Treating Pediatric Patients
The benefits of laser surgery.
Laser surgery can be beneficial when treating pediatric patients. According to an October 2005 article in Lasers in Surgery and Medicine, Anne M. Chapas, M.D., and Roy G. Geronemus, M.D., found that there are properties in pediatric skin that allow certain lesions to be treated more effectively with fewer treatments with laser surgery compared to treating the same types of lesions in adult patients. The following table summarizes the approach Drs. Chapas and Geronemus take to treating pediatric skin lesions with lasers. Both doctors are with the Laser & Skin Surgery Center of New York.
Cosmetic Plastic Surgery Procedures Continue to Rise
Results of the 2005 plastic surgery statistics.
According to the American Society of Plastic Surgeons, more than 10.2 million cosmetic plastic surgery procedures were performed in the United States in 2005, an increase of 11% from 2004.
For the 2005 National Plastic Surgery Statistics, ASPS has partnered with DataHarbor Inc., a healthcare industry data management and technology development company to ensure objectivity in the gathering, analysis and publication of its procedure statistics. The data were collected through the first online national database for plastic surgery procedures, Tracking Operations and Outcomes for Plastic Surgeons (TOPS). These data are combined with the annual survey sent to more than 17,000 board-certified physicians. All responses were aggregated and extrapolated to the entire population of more than 23,000 physicians most likely to perform cosmetic and reconstructive plastic surgery procedures. Results of the survey are based on a 95% confidence level with a maximum error range of +/- 3.1%.
In 2005, the top five surgical cosmetic procedure were liposuction (324,000), nose reshaping (298,000), breast augmentation (291,000), eyelid surgery (231,000) and tummy tuck (135,000). The fop five minimally invasive cosmetic procedures in 2005 were Botox (3.8 million), chemical peel (1 million), microdermabrasion (838,000), laser hair removal (783,000) and sclerotherapy (590,000). Minimally invasive cosmetic procedures in general were up 20% from 2004. See the accompanying tables for more 2005 ASPS statistics.
An Alternative to Abdominoplasty
Diode laser tightens and markedly improves flaccid abdominal folds.
By Jeffrey A. Wheaton, R.N., C.N.O.R., and Thomas F. Mitts, M.D.
Abdominoplasty has been a popular procedure for many years because of its high satisfaction rates with patients. This surgery allows for the safe and effective removal of tissue, which provides a more aesthetically pleasing abdominal surface. While the majority of abdominoplasty procedures are uneventful, the risk of infection, seromas, hematoma, sensation loss and visually unacceptable scars are all possibilities and genuine risk factors. For a patient with minimal flaccid skin of the abdomen who is hesitant to undertake the risks associated with surgery, there haven’t been many other options, until recently.
Patient Presentation
A 35-year-old female patient recently presented to our office complaining of an abdominal skin deformity. In February 2005 she had undergone full abdominoplasty and suffered a hematoma, according to her history. (See Photo 1A.) This obvious deformity presented visibly deep folds and flaccid skin upon examination. The abdomen also had a palpable hardened region of the left upper quadrant at the area of the alleged hematoma. Prior to the patient’s visit to our office, she had received endermologie therapy several times.
The outcome of her abdominoplasty proved to be career ending, at least for abdominal photography, since she was a model. Following examination, we presented the patient with three options. The first option was to do nothing and wait a full year to be evaluated again. Option two was a surgical intervention consisting of an exploration of the deformed region. Her third option was having an experimental procedure performed utilizing a minimally invasive approach with the ELOS system in an attempt to minimize the appearance of the deformity. This approach involved use of the Syneron Polaris, which combines optical (diode) and electrical (radiofrequency [RF]) energy to treat flaccid skin. The Polaris has been FDA approved for facial tissue, but not abdominal tissue. We offered to do this experimental, off-label procedure for a minimal fee due to the lack of data supporting the Polaris for this particular indication.
While we have had success with the treatment of face and neck skin using the Polaris, abdominal tissue is a very different challenge. We decided to treat the abdomen every 3 to 4 weeks for a minimum of four to five treatments and up to a maximum of 10 treatments. If positive results were not seen by treatment 10, we would abort the experiment.
