JUL-AUG 2019

MedEsthetics—business education for medical practitioners—provides the latest noninvasive cosmetic procedures, treatment trends, product and equipment reviews, legal issues and medical aesthetics industry news.

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40 JULY/AUGUST 2019 | Med Esthetics © GETTY IMAGES IN THE MEDICAL AESTHETICS INDUSTRY, few technologies have taken hold quite as quickly as fractional photothermolysis. Rox Anderson, MD, PhD, and Dieter Manstein, MD, PhD, introduced the concept of "applying an array of microscopic treatment zones (MTZ) of thermal injury to the skin" as a lower risk alternative to fully ablative laser skin resurfacing in 2003. One year later, the 1,550nm Fraxel laser was released. Today, there are three main types of energy-based fractional devices—ablative lasers, nonablative lasers and radiofrequency (RF)-based devices, which are often coupled with microneedling—and more than 50 branded systems. With so many options available, how do you know which ones to select and when? Here, physicians break down their preferences based on some of the most common skin concerns. By Joan Vos MacDonald The best fractional devices for your patients and practice. SPLITTING ENERGY

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