Equipment

Shape Shifting

Physicians share their experiences with the growing range of noninvasive fat reduction technologies.
Image: a sculpture of a woman's torso

In the five years since Zeltiq’s CoolSculpting device first received U.S. Food and Drug Administration (FDA) approval for the noninvasive destruction of fat in the abdomen, the medical aesthetics industry has seen an array of FDA-cleared fat reduction technologies enter the market. Each is designed to permanently thin down thighs, blast away back flab, whittle middles or slim chin chub with minimal or no downtime.

Syneron-Candela Unveils New Technology and Indications at AAD Annual Meeting

Syneron-Candela revealed updates to its GentleTouch, PicoWay and Profound technologies during the 2017 American Academy of Dermatology (AAD) meeting in Orlando, Florida.

The GentleTouch solid-state laser system has added CE mark approval to its FDA clearance and joins the company’s portfolio as the only device to combine alexandrite and radiofrequency (RF) energies for hair reduction. The system includes patent-pending EverCool, a contact-cooling method cleared for hair removal on all skin types.

CoolSculpting Cleared To Treat Upper Arm Fat

Image of a woman pinching her upper arm fat

The U.S. Food and Drug Administration (FDA) has cleared CoolSculpting (Zeltiq Aesthetics) for the upper arms, adding to its previous clearances for the treatment of fat bulges in the submental area, thigh, abdomen, flank, bra and back fat area, and underneath the buttocks. CoolSculpting is a nonsurgical procedure that selectively reduces unwanted fat using a patented cooling technology. It works by gently cooling targeted fat cells in the body to induce a controlled elimination of fat cells without affecting surrounding tissue.

Opening Channels

Microneedling is experiencing a huge resurgence as a more affordable alternative to laser resurfacing.
Opening Channels

“The Next Big Thing.” “2016’s Trending Skincare Treatment.” “Our New Favorite Skincare Procedure.” Even if you didn’t see these headlines, you have likely experienced an increase in patients asking about microneedling. Although the procedure has been around for decades, it has recently become a media darling.

Subdermal Depo PRP

A new PRP injection technique may improve outcomes for patients with androgenic alopecia.
Subdermal Depo PRP

Androgenic alopecia (AA) is one of the most prevalent aesthetic concerns, affecting an estimated 30% of men over the age of 40. Building on the potential promise of platelet-rich plasma (PRP) to reduce hair loss, I have developed a new technique that involves injecting a bolus of PRP into the subcutis to reverse the effects of AA. The technique—which I refer to as Rapaport Subdermal Depo PRP Injection—has become one of my favorite and most gratifying cosmetic procedures, as I see immediate changes in my patients’ emotional states once their hair is improved.

A Light Boost

Offering photodynamic therapy for skin rejuvenation.
A Light Boost

Photodynamic therapy (PDT), the practice of irradiating a photosensitizing agent to damage cells, has a broad—and growing—range of indications. In dermatology, PDT is used to target precancerous and cancerous lesions, reduce the redness of rosacea, and destroy P. acnes bacteria and the sebaceous glands to clear acneic skin. In aesthetic medicine, PDT is also being used as a skin rejuvenation treatment.

Determining Microneedling Depth

Determining Microneedling Depth

Practitioners should be aware that electric microneedling device length settings do not always correspond to actual depth of penetration. For “Micro-Needling Depth Penetration, Presence of Pigment Particles, and Fluorescein-Stained Platelets: Clinical Usage for Aesthetic Concerns” (Aesthetic Surgery Journal, January 2017), Gordon H. Sasaki, MD, used excised, microneedled pre-auricular skin to determine actual depths of tissue penetration with six needle lengths.