How to Read a Facial Device Study Without Being Fooled

Medically reviewed by

4 independent reviewers

Andrew Conrad Barile, kinésithérapeute, DPT

Andrew Conrad Barile, kinésithérapeute, DPT

Doctorat en physiothérapie (DPT), physiothérapeute agréé (PT)

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Le Dr Andrew Conrad Barile est docteur en physiothérapie et PDG ainsi que fondateur de Xtreem Pulse LLC. Il a obtenu son doctorat en physiothérapie à Daemen College et possède plus de vingt ans d'expérience clinique et entrepreneuriale en physiothérapie pédiatrique, thérapie craniosacrale et innovation en dispositifs médicaux. Sa profonde connaissance de l'anatomie humaine, de la physiologie musculaire et des technologies thérapeutiques offre une approche scientifique précieuse pour le rajeunissement du visage et les solutions anti-âge.

Bertica M. Rubio, M.D.

Bertica M. Rubio, M.D.

Directeur Médical, Clinique de Médecine Régénérative Anti-âge | Médecin Certifié par le Conseil | École de Médecine de Dartmouth

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Le Dr Bertica M. Rubio est une médecin certifiée et directrice médicale de la clinique de médecine régénérative anti-âge à Redlands, en Californie. Elle a obtenu son Bachelor of Science à l'Université Loyola Marymount et son Doctorat en médecine à la Dartmouth Medical School (Geisel School of Medicine). Elle a effectué sa résidence en pédiatrie au UC Irvine Medical Center.

Forte de plusieurs décennies d'expérience clinique, le Dr Rubio est spécialisée en médecine de gestion du vieillissement, médecine régénérative, cicatrisation des plaies et thérapies par facteurs de croissance. Sa pratique intègre la science médicale fondée sur des preuves avec des traitements esthétiques et régénératifs avancés, aidant les patients à atteindre une santé optimale et une vitalité juvénile.

Le Dr Rubio est passionnée par l'éducation des patients sur la science derrière les soins de la peau, le rajeunissement du visage et les technologies non invasives comme l'EMS (stimulation électrique musculaire) pour le tonus facial. Ses articles pour PureLift LAB allient connaissances médicales rigoureuses et conseils pratiques pour obtenir des résultats réels et durables.

Daniel Grinberg, MD, FACS

Daniel Grinberg, MD, FACS

Otolaryngologiste et chirurgien de la tête et du cou certifié par le conseil | Membre, American College of Surgeons | Professeur clinique adjoint, Mount Sinai School of Medicine

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Daniel Grinberg, MD, FACS, est un oto-rhino-laryngologiste certifié par le conseil et chirurgien de la tête et du cou chez ENT and Allergy Associates à West Nyack, NY. Il a obtenu son diplôme de médecine au Columbia University College of Physicians and Surgeons, a effectué sa résidence en oto-rhino-laryngologie au New York University Medical Center, et est professeur clinique adjoint à la Mount Sinai School of Medicine. Il est membre de l'American College of Surgeons et de l'American Academy of Otolaryngology.

La perspective chirurgicale de la tête et du cou du Dr Grinberg offre aux lecteurs de PureLift LAB une vision clinique élargie — reliant la pratique EMS à domicile à l'anatomie médicale sous-jacente avec la même rigueur scientifique que celle que nous appliquons à chaque spécification d'appareil.

Prof. Dr med Ivo Buschmann

Prof. Dr med Ivo Buschmann

Président d'Angiologie, Hochschule Medizinische Brandenburg | Directeur de clinique, Clinique universitaire d'angiologie, Hôpital universitaire de Brandebourg | Ancien consultant principal, Charité Universitätsmedizin Berlin

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Le Prof. Dr. med. Ivo Buschmann est titulaire de la chaire d'angiologie à la Medizinische Hochschule Brandenburg Theodor Fontane (MHB) et directeur de la clinique universitaire d'angiologie à l'hôpital universitaire de Brandebourg. Il a effectué sa formation médicale à l'Université de Hambourg, a été boursier de la Société Max-Planck à l'Institut Max-Planck de recherche sur le cœur et les poumons, et a occupé des postes de consultant principal à la Charité Universitätsmedizin Berlin Campus Virchow avant d'être nommé titulaire de la chaire à la MHB en 2016.

Le Prof. Buschmann est l'une des principales autorités européennes en arteriogenèse — la croissance et le remodelage des vaisseaux sanguins induits par le flux — avec plus de 150 publications évaluées par des pairs et plusieurs brevets américains et européens sur des dispositifs stimulant la croissance des vaisseaux collatéraux par une thérapie contrôlée du taux de cisaillement. Ses recherches relient la stimulation mécanique et électrique à l'adaptation vasculaire, à la microcirculation et à la perfusion tissulaire.

