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https://www.readbyqxmd.com/read/27885522/efficacy-and-safety-of-fractional-co2-laser-versus-fractional-er-yag-laser-in-the-treatment-of-facial-skin-wrinkles
#1
Reza M Robati, Elmira Asadi
Ablative fractional lasers were introduced for treating facial rhytides. Few studies have compared fractional CO2 and Er:YAG lasers on cutaneous photodamages by a split trial. The aim of the present study was to compare these modalities in a randomized controlled double-blind split-face design with multiple sessions and larger sample size compared to previous studies done before. Forty patients with facial wrinkles were enrolled. Patients were randomly assigned to receive three monthly treatments on each side of the face, one with a fractional CO2 and one with a fractional Er:YAG laser...
November 24, 2016: Lasers in Medical Science
https://www.readbyqxmd.com/read/27849406/curative-effects-of-microneedle-fractional-radiofrequency-system-on-skin-laxity-in-asian-patients-a-prospective-double-blind-randomized-controlled-face-split-study
#2
Wenli Lu, Pinru Wu, Zhen Zhang, Jinan Chen, Xiangdong Chen, Biskup Ewelina
BACKGROUND: To date, no studies compared curative effects of thermal lesions in deep and superficial dermal layers in the same patient (face-split study). OBJECTIVE: To evaluate skin laxity effects of microneedle fractional radiofrequency induced thermal lesions in different dermal layers. METHODS AND MATERIALS: 13 patients underwent three sessions of a randomized face-split microneedle fractional radiofrequency system (MFRS) treatment of deep dermal and superficial dermal layer...
November 16, 2016: Journal of Cosmetic and Laser Therapy: Official Publication of the European Society for Laser Dermatology
https://www.readbyqxmd.com/read/27766442/synergistic-effect-of-high-intensity-focused-ultrasound-and-low-fluence-q-switched-nd-yag-laser-in-the-treatment-of-the-aging-neck-and-d%C3%A3-colletage
#3
Jae-Hui Nam, Young-Jun Choi, Jae Yun Lim, Joon Hong Min, Won-Serk Kim
High-intensity focused ultrasound (HIFU) is regarded as an effective skin-lifting device; however, literature regarding treatment of the aging neck and décolletage with HIFU is scarce. Our study aimed to evaluate the efficacy of combination with HIFU and low-fluence Q-switched Nd:YAG (LQSNY) laser on the aging neck and décolletage. Nineteen women were assessed. HIFU at two visits and LQSNY laser at six visits were used to irradiate the neck and chest. At week 16, improvements were rated using the Dedo classification, Fabi/Bolton Chest Wrinkle Scale (FBCWS), and Global Aesthetic Improvement Scales (GAIS)...
October 20, 2016: Lasers in Medical Science
https://www.readbyqxmd.com/read/27673516/advancements-and-refinement-in-facial-neuromodulators
#4
Reza Kordestani, Kevin H Small, Rod J Rohrich
The use of neuromodulators has increased by approximately 748 percent from 2000 to 2014 and has become an integral adjunct for facial rejuvenation. Knowledge of facial anatomy, accurate facial analysis, and familiarity with neurotoxin characteristics will minimize complications and optimize results. Current U.S. Food and Drug Administration-approved neurotoxins in the United States include onabotulinumtoxin A (Botox), abobotulinumtoxin A (Dysport), and incobotulinumtoxin A (Xeomin). The dosage and effect of these products are not interchangeable, so practitioners should master the utility and response of one product before trying the other products...
October 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27672419/central-forehead-reconstruction-with-a-simple-primary-vertical-linear-closure
#5
Ani Tajirian, Michelle Tsui
OBJECTIVE: Following Mohs surgery, medium-to-large defects on the central forehead can often be complicated to surgically reconstruct. In this paper, the authors discuss possible central forehead reconstructions and report their successful experience employing a simple primary vertical linear closure with a special technique to demarcate forehead rhytides rather than performing an overly complicated flap or graft. CASE REPORT: The patient was a 57-year-old man who presented with a broad superficial basal cell carcinoma that required treatment with Mohs surgery...
