PDF herunterladen
Lin, Samuel J. et al.: 2024 Neck Rejuvenation DOI: 10.1055/b-0044-201793

13 Neck Rejuvenation: Noninvasive Techniques

Weitere Informationen

Buch

Herausgeber: Lin, Samuel J.; Slavin, Sumner A.; Tandon, Vickram J.

Autoren: Angelini, Matteo A.; Cunha Araujo, Marcelo; Barrios, Esther; Bellamy, Justin; Boustany, Ashley N.; Chia, Christopher T.; Citarella, Enzo R.; Condé-Green, Alexandra; Couto, Rafael A.; Dayan, Erez; Dover, Jeffrey S.; Ebersole, Trina G.; Foppiani, Jose A.; Gould, Daniel J.; Grover, Ritwik; Grow, Jacob N.; Janne Hasbun, Samir; Hogan, Sara R.; Hurwitz, Dennis J.; Kaminer, Michael S.; Kaminer, Michael S.; Kochuba, Andrew L.; Maia, Munique; Matarasso, Alan; Nassar, Amer H.; Nicholas, Mathew N.; Piña, Jeremie O.; Pelle-Ceravolo, Mario; Rodriguez-Unda, Nelson A.; Rohrich, Rod J.; Sinder, Ramil; Sterodimas, Aris; Talei, Benjamin; Ziai, Hedyeh; Zins, James E.

Titel: Neck Rejuvenation

Untertitel: Surgical and Nonsurgical Techniques

Print ISBN: 9781626239630; Online ISBN: 9781684202850; Buch-DOI: 10.1055/b000000386

1. Edition © 2024. Thieme. All rights reserved.
Thieme Medical Publishers, Inc., New York

Fachgebiete: Plastische, Rekonstruktive & Kosmetische Chirurgie

Thieme Clinical Collections (English Language)



 
Mathew N. Nicholas, Sara R. Hogan, Michael S. Kaminer, and Jeffrey S. Dover

Abstract

Noninvasive neck rejuvenation treatments can make significant differences for patients and have less recovery time and less risk of adverse effects when compared to surgical approaches. The choice of which noninvasive treatment to use requires identifying individual patient concerns. Patient concerns can be divided into five distinct categories: (1) dyschromia, (2) horizontal necklines, (3) platysmal banding, (4) skin laxity, and (5) submental fullness. Dyschromia is largely caused by ultraviolet radiation exposure. It can be targeted with cosmeceuticals, chemical peels, intense pulsed light, and various nonablative lasers. Horizontal necklines are caused by a combination of skin laxity, underlying fascial attachments, and downward pull of the platysma. Neuromodulators, fillers, and laser and energy-based devices can work in combination to target these causes. Platysmal banding results from the chronic contraction of the platysma muscle in the setting of increasing skin laxity. Neuromodulators are the primary noninvasive treatment; however, multiple different techniques in using them have been described. Skin laxity can be mild, resulting in rhytids and wrinkling, or severe, creating jowls and submental sagging. Fillers and energy-based devices, including microfocused ultrasound with visualization, monopolar capacitive-coupled radiofrequency, and radiofrequency microneedling target more severe laxity, while chemical peels, dermarolling or microneedling without radiofrequency, and platelet-rich plasma can target more mild laxity. Submental fullness is a common patient concern and more resistant to improvement through exercise and diet. Deoxycholic acid injections, cryolipolysis, energy-based devices, and laser lipolysis all work by decreasing subcutaneous fat with different mechanisms of action. In this age of numerous noninvasive techniques, a combination of techniques is used to target different patient concerns and optimize outcomes. In this chapter, we describe currently available noninvasive techniques and illustrate our approach to tailored treatments for an individual patient.

