近红外皮肤治疗仪治疗面颈部皱纹及皮肤松弛疗效观察和分析

目的:肉眼观察与量化测定验证近红外治疗在面颈部皱纹及松弛中的临床疗效。方法:对97例面颈部皱纹和松弛的受试者采用近红外治疗仪治疗,以自身治疗前后作为对照。每2周治疗1次,6次为1个疗程。1个疗程结束后,采用受试者评分、临床医师评分及Angel软件专业测量法对临床疗效进行数字化评价。结果:1个疗程(12周)后,原有的面颈部皱纹及皮肤松弛都有明显改善,受试者与医师对疗效均感满意。数据测量显示:1个疗程结束后面部提升距离平均值1.72mm,鼻唇沟提升距离平均值1.64mm。结论:近红外治疗是一种安全、有效、无创的非手术治疗方法,对改善皱纹、紧缩肌肤有较好的临床疗效。     

黄金微针联合外用透明质酸及表皮生长因子在面部皮肤年轻化中的应用

目的:探讨黄金微针射频结合透明质酸及表皮生长因子在面部皮肤年轻化中的应用效果和安全性。方法:对32例面部肌肤自然老化要求改善的就医者先给予黄金微针射频治疗注射至真皮层,治疗后予透明质酸及表皮生长因子连续每天使用,根据皮肤治疗后的情况3～5次/d,共7d。分别在第一次治疗前、第三次治疗后1个月、3个月观察其疗效。结果:32例就医者均完成了1个疗程的治疗,经过3次黄金微针结合外用透明质酸和表皮生长因子后,就医者面部轮廓紧实,皱纹减轻,未发现皮肤烫伤、色素沉着和瘢痕等不良反应,显效28例(87.5%),有效4例(12.5%),无效0例,总有效率为100.0%。结论:黄金微针射频结合透明质酸及表皮生长因子为面部年轻化治疗提供了安全有效的治疗方案。     

单极射频在面部年轻化治疗中的疗效观察

目的：观察单极射频在面部年轻化治疗中的应用效果。方法：20例面部老化者接受单极射频紧肤除皱治疗,分别在治疗前及治疗后2个月和6个月进行面部三维扫描,重建面部三维模型,利用逆向工程软件测定治疗后不同时间点的面部提升度、鼻唇沟提升度及眉上提度。结果：Thermage面部紧肤治疗后2个月和6个月,同治疗前相比面部整体分别提升1．080mm、2．282mm,鼻唇沟深度分别提升1．150mm、2．293mm,眉上提分别为1．174mm、2．300mm。结论：单极射频是一种有效、无创的面部年轻化治疗方法,具有l临床应用前景。     

新型无痛针灸进针器结合电针治疗面部皱纹30例

目的：新型无痛针灸进针器结合电针治疗就医者面部皱纹的临床效果分析。方法：30例面部皱纹就医者通过无痛针灸进针器进行针灸美容治疗,每周治疗2次,10次为1疗程,共治疗1个疗程。观察其治疗前后的面部皱纹量表(FWS)评分,视觉模拟评分(VAS),治疗3个月后的临床疗效及就医者满意度评分。结果：治疗后皱纹评分均较治疗期明显降低,差异有统计学意义(P<0.01);第1次进针时的VAS评分显示针灸器进针接近无痛;治疗3个月后总有效率为90%,就医者满意度为97%。结论：新型无痛针灸进针器结合电针治疗面部皱纹效果佳,疼痛程度低,且可一定程度改善肤质,值得临床推广应用。     

自体富血小板血浆在面部年轻化中的应用

目的:评估自体富血小板血浆(PRP)在面部年轻化中的应用效果和安全性。方法:对18例面部皮肤老化就医者采用自体PRP皮内注射,每间隔4周1次,共3次,于每次治疗前及治疗结束后1、2、3个月采用VISIA及SOFT皮肤检测仪对就医者面部皮肤进行斑点、皱纹、纹理、毛孔、水分、弹性定量检测,并记录不良反应,临床医生根据各项定量检测结果综合评估应用效果。结果:所有就医者经过3次治疗后,面部肤质改善明显,VISIA检测中斑点、皱纹、纹理、毛孔特征分值较治疗前均明显下降(P<0.05),SOFT检测中皮肤水分、弹性检测分值治疗前均明显升高(P<0.05),治疗结束后3个月,各项检测指标分值均维持于第3次治疗前及治疗结束后1个月间,具有良好的维持效应。结论:自体PRP皮内注射在面部年轻化治疗中具有疗效确切、操作简单及安全可靠的优点。     

