Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00000018.xml
Facial Plast Surg 2016; 32(03): 276-282
DOI: 10.1055/s-0036-1584214
DOI: 10.1055/s-0036-1584214
Ways of Noninvasive Facial Skin Tightening and Fat Reduction
Further Information
Publication History
Publication Date:
01 June 2016 (online)
![](https://www.thieme-connect.de/media/fps/201603/lookinside/thumbnails/10-1055-s-0036-1584214_0017-1.jpg)
Abstract
For skin tightening, ablative and nonablative lasers have been used with various parameters full or fractionated. Currently, other energy-based technologies have been developed such as radiofrequency (RF) from mono- to multipolar, microneedling RF, and high-intensity focused ultrasound. They heat up the tissue to a clinical endpoint. Temperatures above 42°C stimulate fibroblasts to produce more collagen and some technologies produce small coagulation points that allow to shrink and to tighten the tissue with less downtime or side effects. Alternative treatments not based on heat can be chemical peels from light to deep and microneedling without RF.
-
References
- 1 Alster TS, Lupton JR. Nonablative cutaneous remodeling using radiofrequency devices. Clin Dermatol 2007; 25 (5) 487-491
- 2 Atiyeh BS, Dibo SA. Nonsurgical nonablative treatment of aging skin: radiofrequency technologies between aggressive marketing and evidence-based efficacy. Aesthetic Plast Surg 2009; 33 (3) 283-294
- 3 Sadick NS, Makino Y. Selective electro-thermolysis in aesthetic medicine: a review. Lasers Surg Med 2004; 34 (2) 91-97
- 4 Weiss R, Weiss M, Beasley K, Vrba J, Bernardy J. Operator independent focused high frequency ISM band for fat reduction: porcine model. Lasers Surg Med 2013; 45 (4) 235-239
- 5 Brightman L, Goldman MP, Taub AF. Sublative rejuvenation: experience with a new fractional radiofrequency system for skin rejuvenation and repair. J Drugs Dermatol 2009; 8 (11, Suppl): s9-s13
- 6 Hruza G, Taub AF, Collier SL, Mulholland SR. Skin rejuvenation and wrinkle reduction using a fractional radiofrequency system. J Drugs Dermatol 2009; 8 (3) 259-265
- 7 Halachmi S, Orenstein A, Meneghel T, Lapidoth M. A novel fractional micro-plasma radio-frequency technology for the treatment of facial scars and rhytids: a pilot study. J Cosmet Laser Ther 2010; 12 (5) 208-212
- 8 Harth Y, Fritz K. Treatment of depressed acne scars and deep wrinkles with a novel multisource fractional radiofrequency device: histological and clinical results on 50 patients with long term follow-up. Presented at: American Society for Laser Medicine and Surgery annual conference; March 30–April 3, 2011; Grapevine, TX
- 9 Royo de la Torre J, Moreno-Moraga J, Muñoz E, Cornejo Navarro P ; ROYO TORRE de la JR. Multisource, Phase-controlled Radiofrequency for Treatment of Skin Laxity: Correlation Between Clinical and In-vivo Confocal Microscopy Results and Real-Time Thermal Changes. J Clin Aesthet Dermatol 2011; 4 (1) 28-35
- 10 Seo KY, Yoon MS, Kim DH, Lee HJ. Skin rejuvenation by microneedle fractional radiofrequency treatment in Asian skin: clinical and histological analysis. Lasers Surg Med 2012; 44 (8) 631-636
- 11 Kim IS, Park KY, Kim BJ, Kim MN, Kim CW, Kim SE. Efficacy of intradermal radiofrequency combined with autologous platelet-rich plasma in striae distensae: a pilot study. Int J Dermatol 2012; 51 (10) 1253-1258
- 12 Issa MCA, de Britto Pereira Kassuga LE, Chevrand NS , et al. Transepidermal retinoic acid delivery using ablative fractional radiofrequency associated with acoustic pressure ultrasound for stretch marks treatment. Lasers Surg Med 2013; 45 (2) 81-88
- 13 Peterson JD, Palm MD, Kiripolsky MG, Guiha IC, Goldman MP. Evaluation of the effect of fractional laser with radiofrequency and fractionated radiofrequency on the improvement of acne scars. Dermatol Surg 2011; 37 (9) 1260-1267
- 14 Seo KY, Kim DH, Lee SE, Yoon MS, Lee HJ. Skin rejuvenation by microneedle fractional radiofrequency and a human stem cell conditioned medium in Asian skin: a randomized controlled investigator blinded split-face study. J Cosmet Laser Ther 2013; 15 (1) 25-33
- 15 ter Haar G. High intensity ultrasound. Semin Laparosc Surg 2001; 8 (1) 77-89
- 16 Hill CR, ter Haar GR. Review article: high intensity focused ultrasound—potential for cancer treatment. Br J Radiol 1995; 68 (816) 1296-1303
- 17 Vaughan MG, ter Haar GR, Hill CR, Clarke RL, Hopewell JW. Minimally invasive cancer surgery using focused ultrasound: a pre-clinical, normal tissue study. Br J Radiol 1994; 67 (795) 267-274
- 18 ter Haar G. Therapeutic ultrasound. Eur J Ultrasound 1999; 9 (1) 3-9
- 19 Hill CR, Rivens I, Vaughan MG, ter Haar GR. Lesion development in focused ultrasound surgery: a general model. Ultrasound Med Biol 1994; 20 (3) 259-269
- 20 Vigneron JL. Facial rejuvenation: other techniques. In: Dahan S, Pusel B, eds. Facial Rejuvenation—Lasers, Lights and Energy Based Devices. Montrouge, France: John Libbey Eurotext; 2015
- 21 Chang SL, Huang YL, Lee MC , et al. Combination therapy of focused ultrasound and radio-frequency for noninvasive body contouring in Asians with MRI photographic documentation. Lasers Med Sci 2014; 29 (1) 165-172
- 22 Krueger N, Sadick NS. New-generation radiofrequency technology. Cutis 2013; 91 (1) 39-46
- 23 Manstein D, Laubach H, Watanabe K, Farinelli W, Zurakowski D, Anderson RR. Selective cryolysis: a novel method of non-invasive fat removal. Lasers Surg Med 2008; 40 (9) 595-604
- 24 Fritz K, Bernardy J, Tiplica GS, Machovcova A. Efficacy of monopolar radiofrequency on skin collagen remodeling: a veterinary study. Dermatol Ther 2015; 28 (3) 122-125
- 25 Brightman L, Weiss E, Chapas AM , et al. Improvement in arm and post-partum abdominal and flank subcutaneous fat deposits and skin laxity using a bipolar radiofrequency, infrared, vacuum and mechanical massage device. Lasers Surg Med 2009; 41 (10) 791-798
- 26 Fajkošová K, Machovcová A, Onder M, Fritz K. Selective radiofrequency therapy as a non-invasive approach for contactless body contouring and circumferential reduction. J Drugs Dermatol 2014; 13 (3) 291-296
- 27 Butler PE, Gonzalez S, Randolph MA, Kim J, Kollias N, Yaremchuk MJ. Quantitative and qualitative effects of chemical peeling on photo-aged skin: an experimental study. Plast Reconstr Surg 2001; 107 (1) 222-228
- 28 Vigneron J-L. Peeling profond phénolé, la révolution anesthésique. GRCD 2006; 39: 1-5