Presidential Greeting - American Society for Laser Medicine and ...

42 American Society for Laser Medicine and Surgery Abstracts
#135
was clearly noticeable in the comparison of the before and after
photographs. These findings correlated with measurements of
adipose tissue volume and skin firmness/elasticity using
diagnostic US and cutometer, respectively. The thickness of the
fat layer showed on average a 29% reduction between baseline and
1-month follow-up, 93% of the subjects had a 1–60% change in fat
layer thickness. Patients subjectively described comfort and
satisfaction from treatment and 97% of them were satisfied with
the results at the follow-up visit.
Conclusion: The application of high power RF energy combined
with IR, mechanical massage and vacuum appears to be an
efficient modality for reduction in circumferences and
improvement in skin appearance. The present study performed
with a new device suggests that the underlying mechanism of
action is reduction in the hypodermal adipose tissue volume and
intensification in dermal matrix density.
#134
POST FACE LIFTING RF TREATMENT: CASE
REPORTS AND FUTURE DIRECTIONS
Hanit Brenner Lavie, Tal Nachlieli, Ruthie Amir,
Eldad Moor
Assuta Medical Center, Haifa, Israel; Syneron Medical Ltd.,
Yokneam Illit, Israel; Ramat Aviv Medical Center, Tel Aviv,
Israel
Background: Optimal rejuvenation of aging face requires
multimodality intervention tailored to both anatomic and
histological changes. Traditional surgical procedures, including
face lift and forehead lift, can result in repositioning of ptotic
structures. However, actinic changes and wrinkles remain,
revealing patients’ true age. Dermabrasion, chemical and laser
peels and monopolar radio frequency have been used as a
complementary treatment to incision procedures by producing a
more youthful and rejuvenated appearance. The purpose of this
study was to evaluate the clinical outcome of post face lift patients
treated with bipolar RF technology which was delivered to the
skin in a fractional manner.
Study: This was a prospective study. All patients were post a
traditional procedure which included a face lift with or without an
additional surgical treatment such as forehead lift, brow lift or
blepharoplasty. The first treatment began at 11–14 weeks postoperation,
depending on the patient’s healing period. All patients
received three treatments using the high density electrode pin
array of sublative RF, at 3- to 4-week intervals. Before and after
standardized digital photos were taken and evaluated for clinical
improvement. A questionnaire on patient’s satisfaction was given
to each patient.
Results: According to the investigators’ assessment, measurable
clinical improvements were noticed for all parameters tested,
including wrinkles, pores, tightness, brightness and coloring. In a
similar manner, the majority of the subjects found the treatment
efficient and saw significant improvement in the facial areas
treated. Patients’ satisfaction was high while complaints were
minor and included itching, prolonged redness and skin pin marks
(up to 72 hours).
Conclusion: For the last four decades face lifting has become the
most popular procedure for facial rejuvenation. Even with
successful resuspension of ptotic soft tissues, some wrinkles,
textural problems and dyschromia of the skin remain. The usage
of bipolar RF treatments to complement face lift improves the
surgical procedure and yields harmonious facial rejuvenation
results.
EFFICACY AND PATIENT SATISFACTION OF A
NEW NON-ABLATIVE FRACTIONAL LASER
1,340 NM FOR THE FACIAL REJUVENATION IN
BRAZILIAN PATIENTS
Valeria Campos, Tatiana Cordero, Juliana Jordao
Jundiai, Brazil; Campinas, Brazil; Curitiba, Brazil
Background: There is a growing demand from patients for a less
aggressive treatment to address wrinkles and uneven texture
while minimizing recovery time and downtime, compared to
ablative technologies. To determine the efficacy, safety and
patient satisfaction of a new non-ablative fractional laser
1,340 nm in facial skin rejuvenation in Brazilian skin types and
compare two laser parameters (low fluence multiple passes vs.
high fluence single pass).
Study: Twenty subjects (skin phototypes II to VI) with visible
cutaneous photodamage were treated with the new device
Etherea 1,340 nm (Industra, São Carlos, Brazil). Treatments were
performed using the 8 mm diameter handpiece, density of
100 MTZ/cm 2 and pulse duration of 3 milliseconds. One-half of the
face was treated with a single pass using 110–140 mJ/MTZ, the
other half of the face was treated with three passes using
80–110 mJ/MTZ. Patients returned every 4 weeks for a total of
three sessions. Patients were followed-up with monthly photos
and grading until 6 months after their last treatment session.
All patients were asked to fillout a ‘severity scale’ on which
pigmentation, rhytides, skin tone/tightness, texture, and patient
satisfaction was noted after the last treatment. Pigmentation,
rhytides, skin tone/tightness, and texture were also evaluated by
two physicians not involved in the study using the pictures taken
with Canfield VISIA Complexion.
Results: According to photo analyses at the 3-month follow-up.
The Single-Pass Treated Side: 60% of patients showed
improvement in pigmentation, 50% in skin tone/tightening and
skin texture, and 70% in rhytides. The Three-Passes Treated Side:
70% patients showed improvement in pigmentation, 50% in skin
tone/tightening and skin texture, and 60% in rhytides. According
to the patients, 80% of patients showed improvement in
pigmentation, 90% in skin tone/tightening and skin texture, and
80% in rhytides. All patients were very satisfied with treatments
and they did not notice any difference between the two halves of
the face. No permanent side effects or scarring were seen.
Conclusion: A new fractionated nonablative 1,340 nm laser can
safely and effectively treat photodamage in darker skin types.
We did not observe significant difference in the outcome after a
low fluence multiple pass versus high fluence single pass
treatment.
#136
A PILOT STUDY OF FRACTIONAL
MICRO-PLASMA RADIOFREQUENCY FOR
TREATMENT OF FACIAL SCARS AND RHYTIDS
Shlomit Halachmi, Arie Orenstein, Tania Meneghel,
Moshe Lapidoth
Rabin Medical Center, Petach, Tikva, Israel; Tel Hashomer
Hospital, Tel Hashomer, Israel; Renaissance Medical Center,
Sao Paulo, Brazil
Background: Fractional ablative and non-ablative lasers have
gained popularity due to their efficacy and improved tolerability.
Both plasma and fractional radiofrequency (RF) have been
addressed as alternative methods for ablative or non-ablative