Synergistic effect of microneedle-delivered extracellular matrix compound and radiofrequency on rejuvenation of periorbital wrinkles

Cheng, Haiyan; Zhang, Ruina; Zhuo, Fenglin

doi:10.3389/fmed.2022.900784

Cited by 3 publications

(2 citation statements)

References 32 publications

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“…5,29 The same applies to the injection of soft tissue fillers or to microneedling with or without radiofrequency as well as to tranexamic acid mesotherapy. [30][31][32][33][34] Periocular rhytidolysis by subcision with the wire scalpel has also been described 35 same as the use of monofilament dermal threads. 36 Topical application of various preparations, as well as topical adhesive pads have also been reported without much convincing high efficacy.…”

Section: Discussionmentioning

confidence: 99%

“…Various skin-resurfacing modalities have been proposed; though they may correct minor surface irregularities, they do not change mimetic behavior of the facial muscles nor do they influence gravitational forces thus their effectiveness has been limited 5,29 . The same applies to the injection of soft tissue fillers or to microneedling with or without radiofrequency as well as to tranexamic acid mesotherapy 30–34 . Periocular rhytidolysis by subcision with the wire scalpel has also been described 35 same as the use of monofilament dermal threads 36 .…”

Section: Discussionmentioning

confidence: 99%

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Long-Term Improvement of Crow's Feet Wrinkles in Combination With Cervicofacial and Temporal Lifting

Atiyeh,

Ghanem,

Oneisi

et al. 2023

Ann Plast Surg

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Background The lateral orbital crow's feet area is one for which rejuvenation is most frequently requested by patients. Moreover, lateral canthal wrinkles are a common source of dissatisfaction after rhytidoplasty. Botulinum toxin injection has emerged as a most popular, easy, and effective solution; nevertheless, repeated injections are required periodically for long-term effect. Other nonsurgical options have also been described to have some demonstrable advantages. Orbicularis oculi surgical manipulations have been described as well. Material and Methods A systematic PubMed literature search was conducted to identify clinical cohort studies including more than 10 patients describing surgical approaches for improvement of crows' feet wrinkles in combination with face and/or temporal lifts. The search was complemented by Embase, Medline, and Cochrane searches in addition to screening of reference lists of selected studies and simple term searches about surgical treatment of crow's feet. Results Fourteen studies satisfied the inclusion criteria and were included in this review describing various muscle excision techniques including vertical strip excision, lateral partial resection, wedge resection, muscle resection in “C” pattern, and enlarged myectomy of about one-third of the whole orbital extension in addition to muscle manipulation modalities, including muscle splaying, muscle division, muscle division and splaying, muscle undermining with partial denervation, and muscle suspension. Interposition of fascia between orbicularis muscle and overlying skin was also reported. Conclusion View the few studies retrieved and the wide spectrum of reported techniques, it is not possible to determine from this review the most effective modality. Nevertheless, it seems that subcutaneous undermining of the lateral canthal area combined with splaying and traction of the orbicularis oculi muscle and fixation to the temporalis fascia with or without muscle division would yield the best long-term results. This review indicates also that surgical correction of crow's feet during rhytidectomy or temporal lift could be a positive complement to improve aesthetic outcome. Unfortunately, if not underreported, it is definitely neglected. We believe that this review may be an eye-opener for surgeons.

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