Skin Tightening

Abstract

There are many undesirable manifestations that arise as one ages. One of the most notable undesired effects is increasing skin laxity. Traditionally, the gold standard of treatment is surgical correction of skin laxity. However, demand for noninvasive aesthetic procedures has grown due to minimal risk and accelerated recovery time. Over the years, many new devices have become available for addressing skin laxity including laser therapy, radiofrequency (RF), ultrasound, and intense pulsed light (IPL). This article discusses these various noninvasive treatment options and seeks to give providers details of the science behind each device. Cutis. 2020;106:134-137, 139. M inimally and noninvasive skin tightening has become one of the most requested cosmetic procedures. Skin laxity often is apparent in areas of the face, neck, jawline, hands, abdomen, and thighs, with features of fine lines, wrinkles, and cellulite. Intrinsic and extrinsic factors contribute to the development of skin laxity. Intrinsic aspects include chronological age, stress, and genetics, whereas extrinsic influences include exposure to solar radiation, environmental toxins, and smoking. 1,2 These factors affect the production and maintenance of both collagen and elastic proteins, which are the main

Effects of Electromagnetic Waves with LTE and 5G Bandwidth on the Skin Pigmentation In Vitro

“…Furthermore, a recent study has documented the possibility of ultra-low-frequency electric fields to induce skin pigmentation [45]. However, RFs are widely employed in medical devices used for skin tightening and improvement of skin laxity and cellulite without any significant side effects [46,47].…”

A Systematic Review of the Clinical Efficacy of Micro-Focused Ultrasound Treatment for Skin Rejuvenation and Tightening

“…MFU causes an immediate contraction of denatured collagen through heat stimulation, triggers neocollagenesis, and collagen remodeling with subsequent skin tightening. It accomplishes this by establishing tiny, precisely regulated thermal coagulation sites in the mid to deep reticular dermis, all the way up to the superficial muscular aponeurotic system (SMAS) [ 12 ]. The Food and Drug Administration (FDA) has approved using an MFU device (Ulthera, Ulthera Inc., Mesa, Arizona) to raise the tissues in the brow, neck, and submentum without invasive surgery.…”

Effectiveness of combined use of targeted pressure energy, radiofrequency, and high‐intensity focused electromagnetic fields to improve skin quality and appearance of fat and muscle tissue in different body parts

“…2 This technique is among the top trends that may safely provide favorable outcomes with high satisfaction and no downtime, rivaling traditional and modern methods. [3][4][5][6][7][8][9] The combined application of HIFEM+RF is effective for simultaneous muscle toning and fat reduction. [10][11][12][13] HIFEM generates an electromagnetic field that activates neuromuscular tissue by induced electric current, leading to supramaximal muscle contractions, which create a significant energy demand causing muscles to utilize the energy stored in the adipocytes in free fatty acid form.…”

“…Recently, a novel approach of combining simultaneous high‐intensity focused electromagnetic procedure (HIFEM) and synchronized radiofrequency (RF) with a simultaneous monopolar RF and targeted pressure energy (TPE) has come to the forefront 2 . This technique is among the top trends that may safely provide favorable outcomes with high satisfaction and no downtime, rivaling traditional and modern methods 3–9 …”