Energy-based facial rejuvenation advances in diagnosis and treatment

Christopher J. Britt, Benjamin Marcus

Research output: Contribution to journalReview article

Abstract

IMPORTANCE The market for nonsurgical, energy-based facial rejuvenation techniques has increased exponentially since lasers were first used for skin rejuvenation in 1983. Advances in this area have led to a wide range of products that require the modern facial plastic surgeon to have a large repertoire of knowledge. OBJECTIVE To serve as a guide for current trends in the development of technology, applications, and outcomes of laser and laser-related technology over the past 5 years. EVIDENCE REVIEW We performed a review of PubMed from January 1, 2011, to March 1, 2016, and focused on randomized clinical trials, meta-analyses, systematic reviews, and clinical practice guidelines including case control, case studies and case reports when necessary, and included 14 articles we deemed landmark articles before 2011. FINDINGS Three broad categories of technology are leading non-energy-based rejuvenation technology: lasers, light therapy, and non-laser-based thermal tightening devices. Laser light therapy has continued to diversify with the use of ablative and nonablative resurfacing technologies, fractionated lasers, and their combined use. Light therapy has developed for use in combination with other technologies or stand alone. Finally, thermally based nonlaser skin-tightening devices, such as radiofrequency (RF) and intense focused ultrasonography (IFUS), are evolving technologies that have changed rapidly over the past 5 years. CONCLUSIONSANDRELEVANCE Improvements in safety and efficacy for energy-based treatment have expanded the patient base considering these therapies viable options. With a wide variety of options, the modern facial plastic surgeon can have a frank discussion with the patient regarding nonsurgical techniques thatwere never before available.Many of these patients can nowderive benefit from treatments requiring significantly less downtime than before while the clinician can augment the treatment to maximize benefit to fit the patient's time schedule.

Original languageEnglish (US)
Pages (from-to)64-71
Number of pages8
JournalJAMA Facial Plastic Surgery
Volume19
Issue number1
DOIs
StatePublished - Jan 1 2017
Externally publishedYes

Fingerprint

Rejuvenation
Technology
Phototherapy
Lasers
Laser Therapy
Therapeutics
Equipment and Supplies
Skin
Practice Guidelines
PubMed
Meta-Analysis
Case-Control Studies
Ultrasonography
Appointments and Schedules
Randomized Controlled Trials
Hot Temperature
Safety

ASJC Scopus subject areas

  • Surgery

Cite this

Energy-based facial rejuvenation advances in diagnosis and treatment. / Britt, Christopher J.; Marcus, Benjamin.

In: JAMA Facial Plastic Surgery, Vol. 19, No. 1, 01.01.2017, p. 64-71.

Research output: Contribution to journalReview article

Britt, Christopher J. ; Marcus, Benjamin. / Energy-based facial rejuvenation advances in diagnosis and treatment. In: JAMA Facial Plastic Surgery. 2017 ; Vol. 19, No. 1. pp. 64-71.
@article{1e0690312bc74d76bae633c6b63111c5,
title = "Energy-based facial rejuvenation advances in diagnosis and treatment",
abstract = "IMPORTANCE The market for nonsurgical, energy-based facial rejuvenation techniques has increased exponentially since lasers were first used for skin rejuvenation in 1983. Advances in this area have led to a wide range of products that require the modern facial plastic surgeon to have a large repertoire of knowledge. OBJECTIVE To serve as a guide for current trends in the development of technology, applications, and outcomes of laser and laser-related technology over the past 5 years. EVIDENCE REVIEW We performed a review of PubMed from January 1, 2011, to March 1, 2016, and focused on randomized clinical trials, meta-analyses, systematic reviews, and clinical practice guidelines including case control, case studies and case reports when necessary, and included 14 articles we deemed landmark articles before 2011. FINDINGS Three broad categories of technology are leading non-energy-based rejuvenation technology: lasers, light therapy, and non-laser-based thermal tightening devices. Laser light therapy has continued to diversify with the use of ablative and nonablative resurfacing technologies, fractionated lasers, and their combined use. Light therapy has developed for use in combination with other technologies or stand alone. Finally, thermally based nonlaser skin-tightening devices, such as radiofrequency (RF) and intense focused ultrasonography (IFUS), are evolving technologies that have changed rapidly over the past 5 years. CONCLUSIONSANDRELEVANCE Improvements in safety and efficacy for energy-based treatment have expanded the patient base considering these therapies viable options. With a wide variety of options, the modern facial plastic surgeon can have a frank discussion with the patient regarding nonsurgical techniques thatwere never before available.Many of these patients can nowderive benefit from treatments requiring significantly less downtime than before while the clinician can augment the treatment to maximize benefit to fit the patient's time schedule.",
author = "Britt, {Christopher J.} and Benjamin Marcus",
year = "2017",
month = "1",
day = "1",
doi = "10.1001/jamafacial.2016.1435",
language = "English (US)",
volume = "19",
pages = "64--71",
journal = "JAMA Facial Plastic Surgery",
issn = "2168-6076",
publisher = "American Medical Association",
number = "1",

}

TY - JOUR

T1 - Energy-based facial rejuvenation advances in diagnosis and treatment

AU - Britt, Christopher J.

