Microfocused ultrasound in combination with diluted calcium hydroxylapatite for improving skin laxity and the appearance of lines in the neck and décolletage

Casabona, Gabriela; Teixeira, Diana Nogueira

doi:10.1111/jocd.12475

Cited by 45 publications

(47 citation statements)

References 22 publications

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“…As one procedure cannot correct the entire cascade of involutional skin changes, so the diversity of tasks is addressed by the integrated approach or by a combination of several methods: injection ones and hardware ones (3,(14)(15)(16)(17). As of today, there is not enough data about the combined use of microfocused ultrasound with other cosmetic procedures (14).…”

Section: Literature Reviewmentioning

confidence: 99%

“…There are published works conducting a retrospective analysis of the data of patients who underwent procedures using incobotuloboxin A, dermal fillers based on hyaluronic acid with cohesive polydensified matrix (CPDM) and calcium hydroxyapatite (CaHA) within 6 months before / after microfocused ultrasound was performed on the same or another anatomical area (14,15,17).…”

Section: Literature Reviewmentioning

confidence: 99%

“…State-ofthe-art technologies allow conducting procedures at the minimum injury rate, no need for rehabilitation, and a good tolerability (1,2,(5)(6)(7)(8)(9)(10)(11)(12)(13)(14). As new technologies are used, there arises the necessity to differentiate their administration and to combine them with other methods for enhancing clinical efficiency of the procedures (3,(14)(15)(16)(17). In particular, when microfocused ultrasound is used, precise areas of spatially-focused chromophore-independent thermal (60-70 °C) coagulative damage are created.…”

Section: Introductionmentioning

confidence: 99%

“…As a result of the action, collagen fibers degrade, and this destroyed collagen stimulates neocollagenesis by the "feedback" principle, increasing the thickness of derma and the collagen content in its reticular stratum further on, without affecting intermediate tissues or underlying skin meanwhile (1,2,(5)(6)(7)(8)(9)(10)(11)(12)(13)(14). Microfocused ultrasound suits best for patients having a light and moderate extent of laxity of skin and soft tissues, because the clinical response to microfocused ultrasound correction partially depends on the synthesis of collagen and the extent of so-called wound healing response (1,15). Published works list data on the results of patients' satisfaction after the microfocused ultrasound procedure conducted.…”

Section: Introductionmentioning

confidence: 99%

“…Published works list data on the results of patients' satisfaction after the microfocused ultrasound procedure conducted. In various published works, the data differ (2,4,(8)(9)(10)(11)14,15,18,19). According to the data of studies of patients' satisfaction with microfocused ultrasound procedures, the data are varied, but they give evidence about high efficiency.…”

Section: Introductionmentioning

confidence: 99%

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Correction of involutional skin changes using microfocused ultrasound combined with PRP-therapy

et al. 2019

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Introduction: In aesthetic medicine, the use of hardware technologies occupies an important place. Hardware action on skin includes microfocused ultrasound, radiowave, light and laser methods. The ultimate task of each method consists in improving the condition of skin and its rejuvenation. However, to enhance the clinical efficiency, combined actions have been suggested recently. Objective: To compare the effect of microfocused ultrasound as monotherapy and the combined application thereof with autologous blood cell factors. Methods: For assessing efficiency of the procedures undertaken, the data of ultrasonic scanning of skin were studied, photo documentation was performed, and adapted dermatological indices were used: the dermatological status index (DLQI) and WAM index (wellbeing, activity, mood). Results: According to the research results, ultrasonic skin scanning data were obtained which gave evidence about a more pronounced clinical effect in patients having received the combined application of microfocused ultrasound with autologous blood cell factors. The improvement of qualitative characteristics of skin in the form of a thicker dermal stratum and improved dermal coefficient was observed both in the patients having received monotherapy by microfocused ultrasound and in the group where patients underwent its combined application with autologous blood cell factors. However, the improvement of clinical effect was significantly higher in patients having received the combined application as compared to the microfocused ultrasound monotherapy group, which confirms the synergism of the hardware method and the use of factors of autologous blood cells (thrombocytes). Such manifestations as a significant increase of thickness of epidermis in 6 months in patients having received the microfocused ultrasound monotherapy gives an indirect evidence about the presence of compensated dehydration in reparative processes; this is a norm, but it curbs performance of other stimulations. Photo documentation and the analysis of dermatological indices also correlated with the data of US examination of skin. The pronounced clinical efficiency in the use of combined treatment confirms the synergism of the said two methods aimed at improving the quality of skin. Conclusion: The use of autologous blood cell factors significantly improves clinical results and allows employing other stimulation procedures in the integrated correction (laser technologies, radiofrequency methods) after microfocused ultrasound within the periods of up to 6 months after treatment. Keywords: microfocused ultrasound, ultrasonic scanning of skin, involutional changes of skin, factors of autologous blood cells, aesthetic medicine Yusova et al. / Correction of involutional skin changes using microfocused ultrasound combined with PRP-therapy 2 / 9

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Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Correction of involutional skin changes using microfocused ultrasound combined with PRP-therapy

et al. 2019

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Safety and efficacy of helium plasma for subdermal coagulation

Ruff

Doolabh²,

Zimmerman

et al. 2020

Dermatological Reviews

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Background: Surgical and nonsurgical treatments or procedures are often combined to achieve desired aesthetic results. A novel helium-based plasma device has recently been developed to briefly heat soft tissue which coagulates collagen and achieves additional tissue contraction through neocollagenesis and tissue remodeling. Two chart reviews were performed on patients who had undergone liposuction combined with helium plasma treatment. Objectives: The primary objective was to evaluate the safety of these combined procedures. Secondary objectives were to assess aesthetic improvements and overall subject satisfaction. Methods: Both studies retrospectively reviewed medical records for adult subjects undergoing a subdermal coagulation procedure with the helium plasma device following liposuction. One review included pre-and posttreatment subject images and subject satisfaction. Results: Study 1 identified 37 subjects who were male (n = 6) and female (n = 31), 21-70-years old with a mean body mass index (BMI) of 27 kg/m 2 (range, 18-41 kg/m 2). Study 2 identified 148 eligible subjects. Most subjects were female (n = 120), 21-84-years old with a mean BMI of 27 kg/m 2 (range, 18-44 kg/m 2). Mean plasma generator settings were 70% power, mean helium flow was 3 L/min with four to six passes per area. Among subjects with efficacy data, most subjects (77%) reported aesthetic improvement and were happy with their results, would recommend to a friend, and would consider having their procedure repeated (68%). Overall satisfaction was achieved by 74%. Conclusions: These results suggest helium plasma is a safe and effective adjunct therapy when used in combination with liposuction.

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Nonsurgical Facial Enhancement and Rejuvenation—Fillers, Neurotoxins, and Fat Transfers

Funt

2021

Tips and Tricks in Plastic Surgery

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Microfocused ultrasound in combination with diluted calcium hydroxylapatite for improving skin laxity and the appearance of lines in the neck and décolletage

Abstract: Combining MFU-V with 1:1 diluted CaHA is effective for improving the appearance of neck and décolletage lines and wrinkles.

Cited by 45 publications

References 22 publications

Correction of involutional skin changes using microfocused ultrasound combined with PRP-therapy

Correction of involutional skin changes using microfocused ultrasound combined with PRP-therapy

Safety and efficacy of helium plasma for subdermal coagulation

Nonsurgical Facial Enhancement and Rejuvenation—Fillers, Neurotoxins, and Fat Transfers

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