单极射频应用于面部年轻化的临床观察

目的探讨应用单极射频治疗面部轻、中度皱纹和皮肤松弛的安全性及有效性。方法采用Thermage CPT系统,对30例面部老化的求美者进行单级射频治疗,并随访分析治疗后1、6、12个月的临床疗效和不良反应。结果皱纹评分在治疗前后差异有统计学意义(P0.05),治疗后6个月改善更为明显;色素沉着在治疗前后无明显改善(P0.05)。求美者满意率在治疗后6个月更高。较常见的不良反应是即时的红斑、水肿。结论单极射频用于面部年轻化是一种安全有效的方法,具有无需恢复期、风险较低、效果作用持续较长的特点。     

射频技术用于面部年轻化的疗效观察

目的探讨热塑射频用于面部年轻化治疗的有效性和安全性。方法对32例来诊的面部老化患者给予治疗,输出功率为单极75~110W,双极45~60W,眼周50~60W。所有患者每2周治疗1次,共5次。治疗后随访1~3个月,通过主观满意度、皮肤科医师评价和VISA皮肤分析仪对射频治疗的有效性和安全性进行综合评定。结果 FitzpatrickⅢ型患者治疗前后皮肤皱纹评分为8.32±0.68和5.68±1.18,FitzpatrickⅣ型患者治疗前后皮肤皱纹评分为8.49±0.74和5.81±1.07,对FitzpatrickⅢ型皮肤治疗效果更显著。皮肤皱纹得到改善,无组织损伤、色素沉着等不良反应发生。结论热塑射频作为一种非剥脱性方法用于面部年轻化的治疗安全有效,患者满意度较高。     

Titan紧肤仪在面部年轻化中应用的临床观察

目的 观察波长介于1100～1800 nm的Titan紧肤仪在面部年轻化中应用的临床疗效.方法 对28例符合要求的求美者给予Titan紧肤仪的面部照射治疗,治疗部位在照射的前、中、后过程中均敷以低温的胶原贴,面部上1/3采用的能量密度约为20～30 J/cm2,面部下2/3采用的能量密度为30～35 J/cm2,共做1个疗程(3次)的治疗,每次治疗间隔4周.通过求美者自我评价和医师评价对疗效进行分析.结果 20例求美者照射即刻有皮肤紧缩感,随访所有求美者至最后一次照射后3个月.对皮肤质地改善方面:12.5%无效,32.I%有效,55.4%显效;对皱纹改善方面:12.5%无效,39.3%有效,48.2%显效.结论 对于轻、中度的皮肤松弛而言,Titan紧肤仪是一种无痛、无创、效果明显的面部提升仪器.     

点阵双极射频面部皮肤年轻化治疗临床疗效及安全性观察

目的：观察点阵双极射频在面部皮肤年轻化治疗中的临床疗效和安全性。方法：对47例存在面部皮肤老化征并要求改善的患者,采用点阵双极射频治疗仪进行3次治疗,间隔时间为4周。治疗过程中记录VAS评分及不良反应,并对比治疗前、疗程结束后1个月皮肤松弛、皱纹、肤色及光滑度的改变,并行患者满意度调查。结果：47例患者均完成3次治疗,与治疗前相比,面部皮肤松弛、皱纹、肤色及光滑度改善50％以上者分别占61．70％、72．34％、51．06％及70．21％。共91．49％的患者对治疗满意或非常满意。VAS评分平均3．12分,不良反应限于轻微水肿、红斑、微小结痂,所有患者均无色素沉着、瘢痕等。结论：点阵双极射频用于面部皮肤年轻化治疗安全、有效。     

单极射频在面部皮肤年轻化中的初步应用

目的 探讨单极射频在面部皮肤皱纹和松弛治疗中的应用.方法 自2006年9月至2008年10月,对35例年龄为35～64岁的面部皮肤老化患者使用英国REVYOUTH公司生产的ThermaStar单极射频治疗仪行面部皮肤的细小皱纹、轻中度松弛的治疗,输出能量为75～145 J/脉冲.一个疗程为4、5次,每次间隔约3周,并于治疗前后进行测量及拍照.结果 治疗后随访所有患者3～8个月,眼周及鼻唇沟的皱纹得到明显改善,面颈部的松弛皮肤得到有效提紧.并发症较少,患者较为满意.结论 单极射频的治疗方法能有效地改善面部皮肤的皱纹及松弛,是一种安全有效、不良反应少的非剥脱性面部年轻化的治疗方法,值得临床上推广应用.     