Schlüsselwörter

neuromodulators - lasers - energy-based devices - fillers - deoxycholic acid - cryolipolysis
 
  • 1 American Society for Dermatologic Surgery. ASDS Survey on Dermatologic Procedures. Accessed February 5, 2020 at: https://www.asds.net/medical-professionals/practice-resources/asds-survey-on-dermatologic-procedures
  • 4 Flament F, Bazin R, Laquieze S, Rubert V, Simonpietri E, Piot B. Effect of the sun on visible clinical signs of aging in Caucasian skin.. Clin Cosmet Investig Dermatol 2013; 6: 221-232 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 8 Kenkel JM, Jones DH, Fagien S et al. Anatomy of the cervicomental region: insights from an anatomy laboratory and roundtable discussion.. Dermatol Surg 2016; 42 (Suppl. Suppl 1) S282-S287 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 9 Kligman A. The future of cosmeceuticals: an interview with Albert Kligman, MD, PhD. Interview by Zoe Diana Draelos.. Dermatol Surg 2005; 31 (7, Pt 2) 890-891 PubMed
    PubMedSuche in Google Scholar
  • 11 Boen M, Alhaddad M, Wu DC, Goldman MP. A prospective double-blind, placebo-controlled clinical trial evaluating the efficacy of a novel combination of hyaluronic acid serum and antioxidant cream for rejuvenation of the aging neck.. J Clin Aesthet Dermatol 2020; 13 (11) 13-18 PubMed
    PubMedSuche in Google Scholar
  • 13 Schlessinger J, Green B, Edison BL, Murphy L, Sabherwal Y. A firming neck cream containing N-acetyl glucosamine significantly improves signs of aging on the challenging neck and décolletage.. J Drugs Dermatol 2016; 15 (1) 47-52 PubMed
    PubMedSuche in Google Scholar
  • 14 Chajchir I, Modi P, Chajchir A. Novel topical BoNTA (CosmeTox, toxin type A) cream used to treat hyperfunctional wrinkles of the face, mouth, and neck.. Aesthetic Plast Surg 2008; 32 (5) 715-722, discussion 723 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 17 Rendon MI, Berson DS, Cohen JL, Roberts WE, Starker I, Wang B. Evidence and considerations in the application of chemical peels in skin disorders and aesthetic resurfacing.. J Clin Aesthet Dermatol 2010; 3 (7) 32-43 PubMed
    PubMedSuche in Google Scholar
  • 18 Rusciani A, Motta A, Fino P, Menichini G. Treatment of poikiloderma of Civatte using intense pulsed light source: 7 years of experience.. Dermatol Surg 2008; 34 (3) 314-319, discussion 319 PubMed
    PubMedSuche in Google Scholar
  • 20 Bernstein EF, Schomacker K, Paranjape A, Jones CJ. Treatment of poikiloderma of Civatte using a redesigned pulsed dye laser with a 15 mm diameter treatment spot.. Lasers Surg Med 2019; 51 (1) 54-58 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 21 Batta K, Hindson C, Cotterill JA, Foulds IS. Treatment of poikiloderma of Civatte with the potassium titanyl phosphate (KTP) laser.. Br J Dermatol 1999; 140 (6) 1191-1192 PubMed
    PubMedSuche in Google Scholar
  • 22 Behroozan DS, Goldberg LH, Glaich AS, Dai T, Friedman PM. Fractional photothermolysis for treatment of poikiloderma of civatte.. Dermatol Surg 2006; 32 (2) 298-301 PubMed
    PubMedSuche in Google Scholar
  • 23 Bencini PL, Tourlaki A, Galimberti M, Pellacani G. Non-ablative fractionated laser skin resurfacing for the treatment of aged neck skin.. J Dermatolog Treat 2015; 26 (3) 252-256 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 24 Luebberding S, Alexiades-Armenakas MR. Fractional, nonablative Q-switched 1,064-nm neodymium YAG laser to rejuvenate photoaged skin: a pilot case series.. J Drugs Dermatol 2012; 11 (11) 1300-1304 PubMed
    PubMedSuche in Google Scholar
