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Skin tightening

Aseem Sharma, Rahul Ray, Jandhyala Sridhar, Arti Trehan, Manish Khandare
Eosinophilic fasciitis, also known as Shulman's syndrome, is a fibrosing scleroderma-like syndrome, which is a distinct entity. A 55-year-old man, presented with progressive skin darkening, thickening, and tightening over the left lower limb since 6 months. Dermatological examination revealed a hyperpigmented indurated area on the left thigh, extending to the anterior aspect of the left leg. A well-defined hypopigmented indurated plaque was present over the left iliac region. Histopathology and imaging studies confirmed the diagnosis of eosinophilic fasciitis and lichen sclerosus...
September 2016: Indian Dermatology Online Journal
Patrick Trévidic, Gisella Criollo-Lamilla
BACKGROUND: Platysma bands are one of the first signs of aging of the neck. Current theories suggest that these bands develop due to skin sagging followed by loss of muscle tone. Treatment strategies, therefore, aim to tighten skin and muscle. The aim of the present study was to demonstrate that platysma bands are due to muscular activity during the aging process and not secondary to skin sagging. This suggests a new approach to managing platysma bands. METHODS: A descriptive, prospective clinical study of 25 patients who presented with definitive, unilateral, facial palsy following otoneurosurgical treatment...
September 10, 2016: Plastic and Reconstructive Surgery
Evangelos Keramidas, Stavroula Rodopoulou
BACKGROUND: The purpose of this study is to report our experience using radiofrequency-assisted liposuction (RFAL) for neck and face contouring. This article details the operative technique, selection, complications, third-party surgeon appraisal, and patient satisfaction survey. METHODS: From November 2009 to November 2013, 55 patients who underwent RFAL treatment were enrolled in the study. Postoperative patient satisfaction surveys were conducted, and 2 independent plastic surgeons evaluated contour and skin quality with randomized preoperative and postoperative photographs at 6 months postoperatively...
August 2016: Plastic and Reconstructive Surgery. Global Open
Julia Dendle, Douglas C Wu, Sabrina G Fabi, Diana Melo, Mitchel P Goldman
BACKGROUND: Subsurface monopolar radiofrequency (SMRF) has emerged as a new method for reducing skin laxity via the controlled delivery of thermal energy below the skin using a radiofrequency probe. OBJECTIVE: To evaluate the overall efficacy of the treatment and satisfaction ratings of subjects who underwent a single SMRF treatment to the face, neck, or jawline (or some combination). MATERIALS AND METHODS: A retrospective, single-center study was conducted in which data were obtained via subject follow-ups at 90 and 180 days posttreatment...
August 31, 2016: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
Haim Kaplan, Lilach Kaplan
BACKGROUND: In the recent years, there is a growth in demand for radiofrequency (RF)-based procedures to improve skin texture, laxity and contour. The new generation of systems allow non-invasive and fractional resurfacing treatments on one platform. OBJECTIVE: The aim of this study was to evaluate the safety and efficacy of a new treatment protocol using a multisource RF, combining 3 different modalities in each patient: [1] non-ablative RF skin tightening, [2] fractional skin resurfacing, and [3] microneedling RF for non-ablative coagulation and collagen remodelling...
October 5, 2016: Journal of Cosmetic and Laser Therapy: Official Publication of the European Society for Laser Dermatology
Dong Hye Suh, Dae Hong Kim, Hee Kyung Lim, Sang Jun Lee, Kye Yong Song, Hei Sung Kim
BACKGROUND: Intense focused ultrasound (IFUS) is a novel treatment modality for skin laxity. The delivery of thermal energy to the deeper tissue layers effectively tightens the skin but can also cause significant fat atrophy, limiting its use in patients with a lean face. OBJECTIVES: We sought to evaluate the safety and efficacy of modified IFUS on facial rejuvenation. PATIENTS AND METHODS: This was a retrospective, single-center study of 28 subjects with age-related facial laxity who underwent 3 sessions of IFUS (Ultraskin(TM), WONTECH Co...
