Severely stretched skin (eg. following pregnancy or substantial weight loss) will not respond very well.

As we age we make less collagen. The collagen is also lower quality. Even with a lot of treatments, we are sometimes unable to stimulate collagen production in older skin. As a general guideline, forty year olds don't need skin tightening, but they would respond very well, because they are still making lots of collagen. Fifty year olds could probably use a little help with skin tightening, and they respond well. Sixty year olds are making considerably less collagen, and they respond less effectively to RF skin tightening.Smokers and sun-worshippers will not respond as well, because they are damaging collagen as fast as we can stimulate it. People who are in generally poor physical condition or recovering from major illness are poor candidates.

People with pacemakers cannot be treated. The induced electrical current can shut down the pacemaker.

In people with implanted metals such as plates and rods, the applied RF can induce electrical current in the metal. This is not harmful, but it could be painful.

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How are treatments done?

A light coating of gel or mineral oil is applied to the skin.
The Accent or Pellevé RF hand piece is applied to the skin.
The technician starts to move the hand piece around in lines and circles over the area to be treated, and once a rhythm is established, the energy is turned on. Energy is applied for 20-30 seconds while the movement continues.
During this time, a gentle warming sensation will begin.
The temperature is measured by a laser thermometer after each 20-30 second period. When the target temperature is reached, three more 20-30 second passes are made over the area to maintain the temperature for enough time to do the job of tightening the skin.
Treatments take 30-60 minutes depending on the size of the area being treated.

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How much does Accent and Pellevé RF therapy hurt?

RF therapy is virtually painless. All you feel is warmth and the massage of the moving hand piece. Occasionally, the treatment pushes you beyond warm to hot, and this might be uncomfortable for brief periods.

Skin temperature is checked frequently to make sure the skin is not too hot.

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What can I expect following Accent and Pellevé RF therapy?

Your skin will be red for an hour or so, and that’s all. Imagine putting a hot water bottle on your tummy for a while. It will cause redness that disappears quite quickly.

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How long does it take to see results, and how many treatments will be required?

Skin tightening will peak about four to six months after the treatment as new collagen is produced. The first evidence of improvement usually takes about 2-3 months.*
Most commonly skin tightening requires 3-6 sessions. It may require more sessions to achieve the desired result.*
*Results may vary.

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Are maintenance sessions required?

Yes. Loss of skin elasticity is an ongoing process. Maintenance is required. One session every year or two should be enough, but this varies.

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What are the side effects of Accent and Pellevé RF therapy?

Virtually nothing. It is possible to cause some pain if your tissue heats up too far, but heating is gradual, and there is usually sufficient warning that you are getting hot. Burns are virtually impossible.
If the RF handpiece loses contact with the skin while the energy is flowing, it can cause a "spark" sensation, but this will not create a burn. The design of the hand pieces makes sparking extremely unlikely.
As of this writing, no adverse effects following RF treatments have been reported worldwide.

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How should I care for my skin following treatment?

There are no special skin care requirements following RF treatments. You just wipe the gel or mineral oil off and away you go. The redness caused by the treatment will disappear in an hour or so without any special care.

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How do I book a treatment?

Call us at (905) 853 - 3200, or click here!

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What is your cancellation policy?

We require 48 hours notice for cancellation of your consultation or treatment, in order to fill the appointment time. If sufficient notice is not given, the full value of the treatment to be done may be charged, with the minimum charge being $100 (one hundred dollars).

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