  • 25 Jones D, Carruthers A, Hardas B et al. Development and validation of a photonumeric scale for evaluation of transverse neck lines.. Dermatol Surg 2016; 42 (Suppl. Suppl 1) S235-S242 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 26 Lee JH, Park YG, Park ES. A prospective observational study of the effectiveness and safety of botulinum toxin in the horizontal neck lines.. Aesthetic Plast Surg 2018; 42 (5) 1370-1378 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 27 Jeon H, Kim T, Kim H, Cho SB. Multimodal approach for treating horizontal neck wrinkles using intensity focused ultrasound, cohesive polydensified matrix hyaluronic acid, and incobotulinumtoxinA.. Dermatol Surg 2018; 44 (3) 421-431 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 29 Casabona G, Nogueira Teixeira D. Microfocused ultrasound in combination with diluted calcium hydroxylapatite for improving skin laxity and the appearance of lines in the neck and décolletage.. J Cosmet Dermatol 2018; 17 (1) 66-72 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 32 Minokadeh A, Black JM, Jones DH. Effacement of transverse neck lines with VYC-15 L and cohesive polydensified matrix hyaluronic acid.. Dermatol Surg 2018; 44 (Suppl. Suppl 1) S53-S56 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 38 Ascher B, Talarico S, Cassuto D et al. International consensus recommendations on the aesthetic usage of botulinum toxin type A (Speywood unit)—part II: wrinkles on the middle and lower face, neck and chest.. J Eur Acad Dermatol Venereol 2010; 24 (11) 1285-1295 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 39 Chen DL, Cohen JL. Botulinum toxin: a chemical denervation for platysmal bands: maximal dosing considerations.. J Drugs Dermatol 2015; 14 (9) 931 PubMed
    PubMedSuche in Google Scholar
  • 40 Sugrue CM, Kelly JL, McInerney N. Botulinum toxin treatment for mild to moderate platysma bands: a systematic review of efficacy, safety, and injection technique.. Aesthet Surg J 2019; 39 (2) 201-206 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 43 Awaida CJ, Jabbour SF, Rayess YA, El Khoury JS, Kechichian EG, Nasr MW. Evaluation of the microbotox technique: an algorithmic approach for lower face and neck rejuvenation and a crossover clinical trial.. Plast Reconstr Surg 2018; 142 (3) 640-649 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 45 Alhaddad M, Wu DC, Bolton J et al. A randomized, split-face, evaluator-blind clinical trial comparing monopolar radiofrequency versus microfocused ultrasound with visualization for lifting and tightening of the face and upper neck.. Dermatol Surg 2019; 45 (1) 131-139 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 46 Yutskovskaya YA, Kogan EA. Improved neocollagenesis and skin mechanical properties after injection of diluted calcium hydroxylapatite in the neck and décolletage: a pilot study.. J Drugs Dermatol 2017; 16 (1) 68-74 PubMed
    PubMedSuche in Google Scholar
  • 47 de Almeida AT, Figueredo V, da Cunha ALG et al. Consensus recommendations for the use of hyperdiluted calcium hydroxyapatite (Radiesse) as a face and body biostimulatory agent.. Plast Reconstr Surg Glob Open 2019; 7 (3) e2160-e2160 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 49 Carruthers J, Fabi S, Weiss R. Monopolar radiofrequency for skin tightening: our experience and a review of the literature.. Dermatol Surg 2014; 40 (Suppl. Suppl 12) S168-S173 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 50 Alster TS, Tanzi E. Improvement of neck and cheek laxity with a nonablative radiofrequency device: a lifting experience.. Dermatol Surg 2004; 30 (4, Pt 1) 503-507, discussion 507 PubMed
    PubMedSuche in Google Scholar
  • 52 Kerscher M, Nurrisyanti AT, Eiben-Nielson C, Hartmann S, Lambert-Baumann J. Skin physiology and safety of microfocused ultrasound with visualization for improving skin laxity.. Clin Cosmet Investig Dermatol 2019; 12: 71-79 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 53 Kerscher M, Nurrisyanti AT, Eiben-Nielson C, Hartmann S, Lambert-Baumann J. Clinical and biophysical outcomes of combining microfocused ultrasound with visualization and calcium hydroxylapatite filler for facial treatment.. Dermatol Ther (Heidelb) 2019; 9 (1) 135-142 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 55 Werschler WP, Werschler PS. Long-term efficacy of micro-focused ultrasound with visualization for lifting and tightening lax facial and neck skin using a customized vectoring treatment method.. J Clin Aesthet Dermatol 2016; 9 (2) 27-33 PubMed