August 2016: Journal of Clinical and Aesthetic Dermatology
https://www.readbyqxmd.com/read/27602969/lip-injection-techniques-using-small-particle-hyaluronic-acid-dermal-filler
#6
Annie Chiu, Sabrina Fabi, Steven Dayan, Alessandra Nogueira
The shape and fullness of the lips have a significant role in facial aesthetics and outward appearance. The corrective needs of a patient can range from a subtle enhancement to a complete recontouring including correction of perioral rhytides. A comprehensive understanding of the lower face anatomical features and injection site techniques are foundational information for injectors. Likewise, the choice of filler material contributes to the success of the injection techniques used, and facilitates a safe, effective, and natural appearing outcome...
September 1, 2016: Journal of Drugs in Dermatology: JDD
https://www.readbyqxmd.com/read/27592504/fractional-radiofrequency-treatment-in-acne-scars-systematic-review-of-current-evidence
#7
E Forbat, F Al-Niaimi
Fractional radiofrequency (FRF) is renowned for its use in cosmetic dermatology, with regard to the treatment of rhytides, striae, scarring and cellulite. We have systemically analysed its evidence for the use of FRF in acne scars. Our search identified 15 articles, one single-blinded randomised controlled trial, two split-face trials and thirteen prospective clinical studies, mostly single-centred. Case reports were excluded. In total 362 patients were treated. The longest follow-up was for 210 days, and on average the follow-up was for three months, varying between one and seven months...
October 13, 2016: Journal of Cosmetic and Laser Therapy: Official Publication of the European Society for Laser Dermatology
https://www.readbyqxmd.com/read/27556628/current-uses-of-botulinum-neurotoxins-in-plastic-surgery
#8
Marie E Noland, Donald H Lalonde, G Jackie Yee, Rod J Rohrich
LEARNING OBJECTIVES: After reading this article, the participant should be able to: 1. Recognize the various types of botulinum toxins and their differences. 2. Identify current indications, both approved and off-label. 3. Inject botulinum toxin to counteract various natural aging processes, including facial descent and rhytides. SUMMARY: Botulinum neurotoxin is a naturally synthesized microbial protein that has been applied in the management of various disorders...
September 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27465185/phenotypic-analysis-of-stromal-vascular-fraction-after-mechanical-shear-reveals-stress-induced-progenitor-populations
#9
Derek A Banyard, Christos N Sarantopoulos, Anna A Borovikova, Xiaolong Qiu, Garrett A Wirth, Keyianoosh Z Paydar, Jered B Haun, Gregory R D Evans, Alan D Widgerow
BACKGROUND: Optimization of fat grafting continues to gain increasing attention in the field of regenerative medicine. "Nanofat grafting" implements mechanical emulsification and injection of standard lipoaspirate for the correction of superficial rhytides and skin discoloration; however, little is known about the cellular constituents of the graft. Based on recent evidence that various stressors can induce progenitor activity, the authors hypothesized that the shear forces used in common fat grafting techniques may impact their regenerative capacities...
August 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27300456/evaluation-effectiveness-of-the-voltaic-arc-dermabrasion-in-perioral-rhytides-eradication
#10
Antonio Scarano, Carmen Mortellaro, Luan Mavriqi, Alessandro Di Cerbo
Perioral rhytides affect more than 90% of women, the impact of these problems on the patient's self-esteem can become important enough to affect quality of life in psychological and sociocultural terms. Basic science shows that skin rhytides are related to loss in quantity and function of dermal collagen fibers. An electrosurgical technology was used in this study for treatment of perioral rhytides. The authors treated 34 patients (26 women and 8 men) for perioral rhytides with voltaic arc dermabrasion technique...
