Blinded, Randomized, Quantitative Grading Comparison of Minimally Invasive, Fractional Radiofrequency and Surgical Face-lift to Treat Skin Laxity

Alexiades-Armenakas, Macrene; Rosenberg, David; Renton, Bradley; Dover, Jeffrey S.; Arndt, Kenneth A.

doi:10.1001/archdermatol.2010.24

Cited by 110 publications

(110 citation statements)

References 8 publications

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“…Overall effectiveness of RF ablation has been harder to determine. 7 In a study that compared RF ablation with facelift surgery, the results showed improvements relative to baseline 16% for RF ablation treatment compared with 49% for the surgical face-lift (level 1 evidence). Despite the limited amount of change, patient satisfaction was high.…”

Section: Noninvasive Skin Tightening Devicesmentioning

confidence: 99%

Evidence-Based Medicine in Laser Medicine for Facial Plastic Surgery

Marcus

Hyman

2015

Facial Plastic Surgery Clinics of North America

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Section: Noninvasive Skin Tightening Devicesmentioning

confidence: 99%

Evidence-Based Medicine in Laser Medicine for Facial Plastic Surgery

Marcus

Hyman

2015

Facial Plastic Surgery Clinics of North America

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“…109 Other studies have substantiated significant improvements in skin laxity and rhytides at 6 months following a single treatment with such a device. 99,110 The noninsulated microneedle devices have advantages over the earlier, fully insulated microneedles. They are able to span the depth of the dermis in a single treatment and produce more effective skin tightening.…”

Section: Fractional Radiofrequencymentioning

confidence: 99%

Advances in fractional technology for skin rejuvenation, skin tightening, drug delivery, and treating scars and skin defects

2017

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I n recent decades, there has been a revolution in energy-based treatment options for skin scarring, rejuvenation, and tightening. One of the most promising developments has been the introduction of fractional photothermolysis, developed by Anderson and Manstein in 2004. Fractionated systems deliver laser energy in a grid-like pattern, creating microscopic columns of ablative and/or coagulative damage termed microthermal zones (MTZs), which stimulate collagen remodeling.1 The incorporation of fractional photothermolysis into energy-based devices has allowed less destruction to surrounding tissue, leading to desired results with the minimization of unwanted side effects, leading to both ablative and nonablative laser devices becoming desirable treatment options for cutaneous scarring and rejuvenation. Given their impressive results, newer fractional laser treatment options, including picosecond lasers, quality-switched (QS) lasers, and combined ablative and nonablative lasers, are being investigated for the treatment of these common skin conditions.The following review addresses the current and emerging topics on fractional laser treatment of skin scarring and rejuvenation based on the device type, including ablative, nonablative, QS, picosecond, and hybrid fractional lasers (HFLs). Additionally, newer energy-based fractional devices, such as radiofrequency (RF) with and without microneedling and the use of fractionated technology for drug delivery, are discussed in the context of these common skin conditions. Fractionated lasersTreatment options for cutaneous scars and skin rejuvenation have evolved significantly since the rise in popularity of ablative lasers in the 1990s. Newer treatment options, including ablative fractional lasers (AFL) and nonablative fractional lasers (NAFL), have garnered favor, given the milder side effect profile in comparison with traditional fully ablative lasers. Ablative fractional lasersAcne scarring AFLs were developed in an attempt to achieve the efficacy of traditional ablative lasers with the milder side effect profile of fractional technology. Although a single treatment produces less dramatic, albeit noticeable, results than traditional fully ablative lasers can, multiple treatments result in greater clinical improvement.2 Currently, there are 3 types of AFLs available for scar treatment: the 10600-nm carbon dioxide (CO2), the 2940-nm erbium:yttrium aluminum garnet (Er:YAG), and the 2740-nm yttrium scandium gallium garnet (YSGG) lasers. AFL is associated with the increased risk of both protracted erythema and postinflammatory hyperpigmentation (PIH) in darker skin types, which has led many clinicians to prefer a longer series of NAFL treatments over AFL treatments to achieve similar results with a lower risk of side effects.Multiple studies support the efficacy of the fractional CO2 laser in acne scars. The overwhelming majority of these studies investigate the utility of these lasers in atrophic facial scars. While NAFLs typically require multiple sessions to achieve modest ...

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“…6,7 Hantash et al introduced a minimally invasive device, microneedle fractional RF, which adopted microneedle therapy system (MTS) for delivering bipolar RF energy directly into the skin through microneedle. 4 It generates fractional radiofrequency thermal zone (RFTZ) within the reticular dermis.…”

Section: Fractional Rfmentioning

confidence: 99%

“…[1][2][3] Recently, combining the fractional technique with a classical nonablative radiofrequency device has been introduced and revolutionized the field of skin rejuvenation. 1,[4][5][6][7] Fractional radiofrequency micro-needle (FRM) system delivers an exact amount of RF energy at accurate depth directly into the deep dermal area through micro-needle. 1,[4][5][6][7] Although the use of FRM device has been examined and expanded by some clinicians, the exact parameters and guidelines have not been established.…”

Section: Introductionmentioning

confidence: 99%

“…1,[4][5][6][7] Fractional radiofrequency micro-needle (FRM) system delivers an exact amount of RF energy at accurate depth directly into the deep dermal area through micro-needle. 1,[4][5][6][7] Although the use of FRM device has been examined and expanded by some clinicians, the exact parameters and guidelines have not been established. In this article, concrete treatment recommendations for different dermatologic conditions and suitable techniques for pre-and after-treatment will be discussed.…”

Section: Introductionmentioning

confidence: 99%

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Consensus Recommendations on the Use of a Fractional Radiofrequency Microneedle and Its Applications in Dermatologic Laser Surgery

et al. 2014

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Background and ObjectivesFractional radiofrequency micro-needle (FRM) has revolutionized the way we treat a variety of cutaneous conditions using radiofrequency technology. A comprehensive guide is required for clinicians using this technology in treatment of a variety of skin conditions in various skin types. Materials and MethodsThe guidelines were made from a recent round table discussion among experienced clinicians and a review of recent medical literature. ResultsWe concluded that FRM is a safe and effective modality for treatment of conditions commonly encountered in dermatology, and recommended guidelines for optimal treatment of several skin conditions on and off the face using FRM. ConclusionWe developed reproducible guidelines for most effective treatment of a variety of skin conditions using FRM. Conduct of large, multicenter trials will be needed for further optimization of treatment parameters.

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Blinded, Randomized, Quantitative Grading Comparison of Minimally Invasive, Fractional Radiofrequency and Surgical Face-lift to Treat Skin Laxity

Cited by 110 publications

References 8 publications

Evidence-Based Medicine in Laser Medicine for Facial Plastic Surgery

Evidence-Based Medicine in Laser Medicine for Facial Plastic Surgery

Advances in fractional technology for skin rejuvenation, skin tightening, drug delivery, and treating scars and skin defects

Consensus Recommendations on the Use of a Fractional Radiofrequency Microneedle and Its Applications in Dermatologic Laser Surgery

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