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Semin Plast Surg 2016; 30(03): 143-150
DOI: 10.1055/s-0036-1584818
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Noninvasive Facial Rejuvenation. Part 3: Physician-Directed—Lasers, Chemical Peels, and Other Noninvasive Modalities

Jesse D. Meaike
1   Division of Plastic Surgery, Department of Surgery, Baylor College of Medicine, Houston, Texas
,
Nikhil Agrawal
1   Division of Plastic Surgery, Department of Surgery, Baylor College of Medicine, Houston, Texas
,
Daniel Chang
1   Division of Plastic Surgery, Department of Surgery, Baylor College of Medicine, Houston, Texas
,
Edward I. Lee
1   Division of Plastic Surgery, Department of Surgery, Baylor College of Medicine, Houston, Texas
,
Marjory G. Nigro
2   Nigro Dermatology Group, Houston, Texas
› Author Affiliations
Further Information

Publication History

Publication Date:
26 July 2016 (online)

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Abstract

A proper knowledge of noninvasive facial rejuvenation is integral to the practice of a cosmetic surgeon. Noninvasive facial rejuvenation can be divided into patient- versus physician-directed modalities. Patient-directed facial rejuvenation combines the use of facial products such as sunscreen, moisturizers, retinoids, α-hydroxy acids, and various antioxidants to both maintain youthful skin and rejuvenate damaged skin. Physicians may recommend and often prescribe certain products, but patients are in control with this type of facial rejuvenation. On the other hand, physician-directed facial rejuvenation entails modalities that require direct physician involvement, such as neuromodulators, filler injections, laser resurfacing, microdermabrasion, and chemical peels. With the successful integration of each of these modalities, a complete facial regimen can be established and patient satisfaction can be maximized. This article is the last in a three-part series describing noninvasive facial rejuvenation. Here the authors review the mechanism, indications, and possible complications of lasers, chemical peels, and other commonly used noninvasive modalities.