Treatment and Results
Initial test area settings were 40 J/cm2 optical and 85 J/cm2 RF, then after 5 minutes the RF was increased 5 joules and then again (5 more joules) until we decided on 40 J/cm2 and 95 J/cm2. The patient tolerated this energy level and erythema was minimal. Four passes were performed over the abdomen, which began inferior to the umbilicus, reaching the inferior rib margin and lateral to form a 180-degree arc. No pulses were overlapped, and copious amounts of aquasonic gel hydrated with 10% water were used. Passes one and three were done vertically and passes two and four horizontally. Passes were spaced 60 seconds apart to allow for thermal relaxation. Skin cooling was accomplished with the Zimmer Synercool at an air flow setting of 3 and positioned 12 inches from the abdominal surface. No persistent redness or swelling was noted after each pass. The patient expressed “mild” discomfort with the treatment she described as causing a mild burning sensation.
After 48 hours, the patient called the office and reported nearly 90% improvement. She was instructed to wait 3 weeks for temporary inflammation to resolve. (See Photo 1B.) On examination, the deformed tissue had lost its flaccid texture and was significantly more taut. We’ve continued to treat her with similar settings, and positive results have persisted.
Polaris provides a viable option as an alternative to surgery. More research is needed to determine how far this technology can be taken. At this time, we are interested in exploring the potential of two new emerging technologies that may represent even greater possibilities for non-invasive therapies — the new ST Infra-Red/RF and the VelaSmooth by Syneron.
Mr. Wheaton is a Laser Specialist and Dr. Mitts is President/ CEO with Thomas F. Mitts, M.D., Inc. Dr. Mitts is a Clinical Professor, Department of Dermatology at Loma Linda University School of Medicine in Loma Linda, CA.
Disclosures: Mr. Wheaton works as an independent contractor doing education and inservice with Syneron products, as well as other company’s products and devices. Dr. Mitts has no conflict of interest with any subject matter discussed.
Improving Port Wine Stain Laser Therapy
Cryogen cooling spray can improve results.
In order to experimentally determine the dynamic of cryogen spray cooling (CSC) heat flux when a skin phantom is preheated and to numerically study the feasibility of using skin preheating prior to CSC to improve port wine stain (PWS) laser outcome, researchers used a fast-response, thin-foil thermocouple to measure the surface temperature and thus heat flux of an epoxy skin phantom during CSC. Using the heat flux as a boundary condition, PWS laser therapy was simulated with finite element heat diffusion and Monte Carlo light distribution models. Researchers calculated epidermal and PWS blood vessel thermal damage with an Arrhenius-type kinetic model. Experimental results show that the skin phantom surface can be cooled to a similar minimum temperature regardless of the initial temperature. Numerical simulation indicated that upon laser irradiation, the epidermal temperature increase is unaffected by preheating, while higher PWS blood vessel temperatures can be achieved.
Researchers concluded that when treating PWS birth marks, preheating the skin prior to CSC can help maintain epidermal cooling while increasing PWS blood vessel temperature before laser irradiation. PWS patients may benefit from skin preheating prior to CSC, depending on PWS vessel diameter and depth.
Source: Lasers Surg. Med. 38:155-12, 2006. Wiley-Liss, Inc.
An Alternative to Brow Lifting
Using RF to treat eyelids.
During the annual meeting of the American Society for Laser Medicine and Surgery (ASLMS) in Boston, earlier this year, Brian S. Biesman, M.D., Assistant Clinical Professor with appointments in Ophthalmology, Otolaryngology and Dermatology at Vanderbilt University Medical Center in Nashville, TN, presented results of using a “shallow” treatment tip to safely deliver monopolar radiofrequency energy (Thermage, Hayward, CA) to treat the delicate skin of the eyelids.
Monopolar radiofrequency technology heats the skin in a very precise, controlled manner that causes the collagen structures below the surface to contract and tighten the skin at the surface. The heat generated from the treatment also stimulates the production of new collagen, a process that has been shown to produce a progressive improvement in skin laxity for up to 6 months.
In the multi-center clinical trial, Dr. Biesman and researchers tested the safety and efficacy of a newly designed tip that delivered energy in a more shallow manner to the eyelids, which is the thinnest skin on the body. A total of 72 patients, ranging in age from 23 to 58 years, were treated with the new treatment tip for sagging and drooping eyelids.
Patients were assessed at a 6-month follow-up after one treatment, and researchers observed a reduction in upper eyelid hooding and skin tightening in 86% and 88% of the patients, respectively, according to Dr. Biesman. Lower eyelid tightening was noted in 83% of patients.