July 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27248024/microfocused-ultrasound-for-facial-photorejuvenation-a-review
#11
Adam J Wulkan, Sabrina G Fabi, Jeremy B Green
Microfocused ultrasound is a unique technology to treat skin laxity of the brow, lower face, and the rhytides of the décolletage. Over the past several years, the efficacy and safety of this device has been well documented and its adoption widespread. By delivering focused acoustic energy, which is converted to heat, this device creates predictable and reproducible microcoagulative zones that initiate a concentrated inflammatory wound response. By targeting the deep reticular dermis and superficial muscle and fascial planes, such as the superficial musculoaponeurotic system, platysma, and pectoralis muscle fascia, this nonablative technology increases neocollagenesis and neoelastogenesis in a novel fashion, while avoiding many of the complications related to epidermal heating observed in several other nonablative devices...
June 2016: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/27196541/aging-in-the-male-face-intrinsic-and-extrinsic-factors
#12
Terrence C Keaney
BACKGROUND: Gender is one of the most significant factors that influence facial anatomy and behavior, both key factors in the aging process. OBJECTIVE: To review male facial anatomy, physiology, and behavior and how it contributes to sexual dimorphism in facial aging. METHODS: A MEDLINE search was performed for publications on gender differences in facial anatomy, aging, cutaneous physiology, and behavior. RESULTS: There are differences in both intrinsic and extrinsic aging factors in men...
July 2016: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/27183360/the-use-of-picosecond-lasers-beyond-tattoos
#13
E Forbat, F Al-Niaimi
Picosecond lasers are a novel laser with the ability to create a pulse of less than one nanosecond. They have been available in the clinical context since 2012. Dermatologists are now using picosecond lasers regularly for the treatment of blue and green pigment tattoo removal. This article reviews the use of picosecond lasers beyond tattoo removal. The overall consensus for the use of picosecond lasers beyond tattoo treatment is positive. With examples of this in the treatment of nevus of Ota, minocycline-induced pigmentation, acne scarring, and rhytides...
October 2016: Journal of Cosmetic and Laser Therapy: Official Publication of the European Society for Laser Dermatology
https://www.readbyqxmd.com/read/27165055/mechanisms-of-skin-aging-induced-by-egfr-inhibitors
#14
Peter Arne Gerber, Bettina Alexandra Buhren, Holger Schrumpf, Peter Hevezi, Edwin Bölke, Dennis Sohn, Reiner U Jänicke, Viswanath Reddy Belum, Caroline Robert, Mario E Lacouture, Bernhard Homey
BACKGROUND: The mechanisms of skin aging have not been completely elucidated. Anecdotal data suggests that EGFR inhibition accelerates aging-like skin changes. OBJECTIVE: The objective of the study was to evaluate the clinical characteristics and investigate the cellular and molecular mechanisms underlying skin changes associated with the use of EFGRIs. PATIENTS AND METHODS: Patients during prolonged treatment with EGFRIs (>3 months) were analyzed for aging-like skin changes...
October 2016: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/27128251/neck-rejuvenation-using-a-combination-approach-our-experience-and-a-review-of-the-literature
#15
Monique Vanaman, Sabrina Guillen Fabi, Sue Ellen Cox
BACKGROUND: Aging of the neck is characterized by changes that include skin dyspigmentation, laxity, rhytides, loss of the mandibular contour, widening of the cervicomental angle, accumulation of submental fat, volume loss and prominence of the platysmal bands. Many cosmetic options exist to address these changes individually, but little literature exists about the safety and efficacy of combining such procedures and devices. OBJECTIVE: To review the existing literature and the authors' experience in safely and effectively combining aesthetic rejuvenation modalities for the neck...
