Abstract: The invention provides a system and method for achieving the cosmetically beneficial effects of shrinking collagen tissue in the dermis in an effective, non-invasive manner, which leaves the outer layer of skin intact and undamaged. One embodiment of the invention provides electromagnetic energy to the skin of a patient. The device includes a carrier and an array of electrodes on the carrier. A microporous pad on the carrier overlies the array of electrodes, forming an interior chamber to contain an electrically conductive material. The microporous pad is adapted to contact a patient's skin and ionically transport the applied electromagnetic energy to ohmically heat dermal tissue beneath the epidermal skin region. The shape of the carrier may differ to match different skin topographies and the electrodes may be sized to extend into tissue to heat a dermal skin region.

Abstract: Systems and method ablate motor nerve tissue by inserting an operative element connectable to an ablation energy generator into a defined percutaneous tissue region. The systems and methods apply stimulant energy in the defined percutaneous tissue region to stimulate targeted motor nerve tissue prior to ablation by the operative element. Application of the nerve ablation energy can permanently eliminate the function of a targeted motor nerve branch, to thereby inactivate a selected muscle. The muscle inactivation may, e.g., treat dystonias and other hyperfunction neuromuscular dysfunctions in the face and neck, such as torticollis, blepharospasm, and uncontrolled grimacing. The muscle inactivation may also provide cosmetic results, to eliminate or prevent aesthetically displeasing skin furrows, frowning wrinkles, or neck bands, which can arise from normal muscle contraction or prolonged exposure of the face to the sun.