Sabrina G Fabi1, Cheryl Burgess, Alastair Carruthers, Jean Carruthers, Doris Day, Kate Goldie, Martina Kerscher, Andreas Nikolis, Tatjana