Treating Pediatric Patients
The benefits of laser surgery.
Laser surgery can be beneficial when treating pediatric patients. According to an October 2005 article in Lasers in Surgery and Medicine, Anne M. Chapas, M.D., and Roy G. Geronemus, M.D., found that there are properties in pediatric skin that allow certain lesions to be treated more effectively with fewer treatments with laser surgery compared to treating the same types of lesions in adult patients. The following table summarizes the approach Drs. Chapas and Geronemus take to treating pediatric skin lesions with lasers. Both doctors are with the Laser & Skin Surgery Center of New York.
Cosmetic Plastic Surgery Procedures Continue to Rise
Results of the 2005 plastic surgery statistics.
According to the American Society of Plastic Surgeons, more than 10.2 million cosmetic plastic surgery procedures were performed in the United States in 2005, an increase of 11% from 2004.
For the 2005 National Plastic Surgery Statistics, ASPS has partnered with DataHarbor Inc., a healthcare industry data management and technology development company to ensure objectivity in the gathering, analysis and publication of its procedure statistics. The data were collected through the first online national database for plastic surgery procedures, Tracking Operations and Outcomes for Plastic Surgeons (TOPS). These data are combined with the annual survey sent to more than 17,000 board-certified physicians. All responses were aggregated and extrapolated to the entire population of more than 23,000 physicians most likely to perform cosmetic and reconstructive plastic surgery procedures. Results of the survey are based on a 95% confidence level with a maximum error range of +/- 3.1%.
In 2005, the top five surgical cosmetic procedure were liposuction (324,000), nose reshaping (298,000), breast augmentation (291,000), eyelid surgery (231,000) and tummy tuck (135,000). The fop five minimally invasive cosmetic procedures in 2005 were Botox (3.8 million), chemical peel (1 million), microdermabrasion (838,000), laser hair removal (783,000) and sclerotherapy (590,000). Minimally invasive cosmetic procedures in general were up 20% from 2004. See the accompanying tables for more 2005 ASPS statistics.
An Alternative to Abdominoplasty
Diode laser tightens and markedly improves flaccid abdominal folds.
By Jeffrey A. Wheaton, R.N., C.N.O.R., and Thomas F. Mitts, M.D.
Abdominoplasty has been a popular procedure for many years because of its high satisfaction rates with patients. This surgery allows for the safe and effective removal of tissue, which provides a more aesthetically pleasing abdominal surface. While the majority of abdominoplasty procedures are uneventful, the risk of infection, seromas, hematoma, sensation loss and visually unacceptable scars are all possibilities and genuine risk factors. For a patient with minimal flaccid skin of the abdomen who is hesitant to undertake the risks associated with surgery, there haven’t been many other options, until recently.
Patient Presentation
A 35-year-old female patient recently presented to our office complaining of an abdominal skin deformity. In February 2005 she had undergone full abdominoplasty and suffered a hematoma, according to her history. (See Photo 1A.) This obvious deformity presented visibly deep folds and flaccid skin upon examination. The abdomen also had a palpable hardened region of the left upper quadrant at the area of the alleged hematoma. Prior to the patient’s visit to our office, she had received endermologie therapy several times.
The outcome of her abdominoplasty proved to be career ending, at least for abdominal photography, since she was a model. Following examination, we presented the patient with three options. The first option was to do nothing and wait a full year to be evaluated again. Option two was a surgical intervention consisting of an exploration of the deformed region. Her third option was having an experimental procedure performed utilizing a minimally invasive approach with the ELOS system in an attempt to minimize the appearance of the deformity. This approach involved use of the Syneron Polaris, which combines optical (diode) and electrical (radiofrequency [RF]) energy to treat flaccid skin. The Polaris has been FDA approved for facial tissue, but not abdominal tissue. We offered to do this experimental, off-label procedure for a minimal fee due to the lack of data supporting the Polaris for this particular indication.
While we have had success with the treatment of face and neck skin using the Polaris, abdominal tissue is a very different challenge. We decided to treat the abdomen every 3 to 4 weeks for a minimum of four to five treatments and up to a maximum of 10 treatments. If positive results were not seen by treatment 10, we would abort the experiment.
