Q: What is TriPollar RF?
A: TriPollar Radio
Frequency (RF) technology is an innovative proprietary 3rd generation RF
technology developed by Pollogen Ltd. TriPollar harnesses the inherent benefits
of RF technology and overcomes the limitations of previous mono-polar and
bi-polar technologies. It is simple to use and extremely efficient. TriPollar
treatments deliver immediate visible facial contouring effects from the first
treatment – and long-lasting aesthetic results without surgery or downtime.
Q: Is the TriPollar technology safe?
A: TriPollar technology is FDA cleared and
has been proved safe and effective in clinical studies. RF has been used in
medicine for over 75 years. In aesthetic medicine, RF has been used for more
than 10 years.
Q: What is Radiofrequency (RF) technology and how does it
work?
A: Radiofrequency, in the context of aesthetic applications, is a general
method to heat deep skin layers by delivering High Frequency (HF) electrical
current via electrodes into the body. Body cells do not interpret High
Frequency electrical current as electricity but rather as an energy source. The
skin layers act as resistors to the HF electrical current and depending on
their resistance they heat up to varying degrees. The heat which is generated in
the dermis and subcutaneous layers is responsible for the clinical outcome.
Q: What is the difference between TriPollar, mono-polar and
bi-polar RF?
A: Mono-polar, the first generation of RF technology, uses
one electrode to deliver electrical energy and a return pad connected to the
leg or back to close the electrical circuit. The electric current passes
through a large part of the body so that there is no control over the depth of
penetration and area affected.
The next generation, Bi-polar technology, uses two electrodes on the treatment
applicator, with the current flowing between the two electrodes. This confines
the treatment area somewhat, but still does not achieve effective treatment
focus.
Since both Mono-polar and Bi-polar RF technologies are not focused, they
usually require higher energy levels to achieve clinical results. The high
energy heats the skin that is near the electrodes. This can cause pain and a
higher risk of burns and skin damage. In addition, these older technologies
require cooling mechanisms to mitigate these risks, which result in less
efficient heating of the skin layers.
With TriPollar RF technology, controlled energy is delivered
via three or more electrodes, centered between them, and limited only to the
treatment area. This focused energy delivery results in improved
treatment efficacy that provides immediate visible results from the 1st
treatment. The treatment is painless and pleasant because of the relatively low
power needed.
Q: Can we combine TriPollar treatments with other
treatments?
A: The decision to combine the TriPollar treatment with other modalities should
be based on individual patient results.
The secondary treatment should be performed only after complete healing
has occurred. The general recommendations for combination treatments based on
feedback gathered from practitioners are:
Invasive/ablative procedures such as: plastic surgery,
liposuction, deep peeling, laser resurfacing: 1-3 months or until complete healing
has occurred.
Botox: 2 weeks.
Natural fillers: 3-4 weeks.
Mesotherapy: depends
on formulation and skin healing rate.
Superficial/ light peels, AHA and BHA: 2 weeks.
Fractional laser: 1 month or until complete healing.
Ultrasound, LED devices: 24 hours.
Laser, IPL procedures: 1-2 week.
Synthetic fillers, gold/plastic threads: not recommended to
combine
Q: How does the operator select the treatment parameters?
A: The Apollo device is embedded with safety default
parameters for each applicator. The parameters are gradually adjusted according
to the tolerance of the patient. The RF power is adjusted to the optimal power
needed to achieve an endpoint skin surface temperature of 104 F and 107.6
F (40-42oC) which is maintained for the recommended exposure time.
Q: What facial conditions does the Apollo treat?
A: The Apollo is
cleared by the FDA for treatment of facial wrinkles and rhytides. Due to enhanced generation of new collagen and
tightening of existing collagen the Apollo can treat sagging skin, loose jowls,
jaw line contouring, sagging skin under-chin (“turkey neck”), wrinkles and fine
lines, and a general toning and lifting of the face.
Q: What does a TriPollar treatment with the Apollo system feel
like?
A: A TriPollar
treatment feels like a warm massage. It is pleasant and pain-free. Some
patients even report falling asleep during treatments.
Q: What is the down time after a TriPollar treatment?
A: There is no down
time after a TriPollar treatment. One can resume regular activity immediately
after the treatment.
Q: What does the patient need to do to prepare for a
TriPollar treatment?
A: There are no
special requirements or preparations for a TriPollar treatment.
Q: How many TriPollar facial treatments are recommended?
A: The standard protocol for facial treatments with the
Apollo device calls for 4- 6 treatments. However, if needed, more treatments
can be added according to the condition being treated. Touch-up treatments are
recommended every 1-3 months to maintain and improve the treatment results.
Q: How long is the TriPollar facial treatment?
A: The duration of the Apollo facial treatment is about
30-45 minutes. Your practitioner will determine your facial treatment protocol.
Q: How soon can I see results?
A: The majority of patients are able to see visible results
immediately after the 1st facial treatment. However, in order to achieve
long-term results, you will need to undergo several TriPollar treatments.
Q: How long will the results last?
A: The results should
last several months, however, since the body continues to age and the ageing
process cannot be stopped, it is recommended to undergo preventative treatments
every few months in order to maintain the results.
Q: If I have metal implants in my knees, can I have a TriPollar
facial treatment?
A: Yes, you can undergo a facial treatment if the metal
implants are in a different body area. In general, treatment should not be
performed over metal implants. If you have teeth fillings, braces etc. you can
also undergo treatment. If the area
feels sensitive, dental cotton pads or slightly damped gauze can be inserted between
the teeth and cheeks.
Q: Can a TriPollar treatment be performed every day?
A: Clinical trials conducted by Pollogen found that optimal
results are obtained when there is a one week interval between treatments. If the intervals need to be adjusted, the
minimum time between treatments should be four days and the maximum time should
be two weeks.
Other RF manufacturers and clinical papers may claim
different intervals. However, Pollogen has found treating at one week intervals
yields the best treatment results. If the interval is too small, the skin is
too sensitive and as a result the operator reduces the power settings and
optimal results are not achieved. Since the treatment activates internal
processes that continue after the treatment, it is best to allow at least four days
before performing another TriPollar treatment.
Q: Should one drink water after a TriPollar Treatment?
A: It is a good idea to drink water after a TriPollar
treatment to refresh and to improve drainage.
Q: How soon after pregnancy can a TriPollar facial treatment
be performed?
A: A TriPollar treatment can be performed 1-3 months post
pregnancy (as long as the woman is not breast feeding and depending on her
general physical health.)
Q: Why is glycerin used during TriPollar treatments?
A: Glycerin was found to be the most suitable treatment lubricant due to its
high resistance to RF. It allows the RF to penetrate to the deep layers while
protecting the epidermal layer from becoming overheated or harmed. Glycerin is
also widely used in the cosmetics industry as a safe and beneficial component.
Glycerin also helps the applicator glide comfortably over the skin.