Non-ablative laser treatment of facial rhytides: a comparison of 1450-nm diode laser treatment with dynamic cooling as opposed to treatment with dynamic cooling alone

BACKGROUND AND OBJECTIVE: Non-ablative dermal remodeling has been shown to create new dermal collagen. This is thought to occur secondary to a laser-induced injury to the skin. Other mechanisms of injury may lead to similar results. The aim of this study was to evaluate the efficacy and complication rate of a 1450-nm diode laser and compare clinical effect when the laser is used in conjunction with cryogen cooling as compared to the use of cryogen cooling alone. STUDY DESIGN/MATERIALS AND METHODS: Twenty subjects, skin types I-IV, age range 42-70 years, with Class I and II rhytides were enrolled in the study. Subjects were treated with 2-4 laser treatments and cryogen cooling on one side of their face, while the contralateral side was treated with cryogen cooling alone. Subjects were evaluated six months after their final treatment. RESULTS: Thirteen subjects showed clinical improvement on the laser/cryogen treated side. No subjects were noted to have any improvement at the cryogen alone side. CONCLUSION: The 1450-nm diode laser can lead to non-ablative improvement of rhytides. This effect appears to be a direct laser induced effect.     

双极射频对中国人皮肤松弛的紧缩作用

目的评价双极射频Aluma（functional aspiration-controlled electrothermal stimulation,FACES）对面部皮肤松弛无创紧缩治疗的安全性及有效性。方法对39例中国人美容就医者,皮肤类型Ⅲ～Ⅳ,面部皮肤松弛合并眶周皱纹,接受Aluma（功率6～10w）治疗,每10d治疗1次,共5次。每次治疗前和末次治疗后1和3个月进行照像及临床评价。由医者及美容就医者本人据临床和照片共同评价,以鉴定皮肤松弛程度的改善。结果持续5次治疗后3个月,统计学显示颊部皮肤松弛显著改善（P〈0．05）;眶周、鼻唇沟和上颈部皮肤松弛得到轻度至中度改善,且没有严重的并发症。结论双极射频技术对中国人面部皮肤松弛有改善的效果,且无严重副作用。但此项技术的长期效果和最佳治疗参数还有待深入观察和研究。     

Monopolar radiofrequency skin tightening

The development of nonablative monopolar capacitive radiofrequency technology (ThermaCool System, Thermage, Inc., Hayward, California) has contributed to the noninvasive trend in facial skin rejuvenation. In contrast to traditional ablative resurfacing techniques, the ThermaCool System protects the skin surface from injury while selectively heating the underlying dermis. Preservation of epidermal integrity minimizes recovery and the risk of complications. Published clinical evidence documents the efficacy of monopolar capacitive radiofrequency skin tightening and supports its use for mild to moderate facial skin laxity and rhytides. Currently, monopolar capacitive radiofrequency represents the gold standard of treatments designed to tighten skin in a noninvasive fashion.     