Treatment and Results
Initial test area settings were 40 J/cm2 optical and 85 J/cm2 RF, then after 5 minutes the RF was increased 5 joules and then again (5 more joules) until we decided on 40 J/cm2 and 95 J/cm2. The patient tolerated this energy level and erythema was minimal. Four passes were performed over the abdomen, which began inferior to the umbilicus, reaching the inferior rib margin and lateral to form a 180-degree arc. No pulses were overlapped, and copious amounts of aquasonic gel hydrated with 10% water were used. Passes one and three were done vertically and passes two and four horizontally. Passes were spaced 60 seconds apart to allow for thermal relaxation. Skin cooling was accomplished with the Zimmer Synercool at an air flow setting of 3 and positioned 12 inches from the abdominal surface. No persistent redness or swelling was noted after each pass. The patient expressed “mild” discomfort with the treatment she described as causing a mild burning sensation.
After 48 hours, the patient called the office and reported nearly 90% improvement. She was instructed to wait 3 weeks for temporary inflammation to resolve. (See Photo 1B.) On examination, the deformed tissue had lost its flaccid texture and was significantly more taut. We’ve continued to treat her with similar settings, and positive results have persisted.
Polaris provides a viable option as an alternative to surgery. More research is needed to determine how far this technology can be taken. At this time, we are interested in exploring the potential of two new emerging technologies that may represent even greater possibilities for non-invasive therapies — the new ST Infra-Red/RF and the VelaSmooth by Syneron.
Mr. Wheaton is a Laser Specialist and Dr. Mitts is President/ CEO with Thomas F. Mitts, M.D., Inc. Dr. Mitts is a Clinical Professor, Department of Dermatology at Loma Linda University School of Medicine in Loma Linda, CA.
Disclosures: Mr. Wheaton works as an independent contractor doing education and inservice with Syneron products, as well as other company’s products and devices. Dr. Mitts has no conflict of interest with any subject matter discussed.
Improving Port Wine Stain Laser Therapy
Cryogen cooling spray can improve results.
In order to experimentally determine the dynamic of cryogen spray cooling (CSC) heat flux when a skin phantom is preheated and to numerically study the feasibility of using skin preheating prior to CSC to improve port wine stain (PWS) laser outcome, researchers used a fast-response, thin-foil thermocouple to measure the surface temperature and thus heat flux of an epoxy skin phantom during CSC. Using the heat flux as a boundary condition, PWS laser therapy was simulated with finite element heat diffusion and Monte Carlo light distribution models. Researchers calculated epidermal and PWS blood vessel thermal damage with an Arrhenius-type kinetic model. Experimental results show that the skin phantom surface can be cooled to a similar minimum temperature regardless of the initial temperature. Numerical simulation indicated that upon laser irradiation, the epidermal temperature increase is unaffected by preheating, while higher PWS blood vessel temperatures can be achieved.
Researchers concluded that when treating PWS birth marks, preheating the skin prior to CSC can help maintain epidermal cooling while increasing PWS blood vessel temperature before laser irradiation. PWS patients may benefit from skin preheating prior to CSC, depending on PWS vessel diameter and depth.
Source: Lasers Surg. Med. 38:155-12, 2006. Wiley-Liss, Inc.
An Alternative to Brow Lifting
Using RF to treat eyelids.
During the annual meeting of the American Society for Laser Medicine and Surgery (ASLMS) in Boston, earlier this year, Brian S. Biesman, M.D., Assistant Clinical Professor with appointments in Ophthalmology, Otolaryngology and Dermatology at Vanderbilt University Medical Center in Nashville, TN, presented results of using a “shallow” treatment tip to safely deliver monopolar radiofrequency energy (Thermage, Hayward, CA) to treat the delicate skin of the eyelids.
Monopolar radiofrequency technology heats the skin in a very precise, controlled manner that causes the collagen structures below the surface to contract and tighten the skin at the surface. The heat generated from the treatment also stimulates the production of new collagen, a process that has been shown to produce a progressive improvement in skin laxity for up to 6 months.
In the multi-center clinical trial, Dr. Biesman and researchers tested the safety and efficacy of a newly designed tip that delivered energy in a more shallow manner to the eyelids, which is the thinnest skin on the body. A total of 72 patients, ranging in age from 23 to 58 years, were treated with the new treatment tip for sagging and drooping eyelids.
Patients were assessed at a 6-month follow-up after one treatment, and researchers observed a reduction in upper eyelid hooding and skin tightening in 86% and 88% of the patients, respectively, according to Dr. Biesman. Lower eyelid tightening was noted in 83% of patients.
