Ahmet R. Karaca, MD

Ahmet R. Karaca, MD

Sublime™ and Sublative™ Facial rejuvenation

What is eTwo™?

eTwo™ is a treatment that uses radio-frequency energy (electrical as opposed to laser, which is light energy) to deliver an effective fractional and tightening treatment to reduce fine lines, wrinkles, pores, and acne scarring.

Sublime™ Skin Contouring (formerly known as ReFirme™) is a treatment that combines infrared light with radiofrequency to firm skin, as well as tighten lax skin.

With the eTwo™ treatment, three Sublime™ and three Sublative™ (EMatrix™) treatments are given once a month for three months. The two treatments are performed on the same day. Results are optimal one to three months after the final treatment.

The eTwo™ combo treatment is excellent for skin of any color and requires little downtime or disruption of daily activities. Discomfort is minimal. The two treatments together yield an improved skin surface by firming and tightening skin.

How does eTwo™ work?

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 radio frequency 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.

What benefits can I expect from eTwo™?

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 the treatment.

How will I look after the eTwo™ treatment?

Most patients have redness and swelling with eMatrix™ for a few hours up to three 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 five to 14 days, but these are easy to camouflage with makeup. 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.

Frequently Asked Questions

How do I know if I need ETWO™?

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

Can eTwo™ be combined with other treatments?

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

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