APR 2018

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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Page 39 of 68

Patients with mild-to-moderate skin laxity and those who do not wish to undergo surgery have three main dermal tightening options: noninvasive ultrasound or radiofrequency (RF)-based devices; RF-based microneedle devices; and more invasive options that deliver energy directly to adipose tissue and the skin's deeper dermal layers. To paint a picture of what is working in today's cosmetic practices, we asked fi ve practitioners with expertise in facial rejuvenation to share their pre- ferred protocols for noninvasive skin tightening. Mild to Moderate Laxity For a truly noninvasive option, Neil Sadick, MD, of Sadick Dermatology Group in New York City, uses either microfocused ultrasound (MFU, Ultherapy) or RF-based systems, including the Endymed 3DEEP and Thermage, to deliver energy deep in the dermis to stimulate collagen production and tighten skin. "Depending on the patient's degree of laxity, we can adjust the device's energy output to deliver more en- ergy to stimulate a higher level of tightening," he says. Around 70 percent of Dr. Sadick's patients report satisfaction with their noninvasive skin-tightening treatments. "The rest have either modest results or no response; this can be due to either an insuffi cient number of treatments or excess skin laxity that re- quires more aggressive treatments," he says. The benefi t of noninvasive RF treatments is that there are no incisions and thus, very little downtime; the drawback is that multiple sessions and several months are required to see results, and outcomes can be inconsistent. | APRIL 2018 37 © GETTY IMAGES

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