Share This Article:

Objective Assessment of Skin Tightening Using Multisource, Phase-Controlled Radiofrequency in Asians

Full-Text HTML Download Download as PDF (Size:755KB) PP. 110-116
DOI: 10.4236/jcdsa.2013.31016    5,758 Downloads   9,361 Views   Citations
Author(s)    Leave a comment

ABSTRACT

Background: Radiofrequency has been proven to penetrate deeper than optical light sources independent of skin color allowing a safer treatment for the Asian skin type. Many studies have indicated the efficacy of various types of devices, but have not included a sufficient objective evaluation. Multisource radiofrequency uses multiple phase controlled radiofrequency generators with real time impedance control, allowing painless, deeper dermal heating with better adaptation to differences in individual skin impedance. In this study we used three-dimensional imaging for the objective evaluation of facial skin tightening by multisource phase-controlled radiofrequency. Methods: Twenty Japanese patients were treated with a multisource phase-controlled radiofrequency device. Three-dimensional imaging was performed with a Canfield Scientific Vectra camera and software, and quantitative volume measurements were taken to evaluate the change in the post-treatment volume. The patients then provided subjective assessments. Results: Objective assessments of the treated cheek volume evaluated by a three-dimensional color schematic representation with quantitative volume measurements showed significant improvement three months after the final treatment. The mean volume reduction at the last post-treatment visit was 3.878 ± 2.86 mL. The post-treatment volume was significantly reduced compared to the pretreatment volume in all of the volunteers (P = 0.0007). Ninety-five percent of volunteers reported satisfaction with the improvement of skin laxity, and ninety percent of volunteers reported satisfaction with the improvement of wrinkles, such as the nasolabial folds. Conclusions: The advantages of these multisource phase-controlled radiofrequency treatments are its high efficacy for skin tightening associated with minimal level of discomfort, minimal side effects, and low cost. Taken together, these characteristics facilitate the ability to give repeated treatments as a stand alone treatment or adjunct to surgery. This study provides for the first time a qualitative and quantitative volumetric assessment, proving the ability of the technology to reduce the volume through non invasive skin tightening.

Cite this paper

Y. Tanaka, "Objective Assessment of Skin Tightening Using Multisource, Phase-Controlled Radiofrequency in Asians," Journal of Cosmetics, Dermatological Sciences and Applications, Vol. 3 No. 1, 2013, pp. 110-116. doi: 10.4236/jcdsa.2013.31016.