May 2016: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/27128248/rejuvenation-of-the-upper-face-and-periocular-region-combining-neuromodulator-facial-filler-laser-light-and-energy-based-therapies-for-optimal-results
#16
Nicole Langelier, Katie Beleznay, Julie Woodward
BACKGROUND: The upper face and periocular region is a complex and dynamic part of the face. Successful rejuvenation requires a combination of minimally invasive modalities to fill dents and hollows, resurface rhytides, improve pigmentation, and smooth the mimetic muscles of the face without masking facial expression. METHODS: Using review of the literature and clinical experience, the authors discuss our strategy for combining botulinum toxin, facial filler, ablative laser, intense pulsed light, microfocused ultrasound, and microneedle fractional radiofrequency to treat aesthetic problems of the upper face including brow ptosis, temple volume loss, A-frame deformity of the superior sulcus, and superficial and deep rhytides...
May 2016: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/27119917/global-aesthetics-consensus-hyaluronic-acid-fillers-and-botulinum-toxin-type-a-recommendations-for-combined-treatment-and-optimizing-outcomes-in-diverse-patient-populations
#17
Hema Sundaram, Steven Liew, Massimo Signorini, André Vieira Braz, Steven Fagien, Arthur Swift, Koenraad L De Boulle, Hervé Raspaldo, Ada R Trindade de Almeida, Gary Monheit
BACKGROUND: Combination of fillers and botulinum toxin for aesthetic applications is increasingly popular. Patient demographics continue to diversify, and include an expanding population receiving maintenance treatments over decades. METHODS: A multinational panel of plastic surgeons and dermatologists convened the Global Aesthetics Consensus Group to develop updated guidelines with a worldwide perspective for hyaluronic acid fillers and botulinum toxin. This publication considers strategies for combined treatments, and how patient diversity influences treatment planning and outcomes...
May 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27060688/facial-rejuvenation-via-the-sequential-combined-use-of-multiple-laser-modalities-safety-and-efficacy
#18
Douglas C Wu, Richard E Fitzpatrick
BACKGROUND AND OBJECTIVES: Multi-modal combination treatments for facial rejuvenation offer the potential to achieve superior results in a single treatment session. In this study, we evaluate the safety and efficacy of combining multiple laser modalities in a single treatment session. METHODS: Fifty patients underwent a multi-modal facial laser resurfacing procedure consisting of the sequential use of 595 nm pulsed dye laser, 755 nm alexandrite laser, superficial fractionated and fully ablative CO2 laser, superficial fully ablative erbium-YAG laser, and deep fractionated ablative CO2 laser in a single treatment session...
August 2016: Lasers in Surgery and Medicine
https://www.readbyqxmd.com/read/27021220/anatomocosmetic-implication-rules-of-the-corrugator-supercilii-muscle-for-youthful-eye-appearance
#19
Yelda Pinar, Figen Govsa, Mehmet Asim Ozer, Ilgen Ertam
The dynamic balance of the eyebrows is maintained by the frontal muscle which acts as a brow elevator, and the brow depressors include corrugator supercilii muscle (CSM), procerus, depressor supercilii, and orbicularis oculi muscles. The glabellar rhytids might appear as a result of negative emotions, such as anger, anxiety, fatigue, fear, or disapproval. For youthful and calmer eyes, CSM may restore the muscle balance more safely and effectively for the treatments of forehead rejuvenation. In 50 cadaver hemibrows, CSM was dissected to investigate the location, position, muscle patterns, and its relationships to other muscles...
March 28, 2016: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/27018668/a-comparative-assessment-of-three-formulations-of-botulinum-toxin-type-a-for-facial-rhytides-a-systematic-review-with-meta-analyses
#20
REVIEW
James P Bonaparte, David Ellis, Jason G Quinn, Jessica Rabski, Brian Hutton
BACKGROUND: Three formulations of botulinum toxin are available for facial rhytides. It is unclear which formulation offers the greatest balance of benefits and harms. The objective of this study was to conduct a systematic review with meta-analyses to compare formulations of botulinum toxin for reduction of facial rhytides at the glabella. METHODS: The authors' protocol was registered with the International Prospective Register of Systematic Reviews (CRD4201200377)...
April 2016: Plastic and Reconstructive Surgery
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