# Synchronized RF and HIFES Technology for Clinically Significant Wrinkle Reduction: A Multicenter 3D Evaluation

**Authors:** Chris W. Robb, Joel L. Cohen, Amanda Holden, J. D. McCoy, Lesley Clark‐Loeser, Jennifer Levine

PMC · DOI: 10.1111/jocd.70394 · 2025-08-13

## TL;DR

A noninvasive treatment combining HIFES and radiofrequency significantly reduces wrinkles, with improvements seen over three months and high patient satisfaction.

## Contribution

This study introduces a synchronized HIFES and RF treatment for wrinkle reduction, validated through 3D imaging and patient-reported outcomes.

## Key findings

- 3D analysis showed 35.36% wrinkle reduction at 3 months post-treatment.
- 88% of participants improved by at least one GAIS point at 3 months.
- FWES scores dropped from 5.6 to 3.8, indicating reduced wrinkle severity.

## Abstract

The pursuit of youthful skin reflects its association with health and well‐being. Energy‐based procedures are increasingly favored for their noninvasive nature and ability to target signs of aging at the tissue level through controlled thermal or mechanical stimulation.

This study evaluated the HIFES combined with synchronized radiofrequency (RF) as a noninvasive wrinkle treatment.

Thirty‐three patients underwent four treatments using HIFES and synchronized RF. Follow‐up visits occurred at 1 and 3 months post‐treatment. Wrinkle severity was assessed using 3D photographs and expressed as a percentage change, while 2D photographs were evaluated using the Global Aesthetic Improvement Scale (GAIS) and the Fitzpatrick Wrinkle and Elastosis Scale (FWES). Patient‐reported outcomes included a 5‐point Likert scale satisfaction survey and a comfort questionnaire.

Significant wrinkle reduction was observed. 3D analysis showed wrinkle improvements of 20.13% ± 0.33% post‐treatment, 23.15% ± 0.32% at 1 month, and 35.36% ± 3.34% at 3 months. At 3 months, 88% of participants improved by at least one GAIS point. FWES score declined from 5.6 to 3.8, reflecting a shift from wrinkle severity class II to I. High satisfaction and comfort were reported.

HIFES combined with synchronized RF effectively reduces wrinkle severity, as evidenced by objective measurements and patient feedback. This noninvasive treatment offers a safe and well‐tolerated option for improving skin appearance and quality.

## Full-text entities

- **Diseases:** Wrinkle Reduction (MESH:D019773)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12344545/full.md

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Source: https://tomesphere.com/paper/PMC12344545