Les contributions du Prof. Buschmann apportent aux lecteurs de PureLift LAB une perspective en biologie vasculaire qui complète notre expertise clinique, en physiothérapie et en anatomie chirurgicale — expliquant comment la stimulation EMS engage non seulement les muscles faciaux mais aussi la microcirculation qui les alimente, et pourquoi une administration intelligente est aussi importante au niveau du flux sanguin qu'à celui de la contraction musculaire.

What's This About:

Almost every facial device brand cites something that looks like science, and most of it is a consumer survey wearing a lab coat.

This article compares the two on what decides the result you actually see, such as:

- One, was anything measured

- Two, was there a control group

- Three, how many people and for how long

- Four, who paid for it

- Five, was this device tested, or the category

and many more!

Apply them to our claims as well as anyone else's; we have tried to write this so that you can.

Key Points:

"96 percent of users agreed" is a satisfaction survey, not a measurement of anything on a face.

No control group means no way to separate the device from time, expectation and better lighting.

Twenty participants is a pilot; a hundred over twelve weeks is a study.

A study of the category is not a study of the product, and brands blur the two constantly.

Look for who funded it, and treat an undisclosed funder as the answer to that question.

One, was anything measured

The most common claim in this category is a percentage of users who agreed with a statement. That records an opinion after a purchase, which is a survey of hope as much as of anything else.

A measurement is a number taken off a face with an instrument: muscle thickness on ultrasound, a contour distance, a wrinkle depth score read by someone who does not know which group the photograph came from.

If the claim contains the words agreed, felt, noticed or reported, you are reading a survey.

Two, was there a control group

Without a comparison, everything that happens over twelve weeks is credited to the device: the better skincare people adopt when they start a routine, the improved sleep, the flattering second photograph, and simple expectation.

A sham-controlled study gives one group an inactive device, which is the only way to separate the effect from the belief. Chang and colleagues did exactly that in a double-blind design (10.3390/ijerph17113783).

A split-face design is the other good answer, treating one side and using the other as the control, which removes the person as a variable entirely. Kwak and colleagues used one (10.52660/jksc.2023.29.6.1505).

Three, how many people and for how long

Twenty participants over four weeks is a pilot, and a pilot tells you a study is worth running rather than telling you a result.

Kavanagh and colleagues followed 108 women for 12 weeks (10.1111/jocd.12007). That is the shape to compare against: enough people that individual variation averages out, and long enough for a tissue change to occur.

Be suspicious of any facial claim measured at two weeks, because muscle and collagen do not move that fast whatever the intervention.

Four, who paid for it

Industry funding does not invalidate a study and it does change how carefully you read it. What matters is disclosure: a paper that names its funder and its authors' affiliations is behaving properly.

A brand citing a study it commissioned, never published, and will not show you is telling you something by the omission.

Check for corrections too. Papers occasionally publish disclosures after the fact, and a corrected paper is not a discredited one; an uncorrected undisclosed conflict is worse.

Five, was this device tested, or the category

This is the one that catches everyone, including brands acting in good faith.

The studies above tested facial electrical stimulation as a category, under defined protocols, with research equipment. None of them tested a consumer device you can buy, ours included.

So the honest phrasing is that the category has been shown to do something under study conditions. The dishonest phrasing puts a brand name in front of that sentence, and it is worth noticing which one you are reading.

Six, does the number mean what it sounds like

A percentage improvement needs a baseline. Improving a score from 2 to 3 on an eleven-point scale is a fifty percent improvement and is also almost nothing.

Statistical significance means the result is unlikely to be chance; it does not mean the result is large enough to see in a mirror. Those are separate questions and a headline usually answers only the first.

Watch for the switch from an average to a maximum, where a study's best responder becomes the number on the box.

Seven, was the intervention isolated

If a study tests a device that combines stimulation with light, iontophoresis and cooling all at once, the study cannot tell you which of the four produced the change.

That is not a flaw in the study, which may have been asking a different question; it becomes a problem only when a brand quotes the result as evidence for one of the four.

Eight, does anyone disagree

A field where every published paper agrees is usually a field with a small literature. Papaiordanidou and colleagues report a case where frequency modulation did not deliver the expected benefit (10.1371/journal.pone.0084740), and it sits alongside Downey and colleagues, who found that it did (PMID 21996798).

A brand that cites the supporting paper and never mentions the contrary one is curating rather than informing.

Applying it here

Everything we cite is category evidence rather than a PureLift trial, and we say so on every page that cites it.

The specifications are the part that is specific to our devices, and those are checkable: 7 mA at 500 ohms for Face and Pro with a 4 microsecond pulse, 7.7 mA for Pro Edition, 9 mA for Pro Plus and GLOW, cleared under K190269, K230506, K221443 and K243587 respectively.

Ask any brand for those four things. The answer, or the absence of one, tells you a good deal before you read a single study.

For the full breakdown, see how the nine PureLift technologies work.

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