AU - Marcus, Benjamin

PY - 2017/1/1

Y1 - 2017/1/1

N2 - IMPORTANCE The market for nonsurgical, energy-based facial rejuvenation techniques has increased exponentially since lasers were first used for skin rejuvenation in 1983. Advances in this area have led to a wide range of products that require the modern facial plastic surgeon to have a large repertoire of knowledge. OBJECTIVE To serve as a guide for current trends in the development of technology, applications, and outcomes of laser and laser-related technology over the past 5 years. EVIDENCE REVIEW We performed a review of PubMed from January 1, 2011, to March 1, 2016, and focused on randomized clinical trials, meta-analyses, systematic reviews, and clinical practice guidelines including case control, case studies and case reports when necessary, and included 14 articles we deemed landmark articles before 2011. FINDINGS Three broad categories of technology are leading non-energy-based rejuvenation technology: lasers, light therapy, and non-laser-based thermal tightening devices. Laser light therapy has continued to diversify with the use of ablative and nonablative resurfacing technologies, fractionated lasers, and their combined use. Light therapy has developed for use in combination with other technologies or stand alone. Finally, thermally based nonlaser skin-tightening devices, such as radiofrequency (RF) and intense focused ultrasonography (IFUS), are evolving technologies that have changed rapidly over the past 5 years. CONCLUSIONSANDRELEVANCE Improvements in safety and efficacy for energy-based treatment have expanded the patient base considering these therapies viable options. With a wide variety of options, the modern facial plastic surgeon can have a frank discussion with the patient regarding nonsurgical techniques thatwere never before available.Many of these patients can nowderive benefit from treatments requiring significantly less downtime than before while the clinician can augment the treatment to maximize benefit to fit the patient's time schedule.

AB - IMPORTANCE The market for nonsurgical, energy-based facial rejuvenation techniques has increased exponentially since lasers were first used for skin rejuvenation in 1983. Advances in this area have led to a wide range of products that require the modern facial plastic surgeon to have a large repertoire of knowledge. OBJECTIVE To serve as a guide for current trends in the development of technology, applications, and outcomes of laser and laser-related technology over the past 5 years. EVIDENCE REVIEW We performed a review of PubMed from January 1, 2011, to March 1, 2016, and focused on randomized clinical trials, meta-analyses, systematic reviews, and clinical practice guidelines including case control, case studies and case reports when necessary, and included 14 articles we deemed landmark articles before 2011. FINDINGS Three broad categories of technology are leading non-energy-based rejuvenation technology: lasers, light therapy, and non-laser-based thermal tightening devices. Laser light therapy has continued to diversify with the use of ablative and nonablative resurfacing technologies, fractionated lasers, and their combined use. Light therapy has developed for use in combination with other technologies or stand alone. Finally, thermally based nonlaser skin-tightening devices, such as radiofrequency (RF) and intense focused ultrasonography (IFUS), are evolving technologies that have changed rapidly over the past 5 years. CONCLUSIONSANDRELEVANCE Improvements in safety and efficacy for energy-based treatment have expanded the patient base considering these therapies viable options. With a wide variety of options, the modern facial plastic surgeon can have a frank discussion with the patient regarding nonsurgical techniques thatwere never before available.Many of these patients can nowderive benefit from treatments requiring significantly less downtime than before while the clinician can augment the treatment to maximize benefit to fit the patient's time schedule.

UR - http://www.scopus.com/inward/record.url?scp=85012932362&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85012932362&partnerID=8YFLogxK

U2 - 10.1001/jamafacial.2016.1435

DO - 10.1001/jamafacial.2016.1435

M3 - Review article

C2 - 27918772

AN - SCOPUS:85012932362

VL - 19

SP - 64

EP - 71

JO - JAMA Facial Plastic Surgery

JF - JAMA Facial Plastic Surgery

SN - 2168-6076

IS - 1

ER -