Rejuvenation of the Aging Chest: A Review and Our Experience

Abstract

Review of the literature revealed that options for minimally invasive treatment options for rejuvenation of the skin of the chest include injectable PLLA, botulinum toxin, sclerotherapy, and chemical peels, along with lasers and light therapies such as IPL, PDT, and nonablative fractionated lasers. For more dramatic results, ablative fractional lasers can be safely used, although longer healing times and potential adverse effects are to be expected. Adverse events are often due to the thinness of the dermis and epidermis and the lower concentration of pilosebaceous units. If treatments are tailored to the skin of the chest, the incidence of adverse events is lower, and patients can be safely treated.

Vulvo-vaginal atrophy: A new treatment modality using thermo-ablative fractional CO2 laser

“…Over the past decade, the use of CO 2 laser has been widely adopted in medicine, especially in dermatology and plastic surgery [20][21][22][23][24]28]. This laser consists of a CO 2 ray (infrared ray), which generates heat and vaporizes the water content of target cells.…”

“…As demonstrated in other areas of the body [20][21][22][23][24], this system induces the topical remodeling of connective tissue and the production of collagen and elastic fibers. Based on results that were obtained on the skin, we applied a fractional CO 2 laser treatment that was specifically designed for the vaginal mucosa to determine the safety and efficacy of this treatment in improving VVA symptoms in postmenopausal women.…”

A Prospective Multicenter Pilot Study of the Safety and Efficacy of Microfocused Ultrasound With Visualization for Improving Lines and Wrinkles of the Décolleté

“…3 A previous open-label pilot study evaluated the use of dual-depth microfocused ultrasound with visualization (MFU-V) for lifting, tightening, and wrinkle reduction of the décolleté. 3 A previous open-label pilot study evaluated the use of dual-depth microfocused ultrasound with visualization (MFU-V) for lifting, tightening, and wrinkle reduction of the décolleté.…”

Non-facial Chemical Peelings

“…It has comedolytic, keratolytic, and antiinflammatory properties by acting as an adjuvant in the treatment of acne, pillar keratoses, and post-inflammatory hyperpigmentation. Its therapeutic effect extends to the treatment of mild photoaging, irregularities in skin texture, and fine rhytides (Peterson and Goldman 2011). The treatment protocol ranges from three to six sessions at intervals of 15-30 days, depending on the clinical indication and the morbidity of the lesions.…”