    PubMedSuche in Google Scholar
  • 56 Oni G, Hoxworth R, Teotia S, Brown S, Kenkel JM. Evaluation of a microfocused ultrasound system for improving skin laxity and tightening in the lower face.. Aesthet Surg J 2014; 34 (7) 1099-1110 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 57 Fabi SG, Joseph J, Sevi J, Green JB, Peterson JD. Optimizing patient outcomes by customizing treatment with microfocused ultrasound with visualization: gold standard consensus guidelines from an expert panel.. J Drugs Dermatol 2019; 18 (5) 426-432 PubMed
    PubMedSuche in Google Scholar
  • 59 Alessa D, Bloom JD. Microneedling options for skin rejuvenation, including non-temperature-controlled fractional microneedle radiofrequency treatments.. Facial Plast Surg Clin North Am 2020; 28 (1) 1-7 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 61 Serdar ZA, Tatlıparmak A. Comparison of efficacy and safety of fractional radiofrequency and fractional Er:YAG laser in facial and neck wrinkles: six-year experience with 333 patients.. Dermatol Ther 2019; 32 (5) e13054 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 62 Alexiades M, Berube D. Randomized, blinded, 3-arm clinical trial assessing optimal temperature and duration for treatment with minimally invasive fractional radiofrequency.. Dermatol Surg 2015; 41 (5) 623-632 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 63 Redaelli A, Romano D, Marcianó A. Face and neck revitalization with platelet-rich plasma (PRP): clinical outcome in a series of 23 consecutively treated patients.. J Drugs Dermatol 2010; 9 (5) 466-472 PubMed
    PubMedSuche in Google Scholar
  • 65 American Society for Dermatologic Surgery. ASDS Consumer Survey on Cosmetic Dermatologic Procedures. 2019. Accessed April 16, 2020 at: https://www.asds.net/Medical-Professionals/Practice-Resources/ASDS-Consumer-Survey-on-Cosmetic-Dermatologic-Procedures
  • 66 Jones DH, Kenkel JM, Fagien S et al. Proper technique for administration of ATX-101 (deoxycholic acid injection): insights from an injection practicum and roundtable discussion.. Dermatol Surg 2016; 42 (Suppl. Suppl 1) S275-S281 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 68 Hogan S, Kandula P, Callagan DJ, Dover JS. Submental fat contouring: a comparison of deoxycholic acid, cryolipolysis, and liposuction. In: Branham GH, Dover JS, Furnas HJ, Tenenbaum MMJ, Wulc AE, eds. Advances in Cosmetic Surgery. Vol. 2. Philadelphia, PA: Elsevier Health Sciences; 2019:75–87
  • 69 Rzany B, Griffiths T, Walker P, Lippert S, McDiarmid J, Havlickova B. Reduction of unwanted submental fat with ATX-101 (deoxycholic acid), an adipocytolytic injectable treatment: results from a phase III, randomized, placebo-controlled study.. Br J Dermatol 2014; 170 (2) 445-453 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 71 Jones DH, Carruthers J, Joseph JH et al. REFINE-1, a multicenter, randomized, double-blind, placebo-controlled, phase 3 trial with ATX-101, an injectable drug for submental fat reduction.. Dermatol Surg 2016; 42 (1) 38-49 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 72 Dayan SH, Schlessinger J, Beer K et al. Efficacy and safety of ATX-101 by treatment session: pooled analysis of data from the phase 3 REFINE trials.. Aesthet Surg J 2018; 38 (9) 998-1010 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 73 Behr K, Kavali CM, Munavalli G et al. ATX-101 (deoxycholic acid injection) leads to clinically meaningful improvement