Keywords

noninvasive facial rejuvenation - laser - microdermabrasion - chemical peel
 

  • References

  • 1 Lengyel BA. Lasers: Generation of Light by Simulated Emission. New York: Wiley; 1962: 22-28
    Google Scholar
  • 2 Avram M, Ortiz A. Special issue in dermatology and plastic surgery of Lasers in Surgery and Medicine. Lasers Surg Med 2015; 47 (2) 103-105
    CrossrefPubMedGoogle Scholar
  • 3 Definition and properties of laser light . Available at: http://oregonstate.edu/ehs/laser/training/definition-and-properties-laser-light . Accessed March 16, 2016
    PubMed
  • 4 Husain Z, Alster TS. The role of lasers and intense pulsed light technology in dermatology. Clin Cosmet Investig Dermatol 2016; 9: 29-40
    PubMedGoogle Scholar
  • 5 Anderson RR, Parrish JA. Selective photothermolysis: precise microsurgery by selective absorption of pulsed radiation. Science 1983; 220 (4596) 524-527
    CrossrefPubMedGoogle Scholar
  • 6 Preissig J, Hamilton K, Markus R. Current laser resurfacing technologies: a review that delves beneath the surface. Semin Plast Surg 2012; 26 (3) 109-116
    Article in Thieme ConnectPubMedGoogle Scholar
  • 7 Chwalek J, Goldberg DJ. Ablative skin resurfacing. Curr Probl Dermatol 2011; 42: 40-47
    PubMedGoogle Scholar
  • 8 Cohen BE, Brauer JA, Geronemus RG. Acne scarring: a review of available therapeutic lasers. Lasers Surg Med 2016; 48 (2) 95-115
    CrossrefPubMedGoogle Scholar
  • 9 Alexiades-Armenakas MR, Dover JS, Arndt KA. The spectrum of laser skin resurfacing: nonablative, fractional, and ablative laser resurfacing. J Am Acad Dermatol 2008; 58 (5) 719-737 , quiz 738–740
    CrossrefPubMedGoogle Scholar
  • 10 Alster TS, Nanni CA, Williams CM. Comparison of four carbon dioxide resurfacing lasers. A clinical and histopathologic evaluation. Dermatol Surg 1999; 25 (3) 153-158, discussion 159
    CrossrefPubMedGoogle Scholar
  • 11 You HJ, Kim DW, Yoon ES, Park SH. Comparison of four different lasers for acne scars: resurfacing and fractional lasers. J Plast Reconstr Aesthet Surg 2016; 69 (4) e87-e95
    CrossrefPubMedGoogle Scholar
  • 12 Ciocon DH, Doshi D, Goldberg DJ. Non-ablative lasers. Curr Probl Dermatol 2011; 42: 48-55
    PubMedGoogle Scholar
  • 13 Goldberg DJ. Current trends in intense pulsed light. J Clin Aesthet Dermatol 2012; 5 (6) 45-53
    PubMedGoogle Scholar
  • 14 Spencer JM. Microdermabrasion. Am J Clin Dermatol 2005; 6 (2) 89-92
    CrossrefPubMedGoogle Scholar
  • 15 Freedman BM, Rueda-Pedraza E, Waddell SP. The epidermal and dermal changes associated with microdermabrasion. Dermatol Surg 2001; 27 (12) 1031-1033 , discussion 1033–1034
    CrossrefPubMedGoogle Scholar
  • 16 Coimbra M, Rohrich RJ, Chao J, Brown SA. A prospective controlled assessment of microdermabrasion for damaged skin and fine rhytides. Plast Reconstr Surg 2004; 113 (5) 1438-1443 , discussion 1444
    CrossrefPubMedGoogle Scholar
  • 17 Karimipour DJ, Karimipour G, Orringer JS. Microdermabrasion: an evidence-based review. Plast Reconstr Surg 2010; 125 (1) 372-377
    CrossrefPubMedGoogle Scholar
  • 18 Spencer JM, Kurtz ES. Approaches to document the efficacy and safety of microdermabrasion procedure. Dermatol Surg 2006; 32 (11) 1353-1357
    CrossrefPubMedGoogle Scholar
  • 19 Wang SQ, Counters JT, Flor ME, Zelickson BD. Treatment of inflammatory facial acne with the 1,450 nm diode laser alone versus microdermabrasion plus the 1,450 nm laser: a randomized, split-face trial. Dermatol Surg 2006; 32 (2) 249-255 , discussion 255
    PubMedGoogle Scholar
  • 20 Bhalla M, Thami GP. Microdermabrasion: Reappraisal and brief review of literature. Dermatol Surg 2006; 32 (6) 809-814
    CrossrefPubMedGoogle Scholar
  • 21 Alam M, Omura NE, Dover JS, Arndt KA. Glycolic acid peels compared to microdermabrasion: a right-left controlled trial of efficacy and patient satisfaction. Dermatol Surg 2002; 28 (6) 475-479
