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Skin resurfacing for cutaneous rejuvenation
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<blockquote data-quote="madman" data-source="post: 225764" data-attributes="member: 13851"><p><strong>Evaluating resurfacing modalities in aesthetics (2022)</strong></p><p><em>Shashank Bhargava, MD, Mohamad Goldust, MD, Hannah Singer, MD, Nicole Negbenebor, MD, George Kroumpouzos, MD, PhD</em></p><p></p><p></p><p><strong>Abstract </strong></p><p></p><p><em>Skin resurfacing for cutaneous rejuvenation has evolved with the development of a plethora of non-surgical and minimally invasive modalities. We have highlighted the advances in laser therapy, chemical peels, radiofrequency, micro-needling, and platelet-rich plasma therapy. We have also included studies providing head-to-head comparisons between procedures and discussed relevant debates in the field. We have examined additional combination treatments and resurfacing in acne scars, melasma, and skin of color.</em></p><p></p><p></p><p></p><p></p><p><strong>Introduction</strong><em> </em></p><p><em></em></p><p><em><strong>Nonsurgical resurfacing modalities include laser and light treatments, radiofrequency (RF), micro-needling (MN), and chemical peels.1,2 </strong>Laser modalities have become popular owing to their purported ease of use, relatively low-risk profile, and predictable postoperative course.1,3,4 The traditional carbon dioxide (CO2) laser, which is considered the gold standard of resurfacing, is associated with substantial morbidity and extended postoperative healing. This has led to the development of fractional lasers, which offer improved safety, but at the cost of lower efficacy and the need for additional treatment sessions. RF, especially radiofrequency micro-needling (RFM), provides an excellent alternative to fractional lasers, and it has been found to have similar efficacy and safety.5 Medium- and deep-depth peels can also be effective for skin resurfacing by inducing neocollagenesis and improving photoaging.6 MN and platelet-rich plasma (PRP) can be used on various skin types and may be useful in combination treatments.7-11 MN enhances skin tone and improves skin texture, whereas PRP promotes collagen and elastin regeneration. PRP is modestly beneficial for the treatment of aging skin and improving facial skin texture.9 Because PRP enhances healing, it is also great adjuvant therapy for resurfacing modalities,12, especially in combination protocols for acne scars.13,14 The addition of PRP has shown recent promise.15-20 <strong>We reviewed and evaluated various skin resurfacing modalities regarding their efficacy, ease of treatment, safety profile, and patient satisfaction.</strong></em></p><p></p><p></p><p></p><p></p><p><strong>*Laser therapy </strong></p><p><em>-CO2 lasers</em></p><p><em>-Erbium:Yttrium-aluminum-garnet lasers </em></p><p><em>-Non-ablative lasers </em></p><p><em>-Comparison</em></p><p></p><p><strong>*Radiofrequency</strong></p><p><strong></strong></p><p><strong>*Chemical peels </strong></p><p><strong></strong></p><p><strong>*Microneedling</strong></p><p><strong></strong></p><p><strong>*Platelet-rich plasma </strong></p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong>*Treatment approaches </strong></p><p><em>-Acne scars</em></p><p><em>-Melasma</em></p><p><em>-Skin of color </em></p><p></p><p></p><p></p><p><strong>Conclusions</strong></p><p></p><p><em><strong>With the advent of newer minimally invasive treatment options, there is a plethora of resurfacing modalities that can be used for global facial rejuvenation. During a cosmetic consultation, the aesthetic provider should discuss the available options and suggest a management plan that considers the patient’s expectations, efficacy and safety of each modality, the longevity of results, and lifestyle and budget limitations.</strong></em></p><p><em><strong></strong></em></p><p><em><strong><u>Although the fully ablative CO2 laser remains the gold standard of resurfacing by which all other modalities are measured, it is mostly recommended for severe skin aging</u>. For more mild-to-moderate skin aging, newer modalities, such as RF and fractional lasers, are being increasingly used. These treatments offer an improved safety profile and decreased downtime at the cost of more treatments. Other minimally invasive options, such as MN and PRP, are now becoming more popular because they can easily be combined with other treatment modalities.</strong></em></p></blockquote><p></p>
[QUOTE="madman, post: 225764, member: 13851"] [B]Evaluating resurfacing modalities in aesthetics (2022)[/B] [I]Shashank Bhargava, MD, Mohamad Goldust, MD, Hannah Singer, MD, Nicole Negbenebor, MD, George Kroumpouzos, MD, PhD[/I] [B]Abstract [/B] [I]Skin resurfacing for cutaneous rejuvenation has evolved with the development of a plethora of non-surgical and minimally invasive modalities. We have highlighted the advances in laser therapy, chemical peels, radiofrequency, micro-needling, and platelet-rich plasma therapy. We have also included studies providing head-to-head comparisons between procedures and discussed relevant debates in the field. We have examined additional combination treatments and resurfacing in acne scars, melasma, and skin of color.[/I] [B]Introduction[/B][I] [B]Nonsurgical resurfacing modalities include laser and light treatments, radiofrequency (RF), micro-needling (MN), and chemical peels.1,2 [/B]Laser modalities have become popular owing to their purported ease of use, relatively low-risk profile, and predictable postoperative course.1,3,4 The traditional carbon dioxide (CO2) laser, which is considered the gold standard of resurfacing, is associated with substantial morbidity and extended postoperative healing. This has led to the development of fractional lasers, which offer improved safety, but at the cost of lower efficacy and the need for additional treatment sessions. RF, especially radiofrequency micro-needling (RFM), provides an excellent alternative to fractional lasers, and it has been found to have similar efficacy and safety.5 Medium- and deep-depth peels can also be effective for skin resurfacing by inducing neocollagenesis and improving photoaging.6 MN and platelet-rich plasma (PRP) can be used on various skin types and may be useful in combination treatments.7-11 MN enhances skin tone and improves skin texture, whereas PRP promotes collagen and elastin regeneration. PRP is modestly beneficial for the treatment of aging skin and improving facial skin texture.9 Because PRP enhances healing, it is also great adjuvant therapy for resurfacing modalities,12, especially in combination protocols for acne scars.13,14 The addition of PRP has shown recent promise.15-20 [B]We reviewed and evaluated various skin resurfacing modalities regarding their efficacy, ease of treatment, safety profile, and patient satisfaction.[/B][/I] [B]*Laser therapy [/B] [I]-CO2 lasers -Erbium:Yttrium-aluminum-garnet lasers -Non-ablative lasers -Comparison[/I] [B]*Radiofrequency *Chemical peels *Microneedling *Platelet-rich plasma *Treatment approaches [/B] [I]-Acne scars -Melasma -Skin of color [/I] [B]Conclusions[/B] [I][B]With the advent of newer minimally invasive treatment options, there is a plethora of resurfacing modalities that can be used for global facial rejuvenation. During a cosmetic consultation, the aesthetic provider should discuss the available options and suggest a management plan that considers the patient’s expectations, efficacy and safety of each modality, the longevity of results, and lifestyle and budget limitations. [U]Although the fully ablative CO2 laser remains the gold standard of resurfacing by which all other modalities are measured, it is mostly recommended for severe skin aging[/U]. For more mild-to-moderate skin aging, newer modalities, such as RF and fractional lasers, are being increasingly used. These treatments offer an improved safety profile and decreased downtime at the cost of more treatments. Other minimally invasive options, such as MN and PRP, are now becoming more popular because they can easily be combined with other treatment modalities.[/B][/I] [/QUOTE]
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Skin resurfacing for cutaneous rejuvenation
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