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Update on Facial Noninvasive Skin Tightening

      The demand for skin tightening procedures with minimal downtime is rapidly increasing.

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      References

      1. American society for dermatologic surgery survey on dermatologic procedures. Report of 2019 procedures.
        (Available at:) (September 27, 2021)
        • Fisher G.J.
        • Kang S.
        • Varani J.
        • et al.
        Mechanisms of photoaging and chronological aging.
        Arch Dermatol. 2002; 138: 1462-1470
        • Dimri G.P.
        • Lee X.
        • Basile G.
        • et al.
        A biomarker that identifies senescent human cells in culture and in aging skin in vivo.
        Proc Natl Acad Sci U S A. 1995; 92: 9363-9367
        • Varani J.
        • Dame M.K.
        • Rittie L.
        • et al.
        Decreased collagen production in chronologically aged skin: roles of age-dependent alteration in fibroblast function and defective mechanical stimulation.
        Am J Pathol. 2006; 168: 1861-1869
        • Shin J.W.
        • Kwon S.H.
        • Choi J.Y.
        • et al.
        Molecular mechanism of dermal aging and antiaging approaches.
        Int J Mol Sci. 2019; 20: 2126
        • Sachs D.L.
        • Varani J.
        • Chubb H.
        • et al.
        Atrophic and hypertrophic photoaging: clinical, histologic, and molecular features of 2 distinct phenotypes of photoaged skin.
        J Am Acad Dermatol. 2019; 81: 480-488
        • Kirsch K.M.
        • Zelickson B.D.
        • Zachary C.B.
        • et al.
        Ultrastructure of collagen thermally denatured by microsecond domain pulsed carbon dioxide laser.
        Arch Dermatol. 1998; 134: 1255-1259
        • Orringer J.S.
        • Kang S.
        • Johnson T.M.
        • et al.
        Connective tissue remodeling induced by carbon dioxide laser resurfacing of photodamaged human skin.
        Arch Dermatol. 2004; 140: 1326-1332
        • El-Domyati M.
        • El-Ammawi T.S.
        • Medhat W.
        • et al.
        Expression of transforming growth factor-β after different non-invasive facial rejuvenation modalities.
        Int J Dermatol. 2015; 54: 396-404
        • Manuskiatti W.
        • Fitzpatrick R.E.
        • Goldman M.P.
        Long-term effectiveness and side effects of carbon dioxide laser resurfacing for photoaged facial skin.
        J Am Acad Dermatol. 1999; 40: 401-411
        • Anderson R.R.
        • Parrish J.A.
        Selective photothermolysis: precise microsurgery by selective absorption of pulsed radiation.
        Science. 1983; 220: 524-527
        • Manstein D.
        • Herron G.S.
        • Sink R.K.
        • et al.
        Fractional photothermolysis: a new concept for cutaneous remodeling using microscopic patterns of thermal injury.
        Lasers Surg Med. 2004; 34: 426-438
        • Fitzpatrick R.E.
        • Goldman M.P.
        • Satur N.M.
        • et al.
        Pulsed carbon dioxide laser resurfacing of photo-aged facial skin.
        Arch Dermatol. 1996; 132: 395-402
        • Alster T.S.
        Cutaneous resurfacing with CO2 and erbium: YAG lasers: preoperative, intraoperative, and postoperative considerations.
        Plast Reconstr Surg. 1999; 103: 619-632
        • Ortiz A.E.
        • Goldman M.P.
        • Fitzpatrick R.E.
        Ablative CO2 lasers for skin tightening: traditional versus fractional.
        Dermatol Surg. 2014; 40: S147-S151
        • Khatri K.A.
        • Ross V.
        • Grevelink J.M.
        • et al.
        Comparison of erbium:YAG and carbon dioxide lasers in resurfacing of facial rhytides.
        Arch Derm. 1999; 135: 391-397
        • Newman J.B.
        • Lord J.L.
        • Ash K.
        • et al.
        Variable pulse erbium:YAG laser skin resurfacing of perioral rhytides and side-by-side comparison with carbon dioxide laser.
        Lasers Surg Med. 2000; 26: 208-214
        • Cohen J.L.
        • Ross E.V.
        Combined fractional ablative and nonablative laser resurfacing treatment: a split-face comparative study.
        J Drugs Dermatol. 2013; 12: 175-178
        • Dayan E.
        • Burns A.J.
        • Rohrich R.J.
        • et al.
        The use of radiofrequency in aesthetic surgery.
        Plast Reconstr Surg Glob Open. 2020; 8: e2861
        • Zelickson B.D.
        • Kist D.
        • Berstein E.
        • et al.
