Combined Arcus Marginalis Release,Preseptal Orbicularis Muscle Sling,and SOOF Plication for Midfacial Rejuvenation

Improvements have been made throughout the history of medicine, causing physicians to abandon a technique or medications clearly shown to be suboptimal. Unfortunately, this has not happened with rejuvenative surgery. Conventional lower eyelid procedures continue to include removal of orbital fat in most cases, and facelift procedures remain primarily a lateral vector pull. The unfortunate results of these traditional procedures are becoming easy to recognize. Optimal rejuvenation of the lower eyelid complex should be based on the principle that the contour changes characterizing aging involve not only prolapse of orbital fat, but also descent of the cheek tissues, resulting in accentuation of the orbital rim and tear trough groove. Although the necessity of preserving fat and repositioning the soft tissues of the midface has been widely accepted, there still is wide disagreement among authors as to the best approach and surgical technique. This report describes a surgical technique for lower lid midfacial rejuvenation that is a composite of several previously published approaches with some modifications, particularly in the way the Sub-Superficial Musculo Aponeurotic System (SMAS) fat pad is plicated and the midfacial tissues suspended. The technique is simple and safe, resulting in a pleasing natural midface contour.     

Cosmetic Mesotherapy: Between Scientific Evidence,Science Fiction,and Lucrative Business

Mesotherapy, originally conceived in Europe, is a minimally invasive technique that consists of the intra- or subcutaneous injection of variable mixtures of natural plant extracts, homeopathic agents, pharmaceuticals, vitamins, and other bioactive substances in microscopic quantities through dermal multipunctures. Its application in cosmetic medicine and surgery is gaining in popularity and acceptance and is rapidly growing in profile at an alarming rate. Despite their attraction as purported rejuvenating and ‘‘fat-dissolving’’ injections, the safety and efficacy of these novel cosmetic treatments remain ambiguous, making mesotherapy vulnerable to criticism by the generally more skeptical medical community. The technique is shrouded in mystery and the controversy surrounding it pertains to its efficacy and potential adverse effects that are subject of much concern. As with any new technology, it is important to assess the benefits, safety, experience, and standardization of mesotherapy. More studies are necessary before it can be advocated as a safe and effective treatment for body contouring and facial rejuvenation. Although the claims made about mesotherapy may be hard to believe at face value, we must be cautious about rejecting new ideas. Just as absence of proof is not proof of absence, lack of scientific validation is not proof that it does not work.     

Transcutaneous temperature controlled radiofrequency for orgasmic dysfunction

Background and Objectives

To evaluate the safety, tolerability, and clinical efficacy of transcutaneous temperature controlled radiofrequency (TTCRF) on vulvovaginal tissue for orgasmic dysfunction.

Study Design/Materials and Methods

Subjects included 25 sexually active women, ages 21–65, with self‐reported difficulty in achieving orgasms during sex (anorgasmic or slow‐to‐orgasm). Each patient received three sessions at intervals of about 1 month. Treatment was performed using a slim S‐shaped probe with a stamp‐sized metal radiofrequency emitter on one surface of the tip (25 minutes total time on average). External treatments covered the labia majora and minora, lower mons pubis, perineal body, clitoral hood, and clitoris. Full length treatment of the vagina with concentration on the anterior wall was performed. Tissue temperature during therapy was elevated to and maintained between 40°C and 45°C. No anesthesia was required. After treatment, patients immediately resumed normal activities, including sex.

Results

Twenty‐three of 25 patients reported an average reduction in time to orgasm of 50%. Patients also noted significant vaginal tightening effects, increased vaginal moisture, and improved vulvar and clitoral sensitivity. All anorgasmic patients reported the ability to achieve orgasms. Two patients had minimal response.

Conclusion

TTCRF is an effective non‐hormonal, non‐surgical option for women having difficulty achieving orgasm. Treatment also has visible tightening effects on feminine tissues and appears to increase local blood flow, resulting in increased vaginal tightness and moisture. Improved appearance and friction resulted in improved confidence and reduced performance anxiety. Lasers Surg. Med. 48:641–645, 2016. © 2016 The Authors. Lasers in Surgery and Medicine Published by Wiley Periodicals, Inc.     

眶周及中面部联合提紧术

目的:根据眶周及中面部老年性改变特征,探讨眶周及中面部联合提紧的方法和效果。方法:采用下睑缘入路行中面部软组织分离提紧,并固定于眶缘骨膜上,同时结合抬眉术矫正眶周及中面部软组织松垂,并整复睑袋。结果:本组587例,经1～5年随访,除3例术后下睑下方出现凹陷,经颗粒脂肪移植充填满意外,无其他并发症,效果满意,结论:中面部提紧结合抬眉手术能有效改变眶周及中面部老化现象。手术操作简单,创伤小,并发症少,而且面部年轻化美容效果良好。     

眼周年轻化治疗方案的选择

目的：为提高手术效果,综合分析患者的具体情况和要求,采取合适的术式矫正眼周老化征象。方法：根据患者眼周皮肤衰老情况选择肉毒素注射、眼袋整形术、重睑术、提眉术等个性化的手术方案。结果：本组85例患者,选择不同的个性化治疗方案,效果满意。结论：针对眼周制定个性化治疗方案,针对性强,效果可靠,患者满意度高,值得临床推广应用。     

