eTwo™

eTwoTM is a treatment for those who would like to improve wrinkling and sagging of the skin, reducing pore size appearance, and diminish acne scarring.

The eTwo combines the Sublative Rejuvenation (eMatrix Skin Resurfacing) and Sublime Skin Contouring (formerly known as ReFirme) treatments to reverse aging. eTwo includes three treatments of both eMatrix and Sublime.

The Sublime treatment uses the combination of light energy and radiofrequency energy to deeply heat layers of the skin while protecting the surface of the skin simultaneously. Medium to deep heating of the skin activates fibroblasts (deep skin cells) signaling new collagen to form and existing collagen to tighten, which will occur over a 4-6 month period.

The eMatrix treatment uses radiofrequency to deliver an effective but controlled fractional treatment. Each pulse delivers the energy via a grid of matrix spots on the surface as well as just under the surface. Fibroblasts (skin cells that produce collagen) are activated within the treated zones signal collagen to regenerate and remodel, yielding improved skin tone and texture. The surrounding tissue of the untreated areas supports and accelerates the healing process of the skin.

The benefits include smoother and brighter skin, with smaller appearing pores, less scarring and finer and less deep wrinkles. In addition, lax skin will be tighter as well as firmer. Typically results become noticeable over a period of three to six months but some patients have seen results immediately after treatment.

The procedure is mildly uncomfortable. Sublime is usually comfortable, whereas the sublative treatment requires topical anesthetic, which makes it quite tolerable. Expected side effects are redness and swelling after the procedure that lasts from hours to days, and occasionally even up to a week or beyond (very unusual). Small scabs covering about 5% of the treated areas appear, but they are usually easy to cover with makeup, and although present for 5-14 days, are usually not very noticeable after the first day or two. Rare side effects include skin wound, infection and scarring, too little or too much pigment, and surface irregularities.

Prior to treatment all potential risks and side effects will be discussed with you by your medical provider and cosmetic coordinator.

Most patients have redness and swelling with eMatrix for a few hours to 3 days after the treatment (occasionally it can last longer). You may apply make-up to the treated area immediately after the Sublative rejuvenation procedure. Tiny crusts develop and are present for about 5-14 days, but these are easy to camouflage with makeup or even without it after the first one to two days. Results will develop over time and with subsequent treatments. Full results can be appreciated at three to six months following the last treatment. Maintenance treatments may be necessary.

There are other combined treatments that will reverse the effects of aging as well. The E2, E3, and Quad treatments all combine different treatments, but have similar goals. Another method would be the Fraxel Dual or Fraxel Restore. Additionally, CO2 fractional resurfacing is another possible treatment that could give similar results. All of these options are available at Advanced Dermatology.

The eTwo is already a combination of treatments with the goal of reversing the effects of aging. However, fillers and botulinum toxin may be combined. In addition, the IPL and the Matrix IR (for sun damage like freckles and deep wrinkles, respectively, could be added to create the Quad treatment.

The eTwo is recommended as 3 treatments (of both sublative and sublime on the same day) spread over 3 months at $3,600. One treatment costs $1150.