        Histological and ultrastructural evaluation of the effects of a radiofrequency-based nonablative dermal remodeling device: a pilot study.
        Arch Dermatol. 2004; 140: 204-209
        • Fitzpatrick R.
        • Geronemus R.
        • Goldberg D.
        • et al.
        Multicenter study of noninvasive radiofrequency for periorbital tissue tightening.
        Lasers Surg Med. 2003; 33: 232-242
        • Alster T.S.
        • Tanzi E.
        Improvement of neck and cheek laxity with a nonablative radiofrequency device: a lifting experience.
        Dermatol Surg. 2004; 30: 503-507
        • Nahm W.K.
        • Su T.T.
        • Rotunda A.M.
        • et al.
        Objective changes in brow position, superior palpebral crease, peak angle of the eyebrow, and jowl surface area after volumetric radiofrequency treatment to half of the face.
        Dermatol Surg. 2004; 30: 922-928
        • Burnes J.A.
        Thermage: monopolar radiofrequency.
        Aesthet Surg J. 2005; 25: 38-42
        • Finzi E.
        • Spangler A.
        Multipass vector (mpave) technique with nonablative radiofrequency to treat facial and neck laxity.
        Dermatol Surg. 2005; 31: 916-922
        • Weiss R.A.
        • Weiss M.A.
        • Munavalli G.
        • et al.
        Monopolar radiofrequency facial tightening: a retrospective analysis of efficacy and safety in over 600 treatments.
        J Drugs Dermatol. 2006; 5: 707-712
        • Kist D.
        • Burns A.J.
        • Sanner R.
        • et al.
        Ultrastructural evaluation of multiple pass low energy versus single pass high energy radiofrequency treatment.
        Lasers Surg Med. 2006; 38: 150-154
        • Dover J.S.
        • Zelickson B.
        14-Physician Multispecialty Consensus Panel. Results of a survey of 5,700 patient monopolar radiofrequency facial skin tightening treatments: assessment of low-energy multiple-pass technique leading to a clinical endpoint algorithm.
        Dermatol Surg. 2007; 33: 900-907
        • Chapas A.
        • Biesman B.S.
        • Chan H.H.
        • et al.
        Consensus recommendations for 4th generation non-microneedling monopolar radiofrequency for skin tightening: a Delphi consensus panel.
        J Drugs Dermatol. 2020; 19: 20-26
        • Friedman D.J.
        • Gilead L.T.
        The use of hybrid radiofrequency device for the treatment of rhytides and lax skin.
        Dermatol Surg. 2007; 33: 543-551
        • Javate R.M.
        • Crus Jr., R.T.
        • Khan J.
        • et al.
        Nonablative 4-MHz dual radiofrequency wand rejuvenation treatment for periorbital rhytides and midface laxity.
        Ophthalmic Plast Reconstr Surg. 2011; 27: 180-185
        • Doshi S.N.
        • Alster T.S.
        Combination radiofrequency and diode laser for treatment of facial rhytides and skin laxity.
        J Drugs Dermatol. 2005; 7: 11-15
        • Sadick N.S.
        • Alexiades-Armenakas M.
        • Bitter J.P.
        • et al.
        Enhanced full-face skin rejuvenation using synchronous intense pulsed optical and conducted bipolar radiofrequency energy (ELOS): introducing selective radiophotothermolysis.
        J Drugs Dermatol. 2005; 4: 181-186
        • Gold M.H.
        • Goldman M.P.
        • Rao J.
        • et al.
        Treatment of wrinkles and elastosis using vacuum-assisted bipolar radiofrequency heating the dermis.
        Dermatol Surg. 2007; 33: 300-309
        • Dendle J.
        • Wu D.C.
        • Fabi S.G.
        • et al.
        A retrospective evaluation of subsurface monopolar radiofrequency for lifting of the face, neck, and jawline.
        Dermatol Surg. 2016; 42: 1261-1265
        • Alessa D.
        • Bloom J.D.
        Microneedling options for skin rejuvenation including non-temperature-controlled fractional microneedle radiofrequency treatment.
        Facial Plast Surg Clin North Am. 2020; 28: 1-7
        • Tremaine A.M.
        • Avram M.M.
        FDA MAUDE data on complications with lasers, light sources, and energy-based devices.
        Lasers Surg Med. 2015; 47: 133-140
        • Felipe I.D.
        • Del Cueto S.R.
        • Perez E.
        • et al.
        Adverse reactions after nonablative radiofrequency: follow-up of 290 patients.
        J Cosmet Dermatol. 2007; 6: 163-166
        • Miller D.L.
        • Smith N.B.
        • Bailey M.R.
        • et al.
        Overview of therapeutic ultrasound applications and safety considerations.
