Profound is a minimally invasive skin tightening technology that uses radio waves to gently heat the deeper layers of the skin producing an increasing collagen and other changes leading to skin tightening.
Profound gently and quickly heats the deeper layers of the skin using an array of microneedles that conduct radiofrequency energy. This heats the deeper layers of the skin to approximately 149°F, enough to stimulate neocollagenesis, the production of collagen and elastin as a healing response to this controlled heating, resulting in firming or tightening of the skin.
Results generally take three to four months to become gradually more apparent as the skin has a healing response to the heating phenomenon.
Profound takes approximately 45 minutes and uses local anesthesia or a numbing medicine. No sedation is required, although some patients do opt to take a mild oral sedative like Xanax before the procedure. The downtime from Profound is mainly what we call social downtime. There is bruising from the numbing medicine and from the procedure that is generally mild to moderate, but like any bruise, it will last two to three weeks. Many patients can cover this up with a turtleneck or makeup. Patients are actually allowed to work out the next day or whenever they feel is appropriate for them. They can shower the next day and apply makeup within one to two days.
Profound is used most commonly along the jaw line and neck, but is also perhaps the best non-surgical skin tightening procedure for the brachial area (the inner arm) and for loose thigh skin just above the knee. In our hands, Profound has gotten better results than other non-surgical technologies in these areas.
Patients who have mild jowling and submental skin laxity (in the “waddle”) are usually excellent candidates for the procedure. Patients who have more significant looseness or laxity are more likely to benefit from a facelift. On the thighs and upper arms, Profound is usually preferable to surgery because of the problematic scars left by surgery in these areas as opposed to the well-hidden scars from a facelift; however if a patient has significant skin excess, for instance from weight loss, then this would preclude the use of Profound in any area.