Zapping Away Pigment

The top pigment-targeting lasers, and when it’s time to upgrade your offerings.
Aesthetic Devices

The distinct dark color of excess pigmentation in the skin is the ideal target for laser therapy. The top melanin-targeting wavelengths include 532nm, 694nm, 755nm and 1,064nm. Equally important in choosing the best wavelength is choosing the correct device with the appropriate pulse duration and spot sizes for the individual patient and concern. On the following pages, aesthetic laser physicians share how they select the right laser modalities to banish their patients’ unwanted brown spots and benign lesions. The first step is to identify the pigmentation concern you want to address.

Collagen Induction

Radiofrequency-based microneedling devices are gaining legions of fans thanks to a strong safety profile and new advances in energy delivery and adjustability.
RF Microneedling for Aging-Related Skin Changes

When Thermage came to market in 2002, it introduced a new technology to help correct the signs of skin aging: radiofrequency (RF)-based energy. Nearly 20 years later, RF-based devices have become ubiquitous in medspas and aesthetic practices where they are used to tighten lax skin, reduce fat and smooth acne scars. While noninvasive devices have received mixed reviews over the years, primarily related to inconsistent outcomes, RF-based microneedling devices have proved more universally popular with practitioners.

Smoothing the Dimples

What works and what’s coming in cellulite treatment technologies.
MedEsthetics Jan/Feb 2020

The firm, tight skin that patients had as children, particularly in the thighs and buttocks area, can become a distant memory as soon as they reach their late teens or early 20s. What was once picture-perfectly round and smooth often begins to acquire a sizeable collection of dimples and divots. That’s why the medical aesthetics industry has been hard at work for decades trying to eradicate the phenomenon of cellulite that impacts about 90 percent of women.

Lip Fillers

Achieving the correct proportions with HA filler-based lip enhancement.
MedEsthetics November/December 2019

Lips are one of the key features of the face and the main feature of the lower third. Since ancient times women have used different substances and techniques to make lips stand out, from face painting to lipstick, and lip enhancement continues to trend today.

Comparing Neurotoxins

Despite slight differences in behavior, botulinum toxin brand preference often relies on past experience.
MedEsthetics Nov/Dec 2019

When it comes to smoothing wrinkles and minimizing signs of aging, injectable neurotoxins remain one of the most popular options. According to the American Society of Plastic Surgeons, 7.44 million botulinum toxin type A procedures were performed in 2018, which is up 3 percent from the previous year.

Undereye Concerns

Effectively addressing volume loss, discoloration and crepey undereye skin.
MedEsthetics October 2019

The eyes have been called the windows to the soul and the doorway to the heart. But many who have periorbital concerns, such as dark circles, crepey skin and undereye bags, wish others would just look away. Aesthetic practitioners can help patients regain their confidence and desire to meet others eye to eye by understanding what is causing these common aesthetic concerns, and offering a combination of in-office and homecare treatments.

BTX Ability To Contract Dermal Fibroblasts Varies by Formulation and Dilution

How Botulinum Toxins Lift Skin

Intradermal botulinum toxin injections can cause dermal fibroblast contraction, providing a lifting effect for facial rejuvenation, but this effect varies based on brand and dilution. In an effort to determine how—and whether—intradermal botulinum toxins create visible lifting in the midface, researchers Rungsima Wanitphakdeedecha MD, MA, MSc, et al, treated normal human dermal fibroblasts with onabotulinumtoxin (ONA), abobotulinumtoxin (ABO), prabotulinumtoxinA (PRABO), incobotulinumtoxinA (INCO), and letibotulinumtoxin A (LETI) in varying dilutions.

The Neck and Decolette

New tools and techniques combined with proper diagnoses are making nonsurgical neck and chest treatments more effective than ever before.

Traditionally, the neck and décolleté have been among the most challenging areas to treat nonsurgically. Effective energy-based devices pose risks when used on the delicate skin of the neck and chest, and concerns such as laxity and visible banding have responded poorly to noninvasive tools. But that is changing. Thanks to new technologies, new injection techniques and the use of combination treatments, physicians can visibly improve the aging neck and chest.

Nuvellus Focal Contouring

A new minimally invasive submental treatment using Rotational Fractional Resection technology is moving closer to market.
Rotational Fractional Resection

"Having something effective for the neck that doesn’t require surgery is sort of the holy grail in plastic surgery,” says Kamakshi R. Zeidler, MD, board-certified plastic surgeon and co-founder of Aesthetx in Campbell, California. “So when I learned about Rotational Fractional Resection (RFR) technology I was excited.”

Aesthetic Devices: Splitting Energy

The best fractional devices for your patients and practice.
MedEsthetics July/August 2019

In the Medical Aesthetics Industry, few technologies have taken hold quite as quickly as fractional photothermolysis. Rox Anderson, MD, PhD, and Dieter Manstein, MD, PhD, introduced the concept of “applying an array of microscopic treatment zones (MTZ) of thermal injury to the skin” as a lower risk alternative to fully ablative laser skin resurfacing in 2003. One year later, the 1,550nm Fraxel laser was released.