Combined use of fractional co2 laser and collagenase diadynamophoresis in correction of contour plastic surgery complications

Background. One of the most frequent complications of aesthetic correction methods is the problem of contouring, visualization, or local tightening of the skin at the sites of administration of the agent based on calcium hydroxyapatite, which occurs in violation of the injection technique. Aim: to study the efficiency of the combined method including a course of diadynamophoresis of collagenase 1000 KE (collagenase units) and a fractional CO2 laser procedure in correction of a surface-injected preparation in late terms. Methods. Clinical and instrumental examination of 24 women (average age 38.2 3.5 years) was conducted. All patients complained of complications after the contour plastic surgery procedure using a preparation based on calcium hydroxyapatite, in the form of contouring of the preparation and superficial skin tightening on the face at the filler injection site. Results. When comparing the control, main and reference groups, it was revealed that the combined use of collalysin diadynamophoresis and fractional CO2 laser at low parameters improves significantly the quality of life in terms of the adapted dermatological index. Clinical improvement was registered in all groups, but it was most significant in the main one, which correlated with the data of ultrasound examination with a 33 MHz sensor. In the main group, faster biodegradation was noted, and the volume of the surface-injected filler decreased 2.5 times after 1 month and 6 times after 2 months. Conclusion. The combined use of collalysin diadynamophoresis and a fractional CO2 laser is an effective complex for the correction of complications after contour plastic surgery of fillers based on calcium hydroxyapatite.

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Skin Tightening With Hyperdilute CaHA: Dilution Practices and Practical Guidance for Clinical Practice

Aesthetic Surgery Journal ◽

10.1093/asj/sjab269 ◽

2021 ◽

Author(s):

Z Paul Lorenc ◽

Jeanette M Black ◽

Jessie S Cheung ◽

Annie Chiu ◽

Roberta Del Campo ◽

...

Keyword(s):

Clinical Practice ◽

The United States ◽

Tissue Response ◽

Injection Technique ◽

Skin Tightening ◽

Filler Injection ◽

Medical Education Program ◽

The Face ◽

Practical Guidance ◽

Lymphocytic Infiltrates

Abstract Background Over the past several years, hyperdilute calcium hydroxylapatite (CaHA) has emerged as an effective modality for improving skin quality and managing laxity in the face, arms, hands, neck, décolletage, upper arms, abdomen, buttocks, and upper legs, as well as treating cellulite and striae. While undiluted CaHA is used to provide volume, hyperdilute CaHA is distributed across a much larger surface area in a more superficial plane to stimulate neocollagenesis and elastin formation over time. The absence of lymphocytic infiltrates and predominance of type 1 collagen in the tissue response to CaHA make hyperdilute CaHA a valuable tool for nonsurgical skin tightening. Objectives Provide practical step-by-step guidance on patient selection, dilution practices, and optimal injection technique to facilitate incorporation of the technique into clinical practice. Methods Over the course of 3 regional meetings in the United States, 12 expert physician injectors participated in live webinars as part of a continuing medical education program. Results The practical guidance in this manuscript is based upon the most frequently requested information by audience members and the information considered critical for success by the authors. Conclusions The minimally invasive nature of filler injection results in little down time, making this treatment particularly appealing. The recommendations presented are consistent with previously published consensus guidelines on hyperdilute CaHA but are intended to serve as “how-to” guidance from experience of expert injectors who have successfully treated the face and body.

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Split face comparative study of microneedling with platelet rich plasma versus Fractional carbon dioxide laser with platelet rich plasma in treatment of atrophic post acne scars

QJM ◽

10.1093/qjmed/hcab093.001 ◽

2021 ◽

Vol 114 (Supplement_1) ◽

Author(s):

Mohamed Abd Elnaeem Sallam ◽

Khaled El Zawahry ◽

Abdul Rahman Muhammed Ali Mustafa

Keyword(s):

Carbon Dioxide ◽

Co2 Laser ◽

Carbon Dioxide Laser ◽

Platelet Rich Plasma ◽

Fractional Co2 Laser ◽

Acne Scars ◽

Significant Difference ◽

Before And After ◽

The Face ◽

Fractional Carbon Dioxide Laser

Abstract Background Acne scars, is a challenge for dermatologists, despite having multiple treatment modalities like microneedling, dermabrasion, Fractional CO2 Laser, dermal fillers, etc. However, monotherapy has been hardly satisfactory because of the polymorphism seen with the scars. Objective Comparison between microneedling with platelet rich plasma versus Fractional carbon dioxide laser with platelet rich plasma in treatment of atrophic post acne scars. Patients and methods This study was carried out in department of dermatology, venereology and andrology, in Kobry El-Kobba Military complex during the period (from September 2018 to July 2020 ) on 20 patients of both sexes aged from 20 to 60 years old presenting with Goodman and Baron Grade II, III, IV acne scars . Results The study revealed a statistically significant difference (p = 0.017) between Goodman and Baron scar grades on the right side of the face before and after treatment indicating that microneedling with platelet rich plasma was effective in improving acne scars. Also, there is a statistically significant difference (p = 0.010) between Goodman and Baron scar grades on the left side of the face before and after treatment, indicating that fractional CO2 laser with platelet rich plasma was effective in improving acne scars. Conclusion and recommendation Further controlled and randomized studies are needed to validate our findings in a larger cohort of patients and longer follow up. Also, number of sessions might be more than 3 sessions.

