Resurfacing with Ablation of Periorbital Skin Technique: Indications, Efficacy, Safety, and 3D Assessment from a Pilot Study

Abstract

Objectives and background: Nowadays, several approaches for skin rejuvenation of the lower eyelid are available. We present a new technique of resurfacing with ablation of periorbital skin (RAP) performed in a single session. Methods: This is a retrospective study involving 20 patients showing skin elastosis with or without evidence of the nasojugal fold and atrophic and dyschromic skin or needing a combined approach of transconjuntival lower blepharoplasty for fat bag removal. RAP technique is assessed in terms of efficacy, safety, and 3D evaluation of results at 6 months' follow-up.Results: Global Assessment Improvement Scale results highlighted an improvement in all cases, for both physicians (blinded to treatment) and individual subjects. Only minor adverse events (edema, erythema, and discoloration) were reported in almost all patients, lasting 2–3 weeks after treatment, and were resolved without intervention. A 3D imaging tool revealed the reduction of medium protrusions and depressions and an improved texture at 2 months. Skin recovery was inversely correlated with hemoglobin reduction.Conclusions: RAP seems to offer expert dermatologists a safe and clinically effective technique for skin rejuvenation of lower eyelids, without significant adverse events. Further studies will be performed to confirm our results.

Hyperdiluted calcium hydroxylapatite for skin laxity and cellulite of the skin above the knee: A pilot study

“…Non-surgical treatment options for skin rejuvenation of the face and the body are increasingly requested by patients, due to reduced downtime and complications as compared to more invasive surgery. [13][14][15][16][17] Specifically, the treatment of the area above the knees, that may show both skin laxity and depressions, is challenging and a valid surgical approach is still lacking. To date, only a few non-invasive therapeutic options have been reported, and their effectiveness has been proved on skin laxity only.…”

Picosecond laser treatment of atrophic and hypertrophic surgical scars: In vivo monitoring of results by means of 3D imaging and reflectance confocal microscopy

“…The standard method for monitoring skin response to treatments has been based on skin biopsy. However, advances in noninvasive skin imaging techniques such as 3D imaging and RCM have enabled the in vivo evaluation of variations occurring in the same point of skin, analyzing different parameters such as mean texture and different layers, including epidermis, DEJ, and dermis …”

“…We performed an in vivo optical skin imaging enabling optical evaluation of the optical skin structure, in order to monitor effects of treatment by means of a device called Antera 3D (Antera 3D; Miravex Limited). This device exploits multi‐directional illumination and computer‐aided reconstruction of skin surfaces and evaluates distribution and concentration of melanin and hemoglobin …”

“…The aim of this study is to apply PSL system to atrophic and hypertrophic surgical scars and to report in vivo architecture of scars and variations occurring before and after treatment. In this study, 3D optical tool assessment of skin surfaces, hemoglobin and melanin concentration and distribution, as well as reflectance confocal microscopy (RCM), enabling evaluation of the skin at a quasi ‐histological resolution and providing in vivo information about epidermal, dermo‐epidermal junction (DEJ), and dermal features, were employed to explore the effects of PSL.…”

An overview on the role of CO 2 laser in general dermatology

“…The ablative resurfacing obtained through a CO 2 source still represents the gold‐standard for the photorejuvenation of the face (Figure 4). 27,28 However, this method is associated with long healing times, marked and persistent erythema, post‐inflammatory pigmentations and possible infectious complications. The CO 2 laser is usually associated with limited penetration into tissue due to the high absorption in water of its 10 600 nm wavelength.…”