October 5, 2016: Journal of Cosmetic and Laser Therapy: Official Publication of the European Society for Laser Dermatology
Douglas C Wu, Anamarie Liolios, Leysin Mahoney, Isabella Guiha, Mitchel P Goldman
BACKGROUND: Subsurface thermistor-controlled monopolar radiofrequency (SMRF) is an emerging technology designed to offer a minimally invasive option for tightening of lax skin. The versatility of this technique allows it to be applied to virtually any body site. OBJECTIVE: The purpose of this study is to evaluate the safety and efficacy of SMRF for tightening of posterior upper arm skin laxity. PATIENTS: This is a prospective, open-label clinical trial involving 12 subjects aged 18 to 65 with moderate-to-severe skin laxity in the posterior upper arms...
September 2016: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
Michael Gold, Mark Taylor, Kenneth Rothaus, Yohei Tanaka
INTRODUCTION: Skin aging occurs through both intrinsic and extrinsic processes. Fractional radiofrequency (RF) with a microneedling array is the newest form of fractional therapy to be useful in treating aging skin. The current study utilized a noninsulated fractional RF microneedling system. METHODS: This multicenter clinical trial saw 49 patients complete 3 monthly treatments with the new fractional RF microneedling treatments and be followed for 3 months following their last treatment...
October 2016: Lasers in Surgery and Medicine
Miri Kim, Kyung-Eun Kim, Seo-Won Jeong, Se Won Hwang, Hyunmu Jo, Jahyung Lee, Daeho Cho, Hyun Jeong Park
BACKGROUND: Radiofrequency technology is one of the most recently developed methods for noninvasive skin tightening and facial contouring, and works by generating thermal energy in the deep dermis. Although clinical improvements have been reported using radiofrequency devices, there are few histologic and molecular studies about the mechanisms of dermal collagen remodeling. The authors investigated the histologic effects of an ultra-high-frequency electrical field (40.68 MHz) radiofrequency device (Polargen) on collagen remodeling in hairless mouse skin and evaluated its relative molecular mechanism...
August 2016: Plastic and Reconstructive Surgery
Karol A Gutowski
Microfocused ultrasound (MFU) generates tissue heating, which can be used for facial skin tightening as well as other areas of skin laxity. Unlike radiofrequency energy, MFU can penetrate deep into tissue without heating the superficial skin structures, allowing for higher treatment temperatures. Depending on patient factors and treatment protocols, 60% to 90% of patients can expect to see facial improvement 6 months after treatment.
July 2016: Clinics in Plastic Surgery
Neil Sadick, Kenneth O Rothaus
This article reviews minimally invasive radiofrequency options for skin tightening, focusing on describing their mechanism of action and clinical profile in terms of safety and efficacy and presenting peer-reviewed articles associated with the specific technologies. Treatments offered by minimally invasive radiofrequency devices (fractional, microneedling, temperature-controlled) are increasing in popularity due to the dramatic effects they can have without requiring skin excision, downtime, or even extreme financial burden from the patient's perspective...
July 2016: Clinics in Plastic Surgery
Barry E DiBernardo, Gabriella DiBernardo, Jason N Pozner
Minimally invasive devices are a departure from standard laser therapies, because energy is delivered directly below the skin through a 1-mm incision. Lasers can affect such tissues as fat for enhanced disruption, coagulation of small blood vessels, and skin tightening at the right temperatures. Minimally invasive radiofrequency devices can tighten skin but can also improve neck muscle laxity. These devices can achieve results not possible with traditional external devices and, because the skin is not penetrated with energy, a much improved healing profile is seen as well...
July 2016: Clinics in Plastic Surgery
S Y Choi, Y A No, S Y Kim, B J Kim, M N Kim
BACKGROUND: High-intensity focused ultrasound (HIFU) has been introduced as a new treatment modality for skin tightening through application mainly to the face and neck. OBJECTIVES: This pilot study assessed the efficacy and safety of HIFU for body tightening in Asian females. METHODS: Six Asian female adults were enrolled in this pilot study. All subjects were treated with HIFU to the both cheek, upper arm, lower abdomen, thigh and calf using the following probes: 7 MHz, 1...