in submental fat: final data from CONTOUR.. Dermatol Surg 2020; 46 (5) 639-645 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 74 Shridharani SM. Real-world experience with 100 consecutive patients undergoing neck contouring with ATX-101 (deoxycholic acid): an updated report with a 2-year analysis.. Dermatol Surg 2019; 45 (10) 1285-1293 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 75 Shridharani SM. Early experience in 100 consecutive patients with injection adipocytolysis for neck contouring with ATX-101 (deoxycholic acid).. Dermatol Surg 2017; 43 (7) 950-958 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 76 Beer K, Weinkle SH, Cox SE, Rubin MG, Shamban A, Somogyif C. ATX-101 (deoxycholic acid injection) for reduction of submental fat: results from a 12-month open-label study.. J Drugs Dermatol 2019; 18 (9) 870-877 PubMed
    PubMedSuche in Google Scholar
  • 77 Glogau RG, Glaser DA, Callender VD et al. A double-blind, placebo-controlled, phase 3b study of ATX-101 for reduction of mild or extreme submental fat.. Dermatol Surg 2019; 45 (12) 1531-1541 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 78 Shome D, Khare S, Kapoor R. The use of deoxycholic acid for the clinical reduction of excess submental fat in Indian patients.. J Drugs Dermatol 2019; 18 (3) 266-272 PubMed
    PubMedSuche in Google Scholar
  • 80 Bernstein EF, Bloom JD. Safety and efficacy of bilateral submental cryolipolysis with quantified 3-dimensional imaging of fat reduction and skin tightening.. JAMA Facial Plast Surg 2017; 19 (5) 350-357 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 82 de Gusmão PR, Canella C, de Gusmão BR, Filippo AA, Filippo GR. Cryolipolysis for local fat reduction in adults from Brazil: a single-arm intervention study.. J Cosmet Dermatol 2020; 19 (11) 2898-2905 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 84 Leal Silva H, Carmona Hernandez E, Grijalva Vazquez M, Leal Delgado S, Perez Blanco A. Noninvasive submental fat reduction using colder cryolipolysis.. J Cosmet Dermatol 2017; 16 (4) 460-465 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 86 Gregory A, Humphrey S, Varas G, Zachary C, Carruthers J. Atypical pain developing subsequent to cryolipolysis for noninvasive reduction of submental fat.. Dermatol Surg 2019; 45 (3) 487-489 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 88 Leclère FM, Vogt PM, Moreno-Moraga J et al. Laser-assisted lipolysis for neck and submental remodeling in Rohrich type IV patients: fact or fiction?. J Cosmet Laser Ther 2015; 17 (1) 31-36 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 89 Leclère FM, Moreno-Moraga J, Alcolea JM et al. Laser assisted lipolysis for neck and submental remodeling in Rohrich type I to III aging neck: a prospective study in 30 patients.. J Cosmet Laser Ther 2014; 16 (6) 284-289 PubMed
    CrossrefPubMedSuche in Google Scholar
  • 90 Sarnoff DS. Evaluation of the safety and efficacy of a novel 1440 nm Nd:YAG laser for neck contouring and skin tightening without liposuction.. J Drugs Dermatol 2013; 12 (12) 1382-1388 PubMed
    PubMedSuche in Google Scholar
  • 91 Valizadeh N, Jalaly NY, Zarghampour M, Barikbin B, Haghighatkhah HR. Evaluation of safety and efficacy of 980-nm diode laser-assisted lipolysis versus traditional liposuction for submental rejuvenation: a randomized clinical trial.. J Cosmet Laser Ther 2016; 18 (1) 41-45 PubMed
    PubMedSuche in Google Scholar
  • 92 Department of Health and Human Services: Food and Drug Administration. Sculpsure Approval. 2017. Accessed April 29, 2020 at: https://www.accessdata.fda.gov/cdrh_docs/pdf17/K171992.pdf
  • 93 Park J-H, Kim JI, Park HJ, Kim WS. Evaluation of safety and efficacy of noninvasive radiofrequency technology for submental rejuvenation.. Lasers Med Sci 2016; 31 (8) 1599-1605 PubMed
    CrossrefPubMedSuche in Google Scholar