Efficacy of fractional laser, radiofrequency and IPL rejuvenation of periorbital region

Abstract

The purpose of this study was to assess skin elasticity, the reduction in the number and the depth of wrinkles and changes in the other skin defects (bags under the eyes, dark circles under the eyes, skin hyperpigmentation in the ageing eye area following the use of non-ablative fractional laser, bipolar radiofrequency and intense pulsed light). Moreover, the study was also comparison which device brought better results than the others. This study included 71 patients (66 women, 5 men), aged 33–63 years (the average age was 45.81 years) with skin phototypes II and III. Twenty-four patients received five treatment sessions with a 1410-nm non-ablative fractional laser in 2-week intervals, 23 patients received five treatment sessions with a bipolar radiofrequency in 1-week intervals and 24 patients received five treatment sessions with an intense pulsed light in 2-week intervals. The treatment was applied on the skin in the eye area. The Cutometer (Courage + Khazaka electronic) reference test was used as an objective method for the assessment of skin elasticity. A questionnaire was used to compare baseline state with changes that occurred after the series of treatment sessions. The results of cutometric measurements of R2, R6 and R7 parameters and the results of questionnaires indicated that non-ablative fractional laser therapy, bipolar radiofrequency and intense pulsed light improved skin elasticity. Of the three treatments, the most significant percentage improvement in the R6 parameter was demonstrated by non-ablative fractional laser therapy which gave better final results than the other methods (p < 0.0001). No other statistically significant relationships were found between RF and IPL. In the (subjective) opinion of study participants (questionnaire), all used methods resulted in the reduction of the amount and the depth of wrinkles. However, they did not observe significant impact of individual treatment method on the signs of skin ageing, including discolorations within eye area, bags (fatty hernia), dark circles (vascular/pigmentary) and oedema (predisposition to water retention). Non-ablative fractional laser therapy, bipolar radiofrequency and intense pulsed light improved skin elasticity and the reduction of wrinkles. The most significant improvement of elasticity was demonstrated by laser therapy. It seems necessary to expand the group with the effect of individual treatments against bags and dark circles under the eyes.

Fractional Erbium: Yag laser versus combination of fractional Erbium: Yag laser with topical platelet‐rich plasma for facial rejuvenation

“…4 This allows the patients to return to their daily routine by reducing laser downtime. 5 Similarly, our result showed less downtime for the side of the face that received PRP and Er:YAG laser.…”

Periorbital rejuvenation in the clinic: A state‐of‐the‐art review

“…IPL (or, as our Er:YAG platforms calls this modality, broadband light [BBL]) employs bursts of light from a flashlamp and is particularly useful when targeting photoaging and hyperpigmentation (Figure 2). 1 IPL may also minimize the appearance of wrinkles, but the efficacy of IPL in this context remains unclear—some studies report better results with fractionated laser therapy over IPL while others did not find a significant difference between the two 23,24 . We use the BBL modality for the treatment of periorbital scars, and our LME uses it for periorbital skin rejuvenation.…”

Treatment of periorbital aging with negative pressure fractional microneedle radiofrequency: A self‐controlled clinical trial

“…However, the efficacy of these approaches remains uncertain, accompanied by prolonged treatment durations and substantial risks. [4][5][6] Therefore, it is crucial to explore a treatment modality that produces positive results while mitigating potential risks.…”

“…Currently, there exists a variety of periorbital antiaging methods, encompassing topical medications, chemical peels, lasers, fat fillers, injections, and surgical interventions, among others. However, the efficacy of these approaches remains uncertain, accompanied by prolonged treatment durations and substantial risks 4–6 . Therefore, it is crucial to explore a treatment modality that produces positive results while mitigating potential risks.…”