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Loss of structure from collagen and elastin and the effects of gravity would result in loose or sagging skin. Fine lines and wrinkles would appear in areas of facial expression. Approximately 85% of the changes we see in our skin come from external factors or extrinsic aging. Dermatoendocrinol, 4 (3), 259-270 (2012)
There are varying opinions as to which is better, but the insulated needles have a lower chance of complications on darker skintypes. Since radio frequency is color blind, opposed to lasers that seek out color, it is safe for all Fitzpatrick types with little concern of post-inflammatory hyperpigmentation.
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