    CrossrefPubMedGoogle Scholar
  • 22 Hussein MR, Ab-Deif EE, Abdel-Motaleb AA, Zedan H, Abdel-Meguid AM. Chemical peeling and microdermabrasion of the skin: comparative immunohistological and ultrastructural studies. J Dermatol Sci 2008; 52 (3) 205-209
    CrossrefPubMedGoogle Scholar
  • 23 Fischer TC, Perosino E, Poli F, Viera MS, Dreno B ; Cosmetic Dermatology European Expert Group. Chemical peels in aesthetic dermatology: an update 2009. J Eur Acad Dermatol Venereol 2010; 24 (3) 281-292
    CrossrefPubMedGoogle Scholar
  • 24 Landau M. Chemical peels. Clin Dermatol 2008; 26 (2) 200-208
    CrossrefPubMedGoogle Scholar
  • 25 Berson DS, Cohen JL, Rendon MI, Roberts WE, Starker I, Wang B. Clinical role and application of superficial chemical peels in today's practice. J Drugs Dermatol 2009; 8 (9) 803-811
    PubMedGoogle Scholar
  • 26 Friedman S, Lippitz J. Chemical peels, dermabrasion, and laser therapy. Dis Mon 2009; 55 (4) 223-235
    CrossrefPubMedGoogle Scholar
  • 27 Minkis K, Alam M. Ultrasound skin tightening. Dermatol Clin 2014; 32 (1) 71-77
    CrossrefPubMedGoogle Scholar
  • 28 El-Domyati M, Barakat M, Awad S, Medhat W, El-Fakahany H, Farag H. Multiple microneedling sessions for minimally invasive facial rejuvenation: an objective assessment. Int J Dermatol 2015; 54 (12) 1361-1369
    CrossrefPubMedGoogle Scholar
  • 29 Schwarz M, Laaff H. A prospective controlled assessment of microneedling with the Dermaroller device. Plast Reconstr Surg 2011; 127 (6) 146e-148e
    CrossrefPubMedGoogle Scholar
  • 30 El-Domyati M, Barakat M, Awad S, Medhat W, El-Fakahany H, Farag H. Microneedling therapy for atrophic acne scars: an objective evaluation. J Clin Aesthet Dermatol 2015; 8 (7) 36-42
    PubMedGoogle Scholar
  • 31 Arora S, Bhandaree Gupta P. Automated microneedling device – a new tool in dermatologist's kit. J Pak Assoc Dermatol 2012; 22: 354-357
    PubMedGoogle Scholar
  • 32 Kim JH, Park HY, Jung M, Choi EH. Automicroneedle therapy system combined with topical tretinoin shows better regenerative effects compared with each individual treatment. Clin Exp Dermatol 2013; 38 (1) 57-65
    CrossrefPubMedGoogle Scholar
  • 33 El-Domyati M, Medhat W. Minimally invasive facial rejuvenation: current concepts and future expectations. Expert Rev Dermatol 2013; 8: 565-580
    CrossrefPubMedGoogle Scholar
  • 34 Alam M, Han S, Pongprutthipan M , et al. Efficacy of a needling device for the treatment of acne scars: a randomized clinical trial. JAMA Dermatol 2014; 150 (8) 844-849
    CrossrefPubMedGoogle Scholar
  • 35 Beasley KL, Weiss RA. Radiofrequency in cosmetic dermatology. Dermatol Clin 2014; 32 (1) 79-90
    CrossrefPubMedGoogle Scholar
  • 36 Stewart N, Lim AC, Lowe PM, Goodman G. Lasers and laser-like devices: part one. Australas J Dermatol 2013; 54 (3) 173-183
    CrossrefPubMedGoogle Scholar
  • 37 Ingargiola MJ, Motakef S, Chung MT, Vasconez HC, Sasaki GH. Cryolipolysis for fat reduction and body contouring: safety and efficacy of current treatment paradigms. Plast Reconstr Surg 2015; 135 (6) 1581-1590
    CrossrefPubMedGoogle Scholar
  • 38 Zelickson B, Egbert BM, Preciado J , et al. Cryolipolysis for noninvasive fat cell destruction: initial results from a pig model. Dermatol Surg 2009; 35 (10) 1462-1470
    CrossrefPubMedGoogle Scholar
  • 39 Sasaki GH. Reply: Cryolipolysis for fat reduction and body contouring: safety and efficacy of current treatment paradigms. Plast Reconstr Surg 2016; 137 (3) 640e-641e
    CrossrefPubMedGoogle Scholar
  • 40 Kelly E, Rodriguez-Feliz J, Kelly ME. Paradoxical adipose hyperplasia after cryolipolysis: a report on incidence and common factors identified in 510 patients. Plast Reconstr Surg 2016; 137 (3) 639e-640e
    PubMedGoogle Scholar