Skin rejuvenation & tightening - eTwo™ By Syneron Candela
Two advanced skin rejuvenation treatments are combined to produce optimal results.  eTwo combines Sublative & Sublime technologies for skin resurfacing, toning, acne scars and wrinkles. The eTwoTM treatment combines Sublative Rejuvenation (eMatrix Resurfacing) and Sublime Skin Contouring (formerly known as ReFirme) treatments.  Treatment with eTwoTM revives your skin to appear more youthful. 
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. 
The combo eTwo treatment is excellent for skin of any color and has little down time or disruption of daily activities.  Discomfort is minimal. 
The two together yield an improved skin surface regularity as well as firming and tightening.  
How do I know if I need eTwoTM?
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.
How does eTwoTM work? 
The eTwo combines the Sublative Rejuvenation (eMatrix Skin Resurfacing) and Sublime Skin Contouring (formerly known as ReFirme) treatments to reverse aging.  eTwo includes 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 support and accelerate the healing process of the skin.
What benefits can I expect?
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. 
What are the risks and side effects?
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.
Prior to treatment all potential risks and side effects will be discussed with you by your medical provider and cosmetic coordinator.
How will I look after the treatment? 
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.
Can this be combined with other treatments?
The eTwo is already a combination of treatments with the goal of reversing the effects of aging. However, IPL (for sun damage like freckles) could be added to this treatment.