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ARTICLE | DERMALREJUVENATION |


Figure 3 Female patient aged 58 years before (A) and after (B) INTRAcel treatment. The skin tightening and lifting effects are clearly visible


Although a single INTRAcel treatment gives


immediately visible results, for a longer-lasting rejuvenation effect, up to three once monthly treatments may be required; while for deeper acne scars and stretch marks up to five treatments may be necessary. The recovery time following subsequent treatment sessions seems to become shorter compared with the first treatment. The final improvement of the skin is a gradual


process and takes a number of weeks, or even months. As the treatment result is totally natural, it is important to take pre- and post-treatment photographs. The routine comparison of photos during visits enables the physician to demonstrate the progressive clinical improvement, as changes are often bigger than the patient may notice or remember. This seems to be especially important while using the FRM-bipolar treatment mode alone. FRM-monopolar and superficial RF treatment modes also achieve immediately visible results.


resolve within 24 hours. Rarely, patients can experience dry skin for a maximum of 2 weeks. Interestingly, patients with atopic skin report their skin condition clearly improving. The reactivation of pre-existing herpes infection is possible, but rare. In these cases oral antiviral medication is recommended. The author’s patients have not reported post-treatment pain. After the treatment, post-treatment moisturising


After the treatment, a


broad-spectrum SPF 30 sunscreen is recommended for daily use


for at least 2months in order to avoid sun damage.


Treatment regimens The treatment is performed under topical anaesthesia. In the author’s clinic, the advanced combined topical anaesthetic protocol was developed, which combines topical anaesthetic cream with a superficial mild trichloroacetic acid (TCA) peel and adrenaline. The advanced protocol makes the treatment painless and avoids the risk of bleeding and bruising, while reducing downtime. The side-effects of the INTRAcel while using this procotol are slight redness and oedema. These normal, transient, procedure-related symptoms often


54 ❚ November/December 2012 | prime-journal.com


cream is used from two- to four-times per day, and a broad-spectrum SPF 30 sunscreen is recommended for daily use for at least 2 months in order to avoid sun damage. During the 18 months that the author has used this treatment methodology, no pigmentation disorders have been noted in the Scandinavian patients (mostly skin types I–III), even though many will take regular vacations in strong sunshine. Patient satisfaction after this


combination treatment modality is high and most of the patients return for


maintenance treatment after 1 year. In dermal rejuvenation, maintenance procedures are based on individual need, age and condition (usually one or two treatment sessions once per year). Sometimes, in patients over 60 years of age, the author will perform a maintenance treatment every 6 months. INTRAcel seems to represent a new standard for skin


rejuvenation and treatment for acne scarring for all skin types, and with little downtime. The ideal patient for non-surgical rejuvenation has mild-to-moderate signs of ageing. INTRAcel is also suitable for the correction of the more progressive signs of ageing. In such cases, in order to correct the volume loss and support the strongly


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