Equipment

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.

Aesthetic Devices: Focus on the Body

Noninvasive body contouring and fat reduction treatments are driving patients to aesthetic practices and spurring new innovations.
MedEsthetics April 2019

A recent report from Axiom Market Research and Consulting Group forecasts 8 percent growth in body contouring procedures in the next five years, with the greatest rise occurring in noninvasive and minimally invasive techniques. This is not surprising to many practitioners who have witnessed the soaring popularity of CoolSculpting (cryolipolysis), the first noninvasive fat-reduction device approved by the U.S. Food and Drug Administration back in 2010.

Targeted Delivery

The most promising aesthetic indications for laser- and microneedling-assisted topical delivery.
MedEsthetics March 2019

Laser-assisted drug delivery is being used in multiple specialties to improve outcomes and enhance the efficacy of topical medications. In aesthetics, practitioners are delivering topicals, such as platelet-rich plasma, active skincare ingredients and prescriptions, including minoxidil and bleaching agents, through the microchannels created by fractional ablative laser and microneedling.

Tattoo Removal

New picosecond wavelengths, acoustic shock waves and careful spacing of sessions are speeding clearance of multi-color tattoos.
MedEsthetics November/December 2018

Over the past two decades, body art has become mainstream, and this trend shows no signs of slowing down. As people of all ages seek to express themselves and commemorate special people and moments in their lives through permanent tattoos, the demand for tattoo removal also rises. Traditionally, treatment options were less than optimal, requiring up to a dozen sessions with poor clearance of multi-colored tattoos.

Hand Rejuvenation Treatments

New tools, improvements in technique and consumer confidence in dermal fillers are fueling the popularity of hand rejuvenation treatments.
MedEsthetics October 2018 All Hands

Sun-mottled, wrinkled, veiny hands shout one’s true age despite how young the face might look. Surgical hand-lifts are not an option, but aesthetic practitioners can subtly hide telltale signs of hand aging with a range of products and procedures.

Without a Trace

How to reduce postprocedure bruising following injectable treatments.
MedEsthetics September 2018

Bruises are a common side effect of injectable treatments, such as botulinum toxin and dermal fillers. In most cases, bruises are a natural part of the healing process, but they are troubling to patients eager to see immediate improvement in their appearances. That’s why experienced injectors are taking steps to identify those at the greatest risk for bruising and integrating new tools as well as pre- and post-care protocols to reduce the degree and longevity of postprocedure bruising.

Pico 785nm Wavelength Effective For Purple, Blue and Green Tattoo Inks

Lasers in Surgery and Medicine Study

A picosecond‐domain laser with a 785nm wavelength has a special infinity for purple, blue and green tattoo inks, according to a recent study published in Lasers in Surgery and Medicine (September 2018). Authors Eric Bernstein, MD, et al, treated 22 tattoos from 15 subjects (skin types II-IV). They administered a total of four treatments using only the 785nm picosecond wavelength (2mm to 4mm beam diameter and fluences ranging from 1.1 to 3.1 J/cm2).