PEER-REVIEW | DERMAL REJUVENATION | The results show that the protocol suggested in this
7 7
article provides an alternative treatment, using higher energies and a larger treatment area. This protocol was both time-saving for both physician and patient, and also showed very good skin improvement and a high satisfaction rate.
Figure 8 The level of cosmetic change according to patientsÕ opinions 15%
14%
8 8
39% No improvement 32% More than 76% improvement Between 51% and 75% improvement Between 26% and 50% improvement Less than 25% improvement The EndyMed Pro multisource RF is the latest
technology offered for body and face non-ablative skin tightening, and this article presents, for the first time, clinical data from a study using a unique treatment protocol of multisource RF skin tightening. Between 4 and 6 weeks after treatment, dermal changes were noted, including significant improvement in skin texture, and a reduction in wrinkles and skin laxity. In this study, all treatments were performed without
any anaesthesia, and yet were regarded by the majority of patients as pain-free. In fact, no patients considered the procedure intolerable at any point.
Conclusions Based on the results, the author believes the EndyMed Pro facial tightening treatment protocol, which divides the face into two sections rather than five, using the maximum energy, provides an exciting new option for effective facial skin tightening for skin laxity, without discomfort and downtime. Further study will support the results and conclusions of this article.
Figure 9 Tendency of patients to recommend the skin tightening treatment to friends and colleagues
13% Yes definitely Yes
9 9
20% 67% Probably not Defintely not References
1. Uitto J. The role of elastin and collagen in cutaneous aging: intrinsic aging versus photoexposure. J Drugs Dermatol 2008; 7(2 Suppl): s12–6
Figure 10 Overall improvement in skin appearance (Physician evaluation) 14%
3% More than 76% improvement Between 51% and 75% improvement
10 10
38% 45% Between 26% and 50% improvement Less than 25% improvement No improvement
2. Elman M, Vider I, Harth Y, Gottfried V, Shemer A. Non-invasive therapy of wrinkles, lax skin using a novel multisource phase-controlled radio frequency system. J Cosmet Laser Ther 2010; 12(2): 81–6
3. Harth Y, Vider I, Elman M, Shemer A, Gottfried V. Kamin A. Long term antiwrinkle reduction using a novel multisource of RF phase controlled radiofrequency treatment system. Lasers Surg Med 2010; 42(S22): 94–5
4. Mayoral FA, Vega JM. Multiple facial burns with the new Thermage CPT system. J Drugs Dermatol 2011; 10(11): 1320–1
5. Moritz AR, Henriques FC. Studies of Thermal Injury: II. The Relative Importance of Time and Surface Temperature in the Causation of Cutaneous Burns. Am
Key points
n Skin temperature is dependent on the energy used and the size of the treatment area
n The protocol used in this study was time-saving and
86 ❚ March 2013 |
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showed very good skin improvement and a high satisfaction rate
n This article describes clinical data from a study using a unique treatment
protocol of a multisource radiofrequency skin tightening application
n No patients considered the procedure intolerable at any point
n The alternative protocol described in this article used higher energy on a larger area, and was found to be both safe and effective
J Pathol 1947; 23(5): 695–720
6. Ross EV, Zelickson BD. Biophysics of nonablative dermal remodeling. Sem Cutan Med Surg 2002; 21(4): 251–65
7. Dierickx CC. The role of deep heating for noninvasive skin rejuvenation. Lasers Surg Med 2006; 38(9): 799–807
8. Sadick NS, Makino Y. Selective electro-thermolysis in aesthetic medicine: a review. Lasers Surg Med 2004; 34(2): 91–7
9. Paasch U, Bodendorf MO, Grunewald S, Simon JC. Skin rejuvenation by radiofrequency therapy: methods, effects and risks. J Dtsch Dermatol Ges 2009; 7(3): 196–203
10. Melnik IS, Steiner RW, Kienle A. Light penetration in human skin: in-vivo measurements using isotropic detector. SPIE 1993; DOI 10.1117/12.146313
Declaration of interest This evaluation was not sponsored by any entity or company and was performed solely by Dr Liliane Mouyal.
Figures 2–10 ç Liliane Mouyal MD, Medecin Esthetique- DIUE Lasers M• dicaux, Paris, France.
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