QUICK REFERENCE GUIDE (QRG) FaceTite/CelluTite

With single thermistor Date: June 2021

FaceTite (FT) and CelluTite (CT) hand pieces are both designed for superficial treatment of the sub-dermis and there
are similarities in their treatment technique. They can be used on their own or as a second stage after NeckTite or
BodyTite deeper treatment. Usually neither applicator requires aspiration following deployment. However, if needed,
CT may be connected to aspirator, and a syringe with a thin spinal needle or thin cannula may be used.

INDICATIONS AND TREATMENT AREAS

FaceTite: - Tightening of full face or jaw line, nasolabial folds, cheeks, lower eyelids and brow,
avoiding the upper lip due to decreased sensation post op.
- Tightening of small body areas exhibiting skin laxity, such as, neck, arms, or navel area.
CelluTite: - Visible moderate (Grade II) and severe (Grade III) cellulite in body areas such as
buttocks, posterior, lateral and inner thighs and upper abdomen, occasionally arms.

TYPICAL TREATMENT PARAMETERS

Hand Piece RF Cut-off Treatment Impedance Treatment
Power Temp. Mode Ω** Depth
Level [oC]
FaceTite on face 10 38-40 Cont./Pulsed* 30-40 3mm
FaceTite on neck and body 15-20 38-40 Cont. 3mm

20-30 38-40 Cont. 30-40 5-20mm

CelluTite
(level 1-3)
* Pulse Mode of 0.8-1.2sec is safer on sensitive facial areas like the lower eyelid.
** The default of 40Ω low impedance limit is occasionally too high when working very superficially.
Impedance limit may be reduced to 30Ω to avoid frequent RF disabling and “Bad Coupling” message.

PRE_TREATMENT
• When using FT in the peri-oral region, prophylactic antivirals should be prescribed in all patients with a
history of Herpes Simplex.
• Mark treatment zones while patient is standing. For FT ~6x6cm (2.5x2.5”) zones; For CT ~10x15cm (4-6’’). Mark
with different color pens the pits and elevated nodules of the cellulite.
• Select inferior based access ports for CT, to facilitate drainage, as aspiration is not always needed.

TREATMENT PROCEDURE (for both FT and CT, unless otherwise stated)

• For FT, make a small 1-3mm incision port by 18-22G spinal needle or a scalpel. For CT, make a 3-5mm
incision port by a scalpel to accommodate the V-dissector.
• Infiltrate tumescent to the sub-dermal plane with 18-22G spinal needle or with a very small diameter
infiltrating cannula until tissue is firm with “peau de orange” appearance.
• Apply sterile ultrasound gel and introduce the internal electrode through the incision port.
• Make sure you enter superficially at the immediate sub-dermal and subcutaneous plane to avoid deep
delicate structures like the facial nerve or neck platysma (FT) and to be in the area most densely
populated by fibrous septa (CT). At the same time make sure not to work too superficially and to remain
completely parallel to skin to avoid burns. Use your free hand to flatten the skin and direct the internal
electrode.
• Move back and forth in the zone for a couple of passes to confirm your depth and ascertain a sense of
internal characteristics BEFORE turning on the RF energy.
• Ensure good contact between external electrode and skin.
• Move the distal end of the electrode in Continuous Mode first, using the “stamping” technique by
pressing the footswitch. Release the footswitch when you either hear “popping” sound (superficial fat

Please Note: Quick Reference Guides are on occasion revised and updated. It is the practitioner’s responsibility 1
to ensure the use of the most current version of the Quick Reference Guide. Current Clinical Updates may be
found on www.InModeResources.com.
 QUICK REFERENCE GUIDE (QRG) FaceTite/CelluTite
With single thermistor Date: June 2021

coagulation) or after max. 2sec. In FT you can use the Pulse Mode set at 2sec and release the footswitch if
you hear the popping sound before.
• After covering the full treatment zone with slight overlap of the external electrode, shift to a “fanning”
technique with back and forth continuous, non-stamping movements until the whole area is heated to
cut-off temperature.
• The speed of these movements is slow and methodical, but faster on the face than on the body larger
thermal zones.
• In areas with excessive fibers, such as scars, move slower to facilitate softening and less traumatic
mechanical effects.
• With CT stay within 2cm of the skin surface, treating the 3 structures that cause cellulite:
o Nodules - to be stamped and coagulated with an audible “pop”.
o Pits - to be released completed with the v-dissector at 2-3 levels: 2 and 1 or levels 3, 2, and 1,
until there is no resistance.
o Sub-dermal space heated to 38-40oC by fanning after the stamping performed above.
• With FT treat in one plane only, 3mm into the superficial fat, until endpoint of the cut-off temperature is
reached, or erythema, whichever comes first.
• After reaching the end-point, continue treating for 1-2min and then move on to the next zone.
• Always stop when there is excessive response, cool the area and avoid heating that area further.
• Typically, for FT 1-5kJ is introduced into a full face, and 6-12KJ into the neck area. Small facial areas like
the lower eyelid may require 0.1-0.2kJ, whereas larger areas like jaw line may need 1-2kJ. Typical energy
for a treatment zone with CT is up to 6kJ. It is not recommended to exceed these values for safety reasons.

POST_TREATMENT
• Immediate cooling of the skin can reduce discomfort and excessive skin response.
• Suture access ports that are not in the hair line or under the lobule for FT treatment.
• For CT, if there is not a synchronous aspiration, leave the incisions open.
• Draining of fluids out the incision ports may continue for 1-2 days and dressing should be changed daily.
• Discomfort can be reduced by the prescription of oral analgesia.
• Prophylactic oral and topical antibiotics for the incision ports may be prescribed as per the physician
discretion. It may start the day of treatment and continued for 5-7 days to minimize the risk of infection.
• Garmenting is not necessary after FT treatment. For CT treatment 4 weeks 22/24 hours a day is
recommended. When CT follows BodyTite treatment, then the BodyTite regimen of garmenting should be
applied (3 full weeks and 3 half day weeks).
• Ecchymosis may last for 7-10 days or more.
• Substantial edema may last for 1-3 weeks.
• Decreased or absent sensation may be present in the treated areas and will be gradually regained after
4- 16 weeks or occasionally longer.

RESULTS
• You should see significant edema and a “lift”, “tightening” or contouring effect from the edema and
immediate collagen shrinkage in both applications. Improvement of cellulite is seen immediately after CT
treatment, but improves gradually over 3-9 months and is often best after one year.
TIPS
• Cooling measures should be ready.
• Avoid using FT over superficial injected areas with natural fillers, or very fresh Botox. It is better to inject
after FT treatment, but if already there, treatment over deep natural fillers is possible immediately.
o Over superficial natural fillers – wait for ~6 months and
o Over Botox – wait for one week.
o Treatment over synthetic fillers, like silicon, is contraindicated.
• Avoid using CT over areas with synthetic fillers, such as silicone in the buttocks.

Please Note: Quick Reference Guides are on occasion revised and updated. It is the practitioner’s responsibility 2
to ensure the use of the most current version of the Quick Reference Guide. Current Clinical Updates may be
found on www.InModeResources.com.