        J Ultrasound Med. 2012; 31: 623-634
        • Sklar L.R.
        • El Tal A.K.
        • Kerwin L.Y.
        Use of transcutaneous ultrasound for lipolysis and skin tightening: a review.
        Aesthet Plast Surg. 2014; 38: 429-441
        • Park J.Y.
        • Lin F.
        • Suwanchinda A.
        • et al.
        Customized treatment using microfocused ultrasound with visualization for optimized patient outcomes: a review of skin tightening energy technologies and a pan-Asian adaptation of the expert panel's gold standard consensus.
        J Clin Aesthet Dermatol. 2021; 14: E70-E79
        • Laubach H.J.
        • Makin I.R.S.
        • Barthe P.G.
        • et al.
        Intense focused ultrasound: evaluation of a new treatment modality for precise microcoagulation in the skin.
        Dermatol Surg. 2008; 34: 727-734
        • Okuda I.
        • Yoshioka N.
        • Shirakabe Y.
        • et al.
        Basic analysis of facial aging: the relationship between the superficial musculoaponeurotic system and age.
        Exp Dermatol. 2019; 28: 38-42
        • Alam M.
        • White L.E.
        • Martin N.
        • et al.
        Ultrasound tightening of facial and neck skin: a rater-blinded prospective cohort study.
        J Am Acad Dermatol. 2010; 62: 262-269
        • Suh D.H.
        • Shin M.K.
        • Lee S.J.
        • et al.
        Intense focused ultrasound tightening in Asian skin: clinical and pathologic results.
        Dermatol Surg. 2011; 37: 1595-1602
        • Lee H.S.
        • Jang W.S.
        • Cha Y.J.
        • et al.
        Multiple pass ultrasound tightening of skin laxity of the lower face and neck.
        Dermatol Surg. 2012; 38: 20-27
        • Baumann L.
        • Zelickson B.
        Evaluation of micro-focused ultrasound for lifting and tightening of neck laxity.
        J Drugs Dermatol. 2016; 15: 607-614
        • Fabi S.G.
        • Massaki A.
        • Eimpunth S.
        • et al.
        Evaluation of microfocused ultrasound with visualization wrinkling, tightening, and wrinkle reduction of the decolletage.
        J Am Acad Dermatol. 2014; 69: 965-971
        • Fabi S.G.
        • Goldman M.P.
        Retrospective evaluation of micro-focused ultrasound for lifting and tightening of the face and neck.
        Dermatol Surg. 2014; 40: 569-575
        • Fabi S.G.
        • Joseph J.
        • Sevi J.
        • et al.
        Optimizing patient outcomes by customizing treatment with microfocused ultrasound with visualization: gold standard consensus guidelines from an expert panel.
        J Drugs Dermatol. 2019; 18: 426-432
        • Amir R.
        A novel approach to treating fine lines and wrinkles of the face using synchronous ultrasound parallel beam technology SUPERBTM.
        (Available at:) (September 27, 2021)
        • Harris M.O.
        • Sundaram H.A.
        Safety of microfocused ultrasound with visualization in patients with Fitzpatrick skin phototypes III to VI.
        JAMA Facial Plast Surg. 2015; 17: 355-357
        • Friedmann D.P.
        • Bourgeois G.P.
        • Chan H.H.L.
        • et al.
        Complications from microfocused transcutaneous ultrasound: case series and review of the literature.
        Lasers Surg Med. 2017; 50: 13-19
        • Russe E.
        • Purschke M.
        • Farinelli W.A.
        • et al.
        Micro-fractional, directional skin tightening: a porcine model.
        Lasers Surg Med. 2016; 48: 264-269
        • Banzhaf C.A.
        • Wind B.S.
        • Mogensen M.
        • et al.
        Spatiotemporal closure of fractional laser-ablated channels imaged by optical coherence tomography and reflectance confocal microscopy.
        Lasers Surg Med. 2016; 48: 157-165
        • Friedman D.P.
        • Fabi S.G.
        • Goldman M.P.
        Combination of intense pulsed light, sculptra, and ultherapy for treatment of the aging face.
        J Cosmet Dermatol. 2014; 13: 109-118
        • Langelier N.
        • Beleznay K.
        • Woodward J.
        Rejuvenation of the upper face and periocular region: combining neuromodulator, facial filler, laser, light, and energy-based therapies for optimal results.
        Dermatol Surg. 2016; 42: S77-S82
        • Alhaddad M.
        • Wu D.C.
        • Bolton J.
        • et al.
        A randomized, split-face, evaluator-blind clinical trial comparing monopolar radiofrequency versus microfocused ultrasound with visualization for lifting and tightening of the face and upper neck.
        Dermatol Surg. 2019; 45: 131-139