September 2016: Journal of the European Academy of Dermatology and Venereology: JEADV
Klaus Fritz, Carmen Salavastru
For skin tightening, ablative and nonablative lasers have been used with various parameters full or fractionated. Currently, other energy-based technologies have been developed such as radiofrequency (RF) from mono- to multipolar, microneedling RF, and high-intensity focused ultrasound. They heat up the tissue to a clinical endpoint. Temperatures above 42°C stimulate fibroblasts to produce more collagen and some technologies produce small coagulation points that allow to shrink and to tighten the tissue with less downtime or side effects...
June 2016: Facial Plastic Surgery: FPS
Magdalena Kiełczewska, Jerzy Szymczyk, Ryszard Leszczyński, Jan Błaszczyk
UNLABELLED: Obesity and struggle with its consequences, also aesthetic type resulted in the growing development of methods of body shaping, contouring shapes, increasing skin firmness and skin tightening. The reason is the increasing in recent years, public demand, especially in developed countries. Development of aesthetic dermatology is driven by the search for therapeutic options with minimal invasiveness, enabling the reduction of excess body fat, to obtain a slim figure and reduce the laxity of the skin without the need for surgery...
May 2016: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
Emil Tanghetti, Mirko Mirkov, Rafael A Sierra
BACKGROUND AND OBJECTIVES: Non-invasive laser skin treatment modalities are generally designed to protect the epidermis by cooling and limiting the laser energy deposition in accordance with skin type. We explore a treatment modality that uses a 2,940 nm Er:YAG laser with high tissue absorption to ablate an array of channels through the epidermis and upper dermis, and then deliver laser energy from a 1,320 nm Nd:YAG laser with lower tissue absorption through the ablated channels. Treatment through ablated conduits offers a unique capability to deliver laser radiation to a deeper level in the dermis or beyond the dermis and the delivered energy to be deposited in a nearly uniform distribution...
May 19, 2016: Lasers in Surgery and Medicine
Leslie Baumann, Brian Zelickson
BACKGROUND: A novel device using micro-focused ultrasound with high-resolution ultrasound visualization (MFU-V) produces non-invasive lifting and tightening of lax skin on the face and neck when treatment is delivered at a single focal depth (Ulthera® System; Ulthera, Inc., Mesa, AZ).<br/> OBJECTIVE: The following study was performed to test the hypothesis that customized application of MFU-V at two focal depths will produce clinical results that are superior to treatment at a single focal depth...
May 1, 2016: Journal of Drugs in Dermatology: JDD
Margaret Weiss, Anne M Mahoney, Michael Gold, Naomi Lawrence
BACKGROUND: Patients increasingly seek to enhance the appearance of their legs. Elimination of unwanted leg veins, reduction of epidermal photo-aging changes such as solar lentigines and keratoses, tightening of skin laxity and reduction of adipose tissue are among the most commonly requested goals. Many patients require a combination approach to address their concerns. It is important for dermatologists to be aware of the multitude of procedures that can be performed, often in combination, to rejuvenate the leg...
May 2016: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
Gregory H Branham
The goal of lower eyelid blepharoplasty is to rejuvenate the lower lid while maintaining a natural, unoperated appearance. Successful lower eyelid blepharoplasty depends on knowledge of the anatomy and surgical techniques, accurate preoperative analysis, and attention to detail. Common issues of the lower eyelid such as malar descent, tear trough deformity, pseudoherniated fat, lid laxity, and skin texture changes as well as dermatochalasis and festoons must be recognized. Specific techniques to address these include transcutaneous and transconjunctival approaches, fat excision, fat transposition, orbicularis suspension, lateral canthal tightening, malar suspension, and skin excision/resurfacing...
May 2016: Facial Plastic Surgery Clinics of North America
Cristiano Boneti, Chidinma P Anakwenze, Jorge de la Torre, Tony L Weaver, Sherry S Collawn
Skin tightening and improved facial contouring can be achieved through a variety of modalities including traditional facelifts, autologous fat injections, laser resurfacing, laser liposuction fibers, and includes the popular use of botox and synthetic fillers. Facial fat grafting has been helpful in treating the volume deficient aging face and can easily be injected following subcutaneous laser therapy. We will demonstrate in this clinical study that lasers and fat grafting can be used safely in combination with facelifts to improve skin contouring and tightness compared with single therapy...
June 2016: Annals of Plastic Surgery
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