Dr. Murad Alam, MD., and chief of the Section of Cutaneous and Aesthetic Surgery of departments of dermatology and otolaryngology at Northwestern University, has revealed many interesting facts out of his own experience regarding non-ablative skin remodeling. For non-surgical lifting and tightening, lasers, lights and radio frequency energy devices have become very popular, as they does not require any invasive surgical procedure or thermal vaporization of skin and are safer procedures with fewer complications. For these procedures the ideal candidate should have middle-age skin laxity without severe sagging. Here are mentioned few of the technologies to remodel the skin.

Monopolar Radio Frequency Thermage(r), Thermacoolâ„¢
a. It is used for lateral face, jowl and neck tightening and brow elevation
b. Here collagen remodeling is initiated by heating the fibrous septae which in turn initiates SMAS contraction.
c. One drawback of this method is about 10-25% of patients have limited results.

Bipolar radiofrequency (Elos, (Polaris), Velasmooth (Syneron))
a. Used for deep facial wrinkles and reduce cellulite at buttock/thighs.
b. Its has side effects like erythema, edema and bruising.
c. The Aluma radio frequency is also used for facial skin tightening and wrinkle treatment of periorbital and perioral lines.

Photodyanamic therapy for photoaging, LED photomodulation, Photopneumatic therapy and Plasma skin resurfacing procedures have significant results in periorbital rhytides, texture and pigmented lesions. They have the advantage of low downtime.