Combined infrared light and bipolar radiofrequency for skin tightening in Asians

BACKGROUND AND OBJECTIVE: As the demand for non-invasive procedures for skin tightening is increasing, combined optical and radiofrequency (RF) devices have recently emerged. The purpose of this study is to evaluate the safety and efficacy of a device that combined broadband infrared (IR) light (700-2000 nm) and bipolar RF (electro-optical synergy [ELOS]) for non-ablative treatment of facial laxity. DESIGN/MATERIALS AND METHODS: Nineteen Chinese volunteers of skin types III-V, with facial laxity and periorbital rhytides, received three treatments at 3-week intervals with combined IR (700-2000 nm, 10 W/cm(2)) and RF energies (70-120 J/cm(3)). Standardized photographs were taken by the Canfield Visia CR system at baseline and serially for 3 months after the last treatment. Two masked assessors evaluated the photographs to assess the improvement in skin laxity. Patient satisfaction scores were also obtained. RESULTS: At 3 months after the last treatment, 89.5% of the subjects reported moderate to significant subjective improvement in skin laxity of cheek, jowl, periorbital area and upper neck, with a high overall satisfaction rating. Masked observers' assessments were less remarkable. Mild improvement in skin laxity was observed over mid and lower face. There was no serious complication. CONCLUSION: The combination of broadband infrared light and bipolar radiofrequency produces mild improvement of facial laxity in Asians with no serious adverse sequelae. A high patients' satisfaction is achieved. However, further studies are necessary to demonstrate the long-term effects of the procedure and to optimize treatment parameters.     

Improvement of Dermatochalasis and Periorbital Rhytides With a High-Energy Pulsed CO2 Laser: A Retrospective Study

Background. Upper eyelid dermatochalasis is typically treated with excisional blepharoplasty. The role of the CO₂ laser previously had been confined to that of a vaporizing, incisional, or hemostatic tool. Over the past several years, however, ablative CO₂ laser skin resurfacing has been popularized as an adjunctive treatment to blepharoplasty to minimize periorbital rhytides through its vaporizing as well as skin-tightening action.
Objective. To evaluate the safety and efficacy of a high-energy pulsed CO₂ laser as a stand-alone treatment for dermatochalasis and periorbital rhytides.
Methods. Sixty-seven patients (skin phototypes I–IV) with mild-to-severe upper eyelid dermatochalasis and periorbital rhytides received periocular CO₂ laser skin treatment. Global assessment scores of dermatochalasis and rhytides were determined by a side-by-side comparison of periocular photographs preoperatively and 1, 3, and 6 months postoperatively. In addition, caliper measurements of upper eyelids before and 1, 3, and 6 months after treatment were obtained.
Results. Both dermatochalasis and periorbital rhytides were significantly improved after periocular CO₂ laser skin resurfacing. Patients with more severe dermatochalasis and rhytides showed greater improvement after CO₂ laser treatment than did those with mild or moderate involvement. Side effects were limited to erythema and transient hyperpigmentation. No scarring, hypopigmentation, or ectropion were observed.
Conclusions. Periocular skin resurfacing with a CO₂ laser can safely and effectively improve upper eyelid dermatochalasis and periorbital rhytides.     

超声刀在治疗皮肤松弛和皱纹中的应用与进展

超声刀是一种新型的治疗皮肤松弛和皱纹的技术,其安全性和有效性已得到了验证,并被广泛应用于眉部、眶周、下面部、颈部、胸部、肘部、臀部、大腿和膝盖等部位,是临床用于年轻化治疗的非侵入性手段。超声刀能精确定位到预先设定的深度而不产生表皮的热损伤,能在成像的同时进行治疗,且不被黑色素吸收,对深色皮肤也同样安全。本文从治疗前准备、治疗过程、不良反应及效果等方面,对超声刀在治疗皮肤松弛和皱纹方面的进展进行综述。     

A prospective study of the safety and efficacy of a combined bipolar radiofrequency,intense pulsed light,and infrared diode laser treatment for global facial photoaging

