Dr Kafka is the only physician on Manhattan’s Upper West Side and in Harlem to offer Fractora. She uses Fractora to tighten skin, decrease wrinkles, improve skin tone and texture, treat acne and acne scarring, and decrease the visibility of scars including stretch marks. She does this by heating deep layers of the skin in a controlled way to revitalize collagen and elastin, which are important supporting molecules.
Fractora can be used on any part of the body. It can be used on areas usually thought to be approachable only by operations – such as the eyelids and neck. It is safe for all types of skin and all pigment levels.
Fractora uses targeted, fractional, radiofrequency energy.
HOW THE PROCEDURE IS PERFORMED
The procedure requires approximately an hour and half to two hours in the office. There is a consultation, followed by application of topical anesthetic cream, which soaks in for an hour. Then the actual treatment begins. Additional anesthetic may be injected, depending on the situation. The radiofrequency energy is delivered via single use tips with arrays of microneedles. Treatment is customized: the tip(s) used vary in depth and arrangement and are chosen specifically for you, based on your needs, as are the energy levels used. Fractora treatments can be done at moderate settings, requiring 3-5 sessions at monthly intervals or at an intense setting, requiring 1-2 sessions. Fractora can be combined with other treatments for a complete, personalized treatment to help you look your best.
You can expect 2-10 days of redness and mild swelling, depending on the intensity of your treatment. You may also have tiny scabs, especially with more intense treatments, and these may last a week or more. This can generally be covered with a special skin treatment and makeup, Oxygenetix, available at your first Fractora session. Ideally, you should plan a couple quiet days after an intense treatment, using specific, recommended moisturizers, and sunscreen during the day (Oxygenetix contains both).
ANSWERS TO COMMON QUESTIONS
How does it work?
Skin aging and depressed scars are related to loss of collagen and elastin. Fractora’s fractional radiofrequency treatment tightens existing collagen and stimulates development of more collagen and elastin.
When will I see results?
There is an immediate effect but the biggest impact is seen starting 2 weeks after treatment and increasing for 3 months.
How long will it last?
Treatment impact generally lasts six months to a year. Most people then have touch ups with low to medium intensity treatments every 3-6 months to maintain the effect.
Can I combine this with other treatments?
Yes, Fractora is great combined with other treatments, such as neurotoxins (Botox, Xeomin), fillers (Voluma, Juvederm, Radiesse, Belotero), and laser photofacial, as they work in different ways. The treatments can be done on the same or different days, depending on the specific combination chosen for you. In many cases, a combination of these non-invasive modalities can provide a result comparable to an operation, without the risks and downtime.
Is the treatment painful?
There is generally some discomfort, which is minimized by the use of the locally applied anesthetic and cooling. Most people find the experience very tolerable.
What will happen if I don’t have follow up treatments?
Gradually the collagen in your skin will decrease to the level it would have been at without treatment and the wrinkles and sagging will recur. Scars generally remain improved.
Will this affect my facial expressions or change the shape of my face?
No. Your expressions will be completely natural. You will just have less sagging and wrinkling, with skin tone looking 10 or more years younger, healthier, and less scarred. Your basic face shape will not be changed and your muscles and, thus, movements, will be completely unaffected.
How does Fractora compare to fractional laser and other laser ablation?
Fractora meets and exceeds the results of the best fractional CO2, without the associated downtime, prolonged redness, shininess, and pigmentation drawbacks. It likewise meets or exceeds the results of Erbidium, erbidium-YAG and other lasers, without those drawbacks and risks.
How about Ultherapy?
Fractora is able to address more concerns, with less discomfort and can be more personalized to your needs than Ultherapy and other deep (dermal/subdermal) volumetric heating approaches.