Rejuvenation of the Aging Arm

Wu, Douglas C.; Green, Jeremy B.

doi:10.1097/dss.0000000000000732

Cited by 8 publications

(3 citation statements)

References 17 publications

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“…Treatment: The treatment options for improving crepiness include CaHA (diluted), 22 HA, MFU-V, 45 , 46 retinol peel, lasers, 46 and deep peelings. 47 , 48…”

Section: Consensus Results/recommendationsmentioning

confidence: 99%

“…Measurement: An optical standardized camera and software, such as Visioscan (Courage + Khazaka Electronic, Cologne, Germany) and PRIMOS (Phaseshift Rapid In vivo Measurement Of Skin, LMI Technologies GmbH, Teltow/Berlin, Germany), can assess crepiness. 44 Treatment: The treatment options for improving crepiness include CaHA (diluted), 22 HA, MFU-V, 45,46 retinol peel, lasers, 46 and deep peelings. 47,48 Wrinkles and Lines Measurement: Optical standardized camera and software, such as Visioscan and PRIMOS, can measure wrinkles and lines.…”

Section: Crepinessmentioning

confidence: 99%

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Skin Quality – A Holistic 360° View: Consensus Results

Goldie¹,

Kerscher²,

Fabi³

et al. 2021

CCID

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Introduction Skin quality is an important component of human attractiveness. To date, there are no standardized criteria for good skin quality. To establish a consensus for good skin quality parameters and measurement and treatment options, a virtual skin quality advisory board consisting of a global panel of highly experienced aesthetic dermatologists/aesthetic physicians was convened. Methods A total of 10 dermatologists/aesthetic physicians served on the advisory board. A modified version of the Delphi method was used to arrive at consensus. Members accessed an online platform to review statements on skin quality criteria from their peers, including treatment and measurement options, and voted to indicate whether they agreed or disagreed. Statements that did not have agreement were modified and the members voted again. Consensus was defined as: strong consensus = greater than 95% agreement; consensus = 75% to 95% agreement; majority consent = 50% to 75% agreement; no consensus = less than 50% agreement. Results There was strong consensus that good skin quality is defined as healthy, youthful in appearance (appearing younger than a person’s chronological age), undamaged skin and that skin quality can be described across all ethnicities by four emergent perceptual categories (EPCs): skin tone evenness, skin surface evenness, skin firmness, and skin glow. The EPCs can be affected by multiple tissue layers (ie, skin surface quality can stem from and be impacted by deep structures or tissues). This means that topical approaches may not be sufficient. Instead, improving skin quality EPCs can require a multilayer treatment strategy. Conclusion This global advisory board established strong consensus that skin quality can be described by four EPCs, which can help clinicians determine the appropriate treatment option(s) and the tissue or skin layer(s) to address. Skin quality is important to human health and wellbeing and patients’ perception for the need for aesthetic treatment.

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“…Treatment: The treatment options for improving crepiness include CaHA (diluted), 22 HA, MFU-V, 45 , 46 retinol peel, lasers, 46 and deep peelings. 47 , 48…”

Section: Consensus Results/recommendationsmentioning

confidence: 99%

Section: Crepinessmentioning

confidence: 99%

Skin Quality – A Holistic 360° View: Consensus Results

Goldie¹,

Kerscher²,

Fabi³

et al. 2021

CCID

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“…65 While caution is still needed due to increased risks of side effects, there have been multiple studies showing the safety and efficacy of NAFLs on the neck, chest, arms, and hands. 62,[67][68][69][70] As with the AFLs, the growing interest in vaginal rejuvenation has also led to the use of NAFLs for this purpose. The newer nonablative 2940-nm Er:YAG laser, delivered through a collimated patterned handpiece, has been shown to improve vaginal laxity by inducing neocollagenesis.…”

Section: Skin Rejuvenation and Tighteningmentioning

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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