The clinical features of photoaging include: skin texture changes, laxity, rhytides, pigmentary changes, and vascular changes such as erythema and telangiectasias. In order to meet patients’ increasing demands for improving all aspects of photoaging at one office visit, employing a multi-modality treatment for all aspects of photoaging has become increasingly desirable for the physician and patient alike. We examine a novel device that employs bipolar radiofrequency (RF), intense pulsed light (IPL), and infrared diode laser. These laser and light source treatments are performed sequentially. This study aims to evaluate the clinical efficacy and safety of this device (i.e., ELOS Triniti?). Twenty-six subjects received four ELOS Triniti? treatments at 1-month intervals. They were followed up 1, 3, and 6 months after completing the treatments. Two blinded dermatologists used a comprehensive grading scale to evaluate the degree of the photoaging in terms of rhytides, laxity, dyschromia, erythema, telangiectasias, and texture. Subjects used a 0–10 grading scale for self-assessment of photoaging. Additionally, we measured the Erythema Index (EI), Melanin Index (MI), transepidermal water loss scores (TEWL), stratum corneum moisture scores (SC), and dermis moisture scores (D) before treatment and 1, 3, and 6 months after treatment. There was a statistically significant improvement in all five aspects of the comprehensive grading scale. Overall, it had excellent efficacy for improving erythema, telangiectasias, and skin texture. It also had a relatively long effect on improving skin laxity; however, it had only a limited ability to improve rhytides and dyschromia. It can mildly to moderately improve the global photoaging. This global effect can be noted 1 month after treatment and becomes most clinically apparent 3 months after treatment. This is maintained at least 6 months after treatment. MI index and SC and D values increased while EI index and TEWL values decreased after the treatment. The subjects’ self-assessment improved by 2.7 ± 1.2 points. The overall satisfaction rate was 88%. The degree of pain measured 2.5 ± 1.9 points on average. There was no downtime and no severe side effects reported. The sequential implementation of bipolar radiofrequency based optical combination devices (IPL, IR, diode laser) is effective and safe for global facial photoaging.     

A pilot study on the use of a plasma skin regeneration device (Portrait® PSR<Superscript>3</Superscript>) in full facial rejuvenation procedures

A new modality, the Portrait plasma skin regeneration (PSR³) system, allows precise and rapid treatment of photo-damaged skin, with controlled thermal injury and modification. Radio frequency (RF) energy converts nitrogen gas into plasma within the handpiece. Rapid heating of the skin occurs as the plasma rapidly gives up energy to the skin. This energy transfer is not chromophore dependent. The gold standard, carbon dioxide (CO₂) laser resurfacing, has decreased in popularity due to high morbidity and downtime. There is demand for a technology that can provide the degree of improvement obtained with resurfacing without the complications associated with its use. This study evaluated the PSR³ technology in full facial procedures. A two-site prospective study evaluated safety and efficacy for a single pass treatment of the full face using the Portrait PSR³ system. Improvement in skin texture, tone, fine lines, dyschromia, and rhytides were assessed. Two-millimeter punch biopsy specimens were taken pre- and 90 days post-treatment. Follow-up was performed at days 2, 5, 7, 30, and 90 post-treatment to monitor recovery, improvement, and any subsequent sequelae. Patients developed erythema and edema shortly after treatment, with no immediate epidermal loss or charring. Epidermal loss occurred in the subsequent 24–48 h followed by epidermal recovery in ∼7 days. Histological investigation showed regenerative epidermal and dermal architecture. The Rhytec Portrait PSR³ system provides an attractive alternative to standard lasers that is well tolerated by patients, stimulates collagen remodeling, and provides excellent clinical outcomes.     

单双极射频加热组织对皮肤收紧的疗效和安全性观察

目的 探讨单双极射频加热组织对于皮肤自体老化和形态改善的效果和安全性,观察和总结黄种人治疗的参数和疗程.方法 选择28例健康的志愿者,接受Accent Pro射频系统治疗,共治疗4次,每隔2周治疗1次,治疗结束后1个月观察疗效.通过治疗前后的照片对比和志愿者的主观满意度评估疗效和安全性.结果 治疗过程中没有任何水泡、皮肤烫伤、色素沉着和瘢痕形成,医师评估满意率达到85%,患者满意率达到90%.结论 无创射频技术通过对组织的深度加热,对于皮肤收紧有很好疗效,治疗过程安全,是一种新型的收紧皮肤治疗技术.     

单双极射频加热组织对皮肤收紧的疗效和安全性观察

目的 探讨单双极射频加热组织对于皮肤自体老化和形态改善的效果和安全性,观察和总结黄种人治疗的参数和疗程.方法 选择28例健康的志愿者,接受Accent Pro射频系统治疗,共治疗4次,每隔2周治疗1次,治疗结束后1个月观察疗效.通过治疗前后的照片对比和志愿者的主观满意度评估疗效和安全性.结果 治疗过程中没有任何水泡、皮肤烫伤、色素沉着和瘢痕形成,医师评估满意率达到85%,患者满意率达到90%.结论 无创射频技术通过对组织的深度加热,对于皮肤收紧有很好疗效,治疗过程安全,是一种新型的收紧皮肤治疗技术.