Fractora is a newer device that relies on radiofrequency energy and needling that has gained popularity. The concept of facial aging was based on a top down approach of trying to treat the skin and heat the dermis. Fractora works on a novel process of a bottom up approach where the needle is placed in the dermis. This allows the Fractora device to heat the skin from within the dermis, bypassing the epidermis. Radiofrequency work on the concept of Joule heating where electrothermal damage creates new collagen formation.
Fractora relies on bipolar radiofrequency to improve the skin. In other systems, energy is only delivered to the main pin. In Fractora, each pin has its own energy, allowing for more robust changes. Fractional injuries allows areas to to be created (zones of thermal heating) with other areas are untreated allowing for new collagen creation
Depth of Penetration
Fractora depth can vary from 3mm to .6-1mm depth and this can vary whether or not coated or uncoated tips and pins are utilized. The 60 pin tip has a variation in depth of .6-1mm in depth and is used to stimulate the mid dermis. The 24 tip has a pin length of 3mm and is used for full thickness dermal areas. The 24 coated depth has over 3mm depth and is used for thermal stimulation and contraction for deep wrinkles but unlike the other Fractora handpieces spare the epidermis. Since the penetration is so deep the density of the pins is in lower configuration. . The coated pins prevent damage to other areas.
Advantages of Fractora
4 steps of healing after Fractora
- Treatment penetration of ablation, coagulation and dermal healing
- The combined effects cause healing
- The area reepithelializes and phagocytosis occurs
- Thicker organized dermis with improved texture and reduced dyschromia
FREQUENTLY ASKED QUESTIONS
How long before I see results after Fractora?
Results take about 4-6 weeks to see results with continual improvements seen along the way up to 1 year.
Who are some competitors to Fractora?
All of the radiofrequency bipolar needling solutions have some pros and cons. Here is a list of some of the other systems on the market.
Syneron sublative is a fractional RF without needles and has a minimal effect on epidermis. Because of this, the penetration is much less than Fractora. The Lutronics Infini also is bipolar radiofrequency needling but is more difficult to stack pulses because of repeated mechanical insertions. We also found the device to be somewhat fragile. Fractora is the only device on the market where each needle has its own energy as opposed to other systems where there is one “active” central needle and the rest are negative leads. Non-RF microneedling has very superficial insertions but does not add energy. Fractional c02 is a great solution for skin but does not have the penetration of radiofrequency needling.
Is all Fractora the same?
Fractora is a general name for radiofrequency needling made by the company InMode. There are several different types of needles used and each one has a specific use. The 24 pin needle has deeper penetration and penetrates around 3 mm of depth. This can be either coated or uncoated. The coated needle will only create stimulation to the deep dermal section while the uncoated needle will create an injury to the epidermis and dermis as well. The 60 pin needle penetrates to .5 mm depth. The 24 pin tip is best used for deeper stimulation of structures while the 60 pin needle is best for superficial texture changes. For some patients, both needle applicators can be used.
What is the history of radiofrequency devices?
Radiofrequency devices began with cutaneous RF devices such as Thermage, Exilis, Venus Freeze, Pellevee, and Accent XL. These devices needed to maintain temperature at less than 40 degrees centigrade or epidermal damage would occur. These devices work with bulk heating and were found to produce inconsistent results often with little changes. More recently, radiofrequency needling devices such as Ematrix, Evolastin, Infini and Fractora have allowed for a deeper penetration bypassing the epidermis when desired.
How do these devices work?
They work on improving skin texture, tone, and skin tightening. With skin tightening, where the reduction of lax skin will improve skin laxity.
Are these devices painful?
There are variable depths and energies of Fractora. Topical numbing can make the superficial needling with low energy tolerable. Higher energy and deeper penetration patients are made more comfortable with blocks and injections of local.
What type of anesthesia is used?
Typically a combination of topical anesthesia with local anesthesia is used. Some patients benefit from taking a mild relaxing agent or pain medication orally as well.
What type of downtime should I expect?
Most patients should expect no downtime with coated energy tips to 3-4 days of downtime with deep and superficial uncoated tips at higher energies. The downtime is often different than traditional lasers as the superficial skin is not ablated with Fractora so patients often look presentable much sooner.
When can I workout after getting this procedure?
Once your skin has healed patients can begin to workout as soon as 1-2 days after the procedure.
Can I combine it with other procedures?
This procedure can be combined with IPL, fractionated C02 and Facetite depending on your individual needs.
Can darker skin types use Fractora or RF needling?
Yes, coated needles do not place an injury in the epidermis and can be used on darker skin type patients.
Is Fractora helpful for acne scars?
It is helpful for acne scars because it can help dry the sebaceous glands (depending on depth selected) and can treat the scars themselves. Microneedling by itself is effective and RF needling devices have been shown to be superior in improvement in scars.
Do I need eyewear protection?
Since Fractora uses Radio Frequency wavelength, patients do not need to worry about eye protection other than normal safety precautions around the eye.
Are there any contraindications for the procedure?
Patients with a history of pacemakers or defibrillators should not have this procedure done. Patients with connective tissue disorders or autoimmune disorders should check with us to determine if they are a good candidate for Fractora.
How does Fractora compare to fractionated C02?
Fractora has deeper penetration and is better and contraction of skin laxity. Fractionated C02, which can be used with some types of Fractora, is excellent for superficial lines and skin changes.
Is Fractora expensive?
Fractora’s price is dependent on the level of penetration and amount of energy and areas treated. Therefore, Fractora is competitively priced compared to other laser systems.
Can Fractora be used on acne scar patients with active acne?
Yes, Fractora is one of the few devices which can be used on acne scar patients with active acne. It can decrease sebaceous gland activity by decreasing oil production. So, this allows for acne to dry up, as well as treat the scars themselves with Fractora’s ablative properties.
How do I make an appointment to get a Fractora Treatment?
To make an appointment to get this treatment, you can call us at 312.944.0117 or you can make an online appointment by clicking here!