EMFace is offered in Burnaby, BC, part of Greater Vancouver, at the physician-led Skin Art MD clinic near Metrotown SkyTrain Station. The treatment uses a BTL device that pairs synchronized radiofrequency with HIFES muscle stimulation to tone the muscles that lift the brow and cheeks while supporting collagen in the skin above them.
EMFace is a BTL device that works without needles, delivering synchronized radiofrequency to heat the dermis and HIFES electrical stimulation to contract the facial muscles that lift the brow and cheeks. Studies cited below report changes in collagen, elastin and muscle. Fees are not published; they depend on the areas treated and are explained at a consultation.
In the evolving landscape of medical aesthetics, the quest for non-invasive facial rejuvenation has shifted from merely addressing the skin's surface to targeting the foundational structures beneath.
At Skin Art MD in Burnaby, BC, we prioritize treatments backed by clinical data. EMFace is designed to treat the skin and the underlying facial muscles in the same session.
Before deciding on a treatment plan, it is essential to understand the biological mechanisms that drive these results. To learn more about EMFace and its primary applications, we invite you to explore our treatment overview, but this article will focus specifically on the cellular and biochemical science behind the technology.
How does EMFace work?
EMFace delivers two energies at once through single-use applicators: radiofrequency heats the dermis to stimulate collagen and elastin, while HIFES contracts the elevator muscles of the forehead and cheeks.
EMFace operates through a patented combination of two energies delivered via single-use applicators: Synchronized Radiofrequency (RF) and High-Intensity Facial Electrical Stimulation (HIFES). While many devices use these energies independently, EMFace delivers them simultaneously, and this is how the technology works.
Synchronized Radiofrequency (RF): Dermal Remodeling
The RF component of EMFace is designed to target the dermis and the sub-dermal layers. As the applicators emit synchronized RF, the tissue temperature is elevated to an optimal range (approximately 40-42°C). This thermal stress triggers a biological cascade:
- Collagen Denaturation: The heat causes existing collagen fibers to contract immediately.
- Neocollagenesis: The thermal stimulus activates fibroblasts, the primary cells responsible for collagen production. Over the weeks following treatment, these cells synthesize new Type I and Type III collagen.
- Elastogenesis: Unlike many laser treatments that primarily target collagen, the specific thermal profile of EMFace has been reported (see Goldberg et al. below) to stimulate the production of elastin fibers, which are critical for skin elasticity and "snap-back."
HIFES Technology: The Myofascial Lift
While RF addresses the skin, HIFES targets the structural framework of the face—the muscles.
However, EMFace does not target all facial muscles; it selectively stimulates the "elevators." Facial aging is often characterized by the dominance of "depressor" muscles (which pull the face down) over "elevator" muscles (which lift the face).
The HIFES technology in EMFace uses high-intensity electrical fields to induce supramaximal contractions in the frontalis (forehead) and the zygomaticus major, minor, and risorius muscles (cheeks). At a cellular level, these contractions lead to myofibril hypertrophy—an increase in the size of muscle fibers—and an improvement in muscle resting tone.
By strengthening the elevators, the face receives a structural lift that topical creams or traditional injectables alone do not provide. If you are curious about how this might look for you, Book a Consultation with our team at Skin Art MD.
What does clinical research show about EMFace?
Published studies report increased collagen and elastin density on biopsy, measurable growth in treated facial muscles on ultrasound, and brow and mid-face lift on 3D imaging, with no serious adverse events reported.
These findings come from multi-center clinical trials. When evaluating new technology, Dr. Sharon Fong, a physician at Skin Art MD, reviews the histological and volumetric data.
1. Histological Improvements in Collagen and Elastin
In a study published by Goldberg et al. in Dermatologic Surgery, researchers utilized skin biopsies to measure the impact of synchronized RF and HIFES. The findings demonstrated a significant increase in collagen and elastin density. The study highlighted that the dual-energy approach resulted in a more organized dermal matrix compared to treatments using RF alone.
2. Muscle Density and Structural Changes
Kinney et al., writing for the Journal of Cosmetic Dermatology, investigated the effects of HIFES on facial muscle structure using ultrasound imaging. The data revealed a measurable increase in the muscle mass of the zygomaticus and frontalis muscles. This study suggests that the "lifting" effect seen clinically corresponds to actual physiological changes in muscle tissue.
3. Patient Satisfaction and Volumetric Lift
Research conducted by Halaas et al. in the Aesthetic Surgery Journal utilized 3D facial mapping to track volumetric changes. The results indicated a consistent improvement in the lift of the brow and the mid-face. Furthermore, the study noted a favorable safety profile, with no serious adverse events reported.
Who is EMFace commonly considered for?