Treating Pediatric Patients
The benefits of laser surgery.
Laser surgery can be beneficial when treating pediatric patients. According to an October 2005 article in Lasers in Surgery and Medicine, Anne M. Chapas, M.D., and Roy G. Geronemus, M.D., found that there are properties in pediatric skin that allow certain lesions to be treated more effectively with fewer treatments with laser surgery compared to treating the same types of lesions in adult patients. The following table summarizes the approach Drs. Chapas and Geronemus take to treating pediatric skin lesions with lasers. Both doctors are with the Laser & Skin Surgery Center of New York.
Cosmetic Plastic Surgery Procedures Continue to Rise
Results of the 2005 plastic surgery statistics.
According to the American Society of Plastic Surgeons, more than 10.2 million cosmetic plastic surgery procedures were performed in the United States in 2005, an increase of 11% from 2004.
For the 2005 National Plastic Surgery Statistics, ASPS has partnered with DataHarbor Inc., a healthcare industry data management and technology development company to ensure objectivity in the gathering, analysis and publication of its procedure statistics. The data were collected through the first online national database for plastic surgery procedures, Tracking Operations and Outcomes for Plastic Surgeons (TOPS). These data are combined with the annual survey sent to more than 17,000 board-certified physicians. All responses were aggregated and extrapolated to the entire population of more than 23,000 physicians most likely to perform cosmetic and reconstructive plastic surgery procedures. Results of the survey are based on a 95% confidence level with a maximum error range of +/- 3.1%.
In 2005, the top five surgical cosmetic procedure were liposuction (324,000), nose reshaping (298,000), breast augmentation (291,000), eyelid surgery (231,000) and tummy tuck (135,000). The fop five minimally invasive cosmetic procedures in 2005 were Botox (3.8 million), chemical peel (1 million), microdermabrasion (838,000), laser hair removal (783,000) and sclerotherapy (590,000). Minimally invasive cosmetic procedures in general were up 20% from 2004. See the accompanying tables for more 2005 ASPS statistics.
An Alternative to Abdominoplasty
Diode laser tightens and markedly improves flaccid abdominal folds.
By Jeffrey A. Wheaton, R.N., C.N.O.R., and Thomas F. Mitts, M.D.
Abdominoplasty has been a popular procedure for many years because of its high satisfaction rates with patients. This surgery allows for the safe and effective removal of tissue, which provides a more aesthetically pleasing abdominal surface. While the majority of abdominoplasty procedures are uneventful, the risk of infection, seromas, hematoma, sensation loss and visually unacceptable scars are all possibilities and genuine risk factors. For a patient with minimal flaccid skin of the abdomen who is hesitant to undertake the risks associated with surgery, there haven’t been many other options, until recently.
Patient Presentation
A 35-year-old female patient recently presented to our office complaining of an abdominal skin deformity. In February 2005 she had undergone full abdominoplasty and suffered a hematoma, according to her history. (See Photo 1A.) This obvious deformity presented visibly deep folds and flaccid skin upon examination. The abdomen also had a palpable hardened region of the left upper quadrant at the area of the alleged hematoma. Prior to the patient’s visit to our office, she had received endermologie therapy several times.
The outcome of her abdominoplasty proved to be career ending, at least for abdominal photography, since she was a model. Following examination, we presented the patient with three options. The first option was to do nothing and wait a full year to be evaluated again. Option two was a surgical intervention consisting of an exploration of the deformed region. Her third option was having an experimental procedure performed utilizing a minimally invasive approach with the ELOS system in an attempt to minimize the appearance of the deformity. This approach involved use of the Syneron Polaris, which combines optical (diode) and electrical (radiofrequency [RF]) energy to treat flaccid skin. The Polaris has been FDA approved for facial tissue, but not abdominal tissue. We offered to do this experimental, off-label procedure for a minimal fee due to the lack of data supporting the Polaris for this particular indication.
While we have had success with the treatment of face and neck skin using the Polaris, abdominal tissue is a very different challenge. We decided to treat the abdomen every 3 to 4 weeks for a minimum of four to five treatments and up to a maximum of 10 treatments. If positive results were not seen by treatment 10, we would abort the experiment.