References

[1] M. Elman and Y. Harth, “Novel Multi-Source PhaseControlled Radiofrequency Technology for Non-Ablative and Micro-Ablative Treatment of Wrinkles, Lax Skin and Acne Scars,” Laser Therapy, Vol. 20, No. 2, 2011, pp. 139-144. doi:10.5978/islsm.20.139
[2] Y. Tanaka, K. Matsuo, S. Yuzuriha and H. Shinohara, “Differential Long-Term Stimulation of Type I versus Type III Collagen after Infrared Irradiation,” Dermatologic Surgery, Vol. 35, No. 7, 2009, pp. 1099-1104. doi:10.1111/j.1524-4725.2009.01194.x
[3] Y. Tanaka, K. Matsuo and S. Yuzuriha, “Long-Term Evaluation of Collagen and Elastin Following Infrared (1100 to 1800 nm) Irradiation,” Journal of Drugs in Dermatology, Vol. 8, No. 8, 2009, pp. 708-712.
[4] Y. Tanaka, K. Matsuo and S. Yuzuriha, “Long-Term Histological Comparison between Near-Infrared Irradiated Skin and Scar Tissues,” Clinical, Cosmetic and Investigational Dermatology, Vol. 3, 2010, pp. 143-149. http://www.dovepress.com/articles.php?article_id=5752
[5] Y. Tanaka, K. Matsuo and S. Yuzuriha, “Long-Lasting Muscle Thinning Induced by Infrared Irradiation Specialized with Wavelength and Contact Cooling: A Preliminary Report,” ePlasty, Vol. 10, 2010, p. e40. http://www.eplasty.com/index. php? option=com_content&view= article&id= 453&catid=171:volume-10-eplasty-2010
[6] Y. Tanaka, K. Matsuo and S. Yuzuriha, “Long-Lasting Relaxation of Corrugator Supercilii Muscle Contraction Induced by Near Infrared Irradiation,” ePlasty, Vol. 11, 2011, p. e6. http://www.eplasty.com/index.php?option=com_content&view=article&id=519&catid=172:volume-11-eplasty-2011
[7] Y. Tanaka, K. Matsuo and S. Yuzuriha, “Objective Assessment of Skin Rejuvenation Using Near-Infrared 1064nm Neodymium: YAG Laser in Asians,” Clinical, Cosmetic and Investigational Dermatology, Vol. 4, 2011, pp. 123-130. http://www.dovepress.com/articles.php?article_id=7972
[8] Y. Tanaka, K. Matsuo and S. Yuzuriha, “Near-Infrared Irradiation Non-Thermally Induces Long-Lasting Vasodilation by Causing Apoptosis of Vascular Smooth Muscle Cells,” ePlasty, Vol. 11, 2011, p. e22. http://www.eplasty.com/index.php?option=com_content&view=article&id=541&catid=172:volume-11-eplasty-2011
[9] Y. Tanaka, K. Matsuo and S. Yuzuriha, “Near-Infrared Irradiation Non-Thermally Affects Subcutaneous Adipocytes and Bones,” ePlasty, Vol. 11, 2011, p. e12. http://www.eplasty.com/index.php?option=com_content&view=article&id=528&catid=172:volume-11-eplasty-2011
[10] Y. Tanaka, K. Matsuo, S. Yuzuriha, H. Yan and J. Nakayama, “Non-Thermal Cytocidal Effect of Infrared Irradiation on Cultured Cancer Cells Using Specialized Device,” Cancer Science, Vol. 101, No. 6, 2010, pp. 1396-1402. doi:10.1111/j.1349-7006.2010.01548.x
[11] Y. Tanaka, N. Tatewaki, H. Nishida, T. Eitsuka, N. Ikekawa and J. Nakayama, “Non-Thermal DNA Damage of Cancer Cells Using Near-Infrared Irradiation,” Cancer Science, Vol. 103, No. 8, 2012, pp. 1467-1473. doi:10.1111/j.1349-7006.2012.02310.x
[12] Y. Tanaka and K. Matsuo, “Non-Thermal Effects of NearInfrared Irradiation on Melanoma,” In: Y. Tanaka, Ed., Breakthroughs in Melanoma Research, InTech, Croatia, 2011, pp. 597-628. http://www.intechopen.com/books/breakthroughs-in-melanoma-research/non-thermal-effects-of-near-infrared-irradiation-on-melanoma
[13] N. Sadick and L. Sorhaindo, “The Radiofrequency Frontier: A Review of Radiofrequency and Combined Radiofrequency Pulsed Light Technology in Aesthetic Medicine,” Facial Plastic Surgery, Vol. 21, No. 2, 2005, pp. 131-138. doi:10.1055/s-2005-872414