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Safety and Efficacy of Combining Microfocused Ultrasound With Fractional CO2 Laser Resurfacing for Lifting and Tightening the Face and Neck

Dermatologic Surgery ◽

10.1097/dss.0000000000000228 ◽

2014 ◽

Vol 40 ◽

pp. S190-S193 ◽

Cited By ~ 20

Author(s):

Julie A. Woodward ◽

Sabrina G. Fabi ◽

Tina Alster ◽

Betsy Colón-Acevedo

Keyword(s):

Co2 Laser ◽

Laser Resurfacing ◽

Safety And Efficacy ◽

Fractional Co2 Laser ◽

The Face

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Skin tightening induced by fractional CO2 laser treatment: Quantified assessment of variations in mechanical properties of the skin

Journal of Cosmetic Dermatology ◽

10.1111/j.1473-2165.2012.00627.x ◽

2012 ◽

Vol 11 (3) ◽

pp. 201-206 ◽

Cited By ~ 11

Author(s):

Michael Naouri ◽

Michael Atlan ◽

Elodie Perrodeau ◽

Gabriela Georgesco ◽

Randa Khallouf ◽

...

Keyword(s):

Mechanical Properties ◽

Laser Treatment ◽

Co2 Laser ◽

Skin Tightening ◽

Fractional Co2 Laser ◽

Co2 Laser Treatment

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Prevention and Management of Filler Induced Iatrogenic Stroke of the Eye

Journal of Cutaneous Medicine and Surgery ◽

10.1177/1203475421999340 ◽

2021 ◽

pp. 120347542199934

Author(s):

John P. Arlette ◽

Michael Ashenhurst ◽

Vivian Hill ◽

Kailun Jiang

Keyword(s):

Hyaluronic Acid ◽

Patient Characteristics ◽

Injection Technique ◽

Sudden Loss ◽

Filler Injection ◽

The Past ◽

Facial Esthetics ◽

The Face ◽

Ophthalmologic Examination ◽

Retinal Artery

In the past few decades, minimally-invasive esthetic treatments and the use of injectable Hyaluronic Acid Gels and other filling agents to treat facial esthetics have increased dramatically. Although extremely rare, a filler can cause ocular and orbital ischemia by retrograde flow from the ophthalmic artery when injected in any of the anastomosis of the face. Once filler reaches the central retinal artery, blindness is inevitable, and no treatment is effective. While the risk of blindness happening with any filler injection is rare, the life-altering irreversible consequence of a procedure that was anticipated to be simple and beautifying is a reality that each injector must be prepared for with every injection. The parameters associated with an iatrogenic stroke of the eye are the site of injection, the injection technique, patient characteristics, and the material injected. Understanding the interplay of each of these variables might help us reduce the possibility of blindness during the injection of a soft-tissue cosmetic filler. Here, we explore the causes of Hyaluronic Acid Gels Filler embolic phenomena, review the natural course of the process, and discuss appropriate immediate interventions. We also (1) propose an education plan for injectors and describe how to carry out a focused ophthalmologic examination and procedural activities for a referral to an ophthalmologist, (2) outline steps to prevent emboli during filler injection, and (3) how to manage and support a patient with a sudden loss of vision during or immediately after a Hyaluronic Acid Gels filler treatment.

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THE EFFICACY OF FRACTIONAL CO2 LASER WHEN COMBINED WITH PLATELET-RICH FIBRIN MEMBRANE FOR FACIAL REJUVENATION

10.36106/ijsr/2535923 ◽

2021 ◽

pp. 1-3

Author(s):

Vasim F Chauhan ◽

Krina B Patel ◽

Nitin S Vora

Keyword(s):

Co2 Laser ◽

Topical Application ◽

Autologous Blood ◽

Facial Rejuvenation ◽

Efficacy And Safety ◽

Platelet Rich Fibrin ◽

Fractional Co2 Laser ◽

Combined Use ◽

Aesthetic Procedures ◽

Fibrin Membrane

Background: Facial rejuvenation is different from other aesthetic procedures in that it directly restores a younger appearance in patients. Demand for a youthful and attractive appearance has increased recently and mass media have promoted the desire for beauty. Fractional-CO2 laser one of the most utilised modality for this purpose nowadays but there are few drawbacks of this method which can be reduced and efficacy can be increased by the addition of autologous blood components. Objectives: We evaluated the synergistic efficacy and safety of combined use of fractional-CO2 laser and topical application platelet-rich fibrin membrane for facial rejuvenation. Methodology: Total of 12 patients (M:5, F:7) was included in the study. All patients were treated once with fractional-CO2 laser followed by topical application of platelet-rich fibrin membrane application over face for 30 minutes. Patients were evaluated at baseline, one, four, and eight weeks after the session. Result: PRF when applied after fractional-CO2 laser showed additive effects on facial rejuvenation with lesser downtime.

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