Beyond the Face

Aesthetic practitioners share insights into their most popular and successful combination treatments for the décolleté, hands, arms and legs.

Botox is not the only aesthetic procedure patients ask for by name these days. And the face is not the only area of aesthetic concern. Dermatologists and plastic surgeons around the world are finding a raft of recipes for younger-looking skin all over the body. Ingredients include skincare topicals and injectables mixed with energy treatments from laser, radiofrequency (RF) and ultrasound devices. Many are now packaging combination procedures for the neck, décolleté, arms and legs, along with liquid facelifts and body contouring specials. We asked a sample of physicians who specialize in noninvasive and minimally invasive aesthetic procedures to share information about the off-face treatments that are most effective for their practices.

Barry L. Eppley, MD, DMD, plastic surgeon and co-founder of Ology Spa|Aesthetics|Medicine at Clarian West Medical Center, Avon, Indiana.

“About 50% of our noninvasive therapies are off the face, including laser hair removal, body contouring and laser vein removal. We use a variety of energy technologies, from the 1064 Nd:YAG laser to Exilis (BTL Aesthetics, www.btlaesthetics.com), Thermage (Solta Medical, www.thermage.com) and Ultherapy (Ulthera, www.ultherapy.com). The two therapies most likely to be effective for the décolleté are broadband light (BBL, Sciton, www.sciton.com) and the fractional laser. We use ProFractional Therapy (Sciton, sciton.com).
“You do have to be careful with lasers in this area, because the skin on the chest is much more sensitive and prone to scarring than the skin on the face. We tend to do less depth of penetration and recommend two to four treatment sessions. We do the BBL treatment first, followed by the fractional laser. These two therapies address discoloration and crepiness in the skin, which is all many patients need, but some can also benefit from the addition of fillers.
“Because of the large treatment area, we prefer autologous fat injections to synthetic fillers for the chest. This allows us to inject 20, 30 or even 40ccs cost-effectively. Adding volume, especially to the upper pole of the breast, creates a more youthful look. Although autologous fat injections can be somewhat unpredictable, the natural fat injections still last as long as most synthetic fillers, and you have the added advantage of introducing some stem cells that can produce longer-lasting results.”

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