Treatment and Results
Initial test area settings were 40 J/cm2 optical and 85 J/cm2 RF, then after 5 minutes the RF was increased 5 joules and then again (5 more joules) until we decided on 40 J/cm2 and 95 J/cm2. The patient tolerated this energy level and erythema was minimal. Four passes were performed over the abdomen, which began inferior to the umbilicus, reaching the inferior rib margin and lateral to form a 180-degree arc. No pulses were overlapped, and copious amounts of aquasonic gel hydrated with 10% water were used. Passes one and three were done vertically and passes two and four horizontally. Passes were spaced 60 seconds apart to allow for thermal relaxation. Skin cooling was accomplished with the Zimmer Synercool at an air flow setting of 3 and positioned 12 inches from the abdominal surface. No persistent redness or swelling was noted after each pass. The patient expressed “mild” discomfort with the treatment she described as causing a mild burning sensation.
After 48 hours, the patient called the office and reported nearly 90% improvement. She was instructed to wait 3 weeks for temporary inflammation to resolve. (See Photo 1B.) On examination, the deformed tissue had lost its flaccid texture and was significantly more taut. We’ve continued to treat her with similar settings, and positive results have persisted.
Polaris provides a viable option as an alternative to surgery. More research is needed to determine how far this technology can be taken. At this time, we are interested in exploring the potential of two new emerging technologies that may represent even greater possibilities for non-invasive therapies — the new ST Infra-Red/RF and the VelaSmooth by Syneron.
Mr. Wheaton is a Laser Specialist and Dr. Mitts is President/ CEO with Thomas F. Mitts, M.D., Inc. Dr. Mitts is a Clinical Professor, Department of Dermatology at Loma Linda University School of Medicine in Loma Linda, CA.
Disclosures: Mr. Wheaton works as an independent contractor doing education and inservice with Syneron products, as well as other company’s products and devices. Dr. Mitts has no conflict of interest with any subject matter discussed.
Improving Port Wine Stain Laser Therapy
Cryogen cooling spray can improve results.
In order to experimentally determine the dynamic of cryogen spray cooling (CSC) heat flux when a skin phantom is preheated and to numerically study the feasibility of using skin preheating prior to CSC to improve port wine stain (PWS) laser outcome, researchers used a fast-response, thin-foil thermocouple to measure the surface temperature and thus heat flux of an epoxy skin phantom during CSC. Using the heat flux as a boundary condition, PWS laser therapy was simulated with finite element heat diffusion and Monte Carlo light distribution models. Researchers calculated epidermal and PWS blood vessel thermal damage with an Arrhenius-type kinetic model. Experimental results show that the skin phantom surface can be cooled to a similar minimum temperature regardless of the initial temperature. Numerical simulation indicated that upon laser irradiation, the epidermal temperature increase is unaffected by preheating, while higher PWS blood vessel temperatures can be achieved.
Researchers concluded that when treating PWS birth marks, preheating the skin prior to CSC can help maintain epidermal cooling while increasing PWS blood vessel temperature before laser irradiation. PWS patients may benefit from skin preheating prior to CSC, depending on PWS vessel diameter and depth.
Source: Lasers Surg. Med. 38:155-12, 2006. Wiley-Liss, Inc.
An Alternative to Brow Lifting
Using RF to treat eyelids.
During the annual meeting of the American Society for Laser Medicine and Surgery (ASLMS) in Boston, earlier this year, Brian S. Biesman, M.D., Assistant Clinical Professor with appointments in Ophthalmology, Otolaryngology and Dermatology at Vanderbilt University Medical Center in Nashville, TN, presented results of using a “shallow” treatment tip to safely deliver monopolar radiofrequency energy (Thermage, Hayward, CA) to treat the delicate skin of the eyelids.
Monopolar radiofrequency technology heats the skin in a very precise, controlled manner that causes the collagen structures below the surface to contract and tighten the skin at the surface. The heat generated from the treatment also stimulates the production of new collagen, a process that has been shown to produce a progressive improvement in skin laxity for up to 6 months.
In the multi-center clinical trial, Dr. Biesman and researchers tested the safety and efficacy of a newly designed tip that delivered energy in a more shallow manner to the eyelids, which is the thinnest skin on the body. A total of 72 patients, ranging in age from 23 to 58 years, were treated with the new treatment tip for sagging and drooping eyelids.
Patients were assessed at a 6-month follow-up after one treatment, and researchers observed a reduction in upper eyelid hooding and skin tightening in 86% and 88% of the patients, respectively, according to Dr. Biesman. Lower eyelid tightening was noted in 83% of patients.