[14] Y. Harth and D. Lischinsky, “A Novel Method for RealTime Skin Impedance Measurement during Radiofrequency Skin Tightening Treatments,” Journal of Cosmetic Dermatology, Vol. 10, No. 1, 2011, pp. 24-29. doi:10.1111/j.1473-2165.2010.00535.x
[15] J. Royo de la Torre, J. Moreno-Moraga, A. Munoz and P. C. Navarro, “Multisource, Phase-Controlled Radiofrequency for Treatment of Skin Laxity: Correlation Between Clinical and In-Vivo Confocal Microscopy Results and RealTime Thermal Changes,” The Journal of Clinical and Aesthetic Dermatology, Vol. 4, No. 1, 2011, pp. 28-35.
[16] M. Elman, I. Vider, Y. Harth, V. Gottfried and A. Shemer, “Non Invasive Therapy of Wrinkles, Lax Skin Using a Novel Multisource Phase Controlled Radiofrequency System,” Journal of Cosmetic and Laser Therapy, Vol. 12, No. 2, 2010, pp. 81-86. doi:10.3109/14764171003706133
[17] N. S. Sadick, M. Sato, D. Palmisano, I. Frank, H. Cohen and Y. Harth, “In Vivo Animal Histology and Clinical Evaluation of Multisource Fractional Radiofrequency Skin Resurfacing (FSR) Applicator,” Journal of Cosmetic and Laser Therapy, Vol. 13, No. 5, 2011, pp. 204-209. doi:10.3109/14764172.2011.606467
[18] H. H. Chan, C. S. Yu, S. Shek, C. K. Yeung, T. Kono and W. I. Wei, “A Prospective, Split Face, Single-Blinded Study Looking at the Use of an Infrared Device with Contact Cooling in the Treatment of Skin Laxity in Asians,” Lasers in Surgery and Medicine, Vol. 40, No. 2, 2008, pp. 146-152. doi:10.1002/lsm.20586
[19] W. E. Matory, “Skin Care,” In: W. E. Matory, Ed., Ethnic Considerations in Facial Aesthetic Surgery, LippincottRaven, Philadelphia, 1998, p. 100.
[20] C. C. Dierickx, “The Role of Deep Heating for Noninvasive Skin Rejuvenation,” Lasers in Surgery and Medicine, Vol. 38, No. 9, 2006, pp. 799-807. doi:10.1002/lsm.20446
[21] D. Kist, A. J. Burns, R. Sanner, J. Counters and B. Zelickson, “Ultrastructural Evaluation of Multiple Pass Low Energy versus Single Pass High Energy Radio-Frequency Treatment,” Lasers in Surgery and Medicine, Vol. 38, No. 2, 2006, pp. 150-154. doi:10.1002/lsm.20303
[22] B. D. Zelickson, D. Kist, E. Bernstein, D. B. Brown, S. Ksenzenko, J. Burns, S. Kilmer, D. Mehregan and K. Pope, “Histological and Ultrastructural Evaluation of the Effects of a Radiofrequency Based Nonablative Dermal Remodeling Device: A Pilot Study,” Archives of Dermatology, Vol. 140, No. 2, 2004, pp. 204-209. doi:10.1001/archderm.140.2.204
[23] B. D. Owens, B. J. Stickles and B. D. Busconi, “Radiofrequency Energy: Applications and Basic Science,” The American Journal of Orthopedics, Vol. 32, No. 3, 2003, pp. 117-120.
[24] R. Fitzpatrick, R. Geronemus, D. Goldberg, M. Kaminer, S. Kilmer and J. Ruiz-Esparza, “Multicenter Study of Noninvasive Radiofrequency for Periorbital Tissue Tightening,” Lasers in Surgery and Medicine, Vol. 33, No. 4, 2003, pp. 232-242. doi:10.1002/lsm.10225
[25] M. A. Bogle, N. Ubelhoer, R. A. Weiss, F. Mayoral and M. S. Kaminer, “Evaluation of the Multiple Pass, Low Fluence Algorithm for Radiofrequency Tightening of the Lower Face,” Lasers in Surgery and Medicine, Vol. 39, No. 3, 2007, pp. 210-217. doi:10.1002/lsm.20472
[26] A. Willey, R. R. Anderson, J. L. Azpiazu, A. D. Bakus, R. J. Barlow, J. S. Dover, J. M. Garden, S. L. Kilmer, N. Landa, D. Manstein, E. V. Ross Jr., N. Sadick, E. A. Tanghetti, D. Yaghmai and B. D. Zelickson, “Complications of Laser Dermatologic Surgery,” Lasers in Surgery and Medicine, Vol. 38, No. 1, 2006, pp. 1-15. doi:10.1002/lsm.20286

  
comments powered by Disqus

Copyright © 2018 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.