微针导入类人胶原蛋白对面部年轻化的作用

目的:评价微针皮肤导入类人胶原蛋白原液在面部年轻化作用中的疗效与安全性。方法:利用微针在22例志愿者面部往复滚动,同时将类人胶原蛋白原液滴注到面部皮肤,通过微针及其针孔使类人胶原蛋白液进入皮肤组织内发挥疗效。主观评价对志愿者在治疗前后进行皮肤状态问卷评分;客观评价采用visa图像分析和soft 5.5皮肤检测仪,分别评价志愿者治疗前后皮肤皱纹、纹理、色斑、毛孔、水分、弹性、油脂、pH值等改变。结果:22例志愿者皮肤纹理、毛孔、弹性、水分治疗前及治疗后自身对照差别均有显著性意义(P<0.05)。结论:微针皮肤内导入类人胶原蛋白原液对面部年轻化有较好疗效,为面部年轻化治疗提供了新方法。     

聚焦射频技术在面部年轻化中的应用

目的 观察一种新的射频技术——聚焦射频技术在面部年轻化中的应用效果。方法 2015年10月至2016年2月,20名面部皮肤松弛患者接受聚焦射频治疗,分别在治疗前及治疗后3个月(3次)进行面部标准化照片拍摄,并测量双侧鼻唇沟长度和双侧鼻唇沟夹角。结果 治疗前与治疗后3个月比较,两侧鼻唇沟长度均显著变短(P0.05)。结论 聚焦射频能有效改善面部皮肤松弛,尤其可显著改善鼻唇沟长度。     

Clinical trial of a novel non-thermal LED array for reversal of photoaging: clinical, histologic, and surface profilometric results

BACKGROUND AND OBJECTIVES: Photomodulation has been described as a process which modifies cell activity using light sources without thermal effect. The objective of this study was to investigate the use of a non-thermal low dose light emitting diode (LED) array for improving the appearance of photoaged subjects. STUDY DESIGN/MATERIALS AND METHODS: This prospective study investigated a random cohort of patients (N = 90) with a wide range of photoaged skin treated by LED photomodulation using a full panel 590 nm non-thermal full face LED array delivering 0.1 J/cm(2) with a specific sequence of pulsing. Subjects were evaluated at 4, 8, 12, 18 weeks and 6 and 12 months after a series of 8 treatments delivered over 4 weeks. Data collected included stereotactic digital imaging, computerized optical digital profilometry, and peri-ocular biopsy histologic evaluations for standard stains and well as collagen synthetic and degradative pathway immunofluorescent staining. RESULTS: Digital imaging data showed a reduction of signs of photoaging in 90% of subjects with smoother texture, reduction of peri-orbital rhytids, and reduction of erythema and pigmentation. Optical profilometry showed a 10% improvement by surface topographical measurements. Histologic data showed markedly increased collagen in the papillary dermis of 100% of post-treatment specimens (N = 10). Staining with anti-collagen I antibodies demonstrated a 28% (range: 10%-70%) average increase in density while staining with anti-matrixmetalloproteinase (MMP)-1 showed an average reduction of 4% (range: 2%-40%). No side effects or pain were noted. CONCLUSIONS: Photomodulation to reverse photoaging is possible with a specific array of LEDs with a specific fluence using a precise pulsing or "code" sequence. Skin textural improvement by digital imaging and surface profilometry is accompanied by increased collagen I deposition with reduced MMP-1 (collagenase) activity in the papillary dermis. This technique is a safe and effective non-painful non-ablative modality for improvement of photoaging.     

A New Simple Method Used to Prepare Fat for Injection

Various clinical and experimental studies on harvesting techniques, donor sites, preparation, and preservation of fat for injection imply that there is no universal agreement on an ideal methodology. Unpredictable and irregular resorption of fat leads to uncertainty about volume maintenance of the transplanted fat necessitating repeat procedures. In this report, the authors present their 5-year clinical experience with facial fat grafting by isolated and combined procedures using a simple method that they developed for fat preparation. This technique includes fat harvesting with syringe aspiration and filtration of the fat aspirate instead of centrifugation. The idea for filtration was inspired by a yogurt concentration method used in Anatolia. The authors also aimed to increase fat survival by using multiple fat injections of minimal amounts into different levels.     

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。     

埋线提升联合注射美容用于面部年轻化的进展

随着人们对面部年轻化需求的增加，埋线提升联合注射美容作为一种创新的美容技术，受到了 广泛关注。埋线提升联合注射美容可有效改善面部皮肤松弛、皱纹和容貌下垂等问题，获得自然、持久的 面部年轻化效果。然而，该技术也存在着一定的风险和并发症，需要由经验丰富的医生操作。因此，综合 评估患者情况、充分沟通与知情同意以及选择合适的设备和材料是确保安全和效果的关键。本文通过文献 回顾和分析，总结了埋线提升联合注射美容技术的原理、适应证、操作步骤以及优点与限制等，对埋线提 升联合注射美容在面部年轻化中的应用进展进行探究，旨在推动临床医学美容技术的发展。