EMFace is commonly discussed for early to moderate facial sagging and for people seeking an option without needles alongside or instead of injectables; a physician assessment of skin laxity, muscle response and history decides suitability.
At Skin Art MD, every EMFace journey begins with a medical assessment by Dr. Sharon Fong or our specialized clinical team. Because EMFace works on muscle and skin simultaneously, candidate selection is more nuanced than with simple fillers.
Situations commonly assessed include:
- Individuals experiencing early to moderate signs of facial sagging (ptosis).
- Patients looking for a "no-needle" alternative to traditional brow lifts or cheek fillers.
- Those who wish to maintain the structural integrity of their face as they age.
- Patients who have used neurotoxins or fillers and want to improve the underlying muscle tone for a more natural result.
During your evaluation in our Burnaby clinic, we assess skin laxity, muscle response, and medical history. As a physician-led clinic, we check that treatment is medically appropriate. To discuss your specific concerns, Book a Consultation with our bilingual staff (available in English and Mandarin).
How does EMFace compare with fillers and microcurrent?
EMFace works on muscle and dermis, fillers restore volume with hyaluronic acid gel, and microcurrent gives short-lived superficial effects; the table compares target, mechanism, longevity and recovery.
| Feature | EMFace | Traditional Dermal Fillers | Microcurrent (At-home/Spa) |
|---|---|---|---|
| Primary Target | Muscles & Dermis | Subcutaneous Space (Volume) | Epidermis/Superficial Muscle |
| Mechanism | HIFES + RF | Hyaluronic Acid Gel | Low-level Electrical Current |
| Longevity | Long-term structural change | 6–18 months (Degrades) | Temporary (Hours to Days) |
| Typical recovery | Minimal | Minimal (Bruising/Swelling) | Minimal |
| Physician Oversight | Required (Skin Art MD) | Required | Not Required |
What are EMFace's limitations and safety considerations?
While EMFace is medical-grade for facial rejuvenation, it is not a replacement for a surgical facelift in cases of severe skin redundancy.
Furthermore, certain contraindications apply:
- Metal Implants: Patients with metal plates or screws in the face or skull (excluding dental implants) may not be candidates due to the RF energy.
- Electronic Implants: Pacemakers or implanted defibrillators are strict contraindications.
- Pregnancy: As with most elective aesthetic procedures, treatment is not recommended during pregnancy.
Dr. Sharon Fong and the Skin Art MD team screen every patient at our Burnaby clinic before treatment to reduce risks.
Why Choose Skin Art MD in Burnaby?
Choosing where to receive your EMFace treatment is as important as the treatment itself. Skin Art MD offers medical assessment and personalized care in Burnaby, BC.
- Physician-Led Care: Dr. Sharon Fong oversees our clinical protocols.
- Genuine Technology: We use genuine equipment from BTL, the manufacturer of EMFace, rather than look-alike devices.
- Bilingual Service: We are proud to offer consultations and treatments in both English and Mandarin, catering to the diverse community of the Greater Vancouver area.
- Comprehensive Plans: We don't believe in a one-size-fits-all approach. Your EMFace sessions are integrated into a broader skin health strategy.
What do people ask about EMFace?
Common questions cover the number of sessions, how treatment feels, combining it with injectables, when results appear, and what affects cost.
How many sessions are required?
Clinical protocols typically recommend a series of four sessions, spaced approximately one week apart. Some patients may require maintenance sessions depending on their age and baseline muscle tone.
Does the treatment hurt?
Most patients describe the sensation as a warm feeling combined with intense muscle contractions. It is generally well-tolerated and does not require any topical anesthesia.
Can I do EMFace if I already have neuromodulator injections or Fillers?
Yes. EMFace can be used alongside injectables. While neuromodulator injections relax muscles to reduce wrinkles, EMFace tones the elevator muscles to provide lift. We recommend waiting a specific period after your last injection before starting EMFace; this will be discussed during your consultation.
When will I see results?
While some patients notice a "glow" immediately due to the RF energy, the structural lifting results from muscle toning and collagen production typically peak about 90 days after the final session.
What affects the cost of EMFace in Burnaby?
Fees are not listed online. Treatment plans are customized based on the areas being treated (forehead, cheeks, or both), and the team explains fees during a consultation.
Next Steps
If you are ready to move beyond surface-level treatments and address the structural aging of your face, EMFace is a non-invasive option studied in the clinical research above. Our team at Skin Art MD is here to guide you through the process with medical precision and care.
Ready to See What EMFace Can Do for You? Our medical team at Skin Art MD in Burnaby is ready to create your personalized treatment plan. Book a consultation — available in English and Chinese.
Disclaimer: This article is for educational purposes only and does not constitute medical advice. Please consult with a qualified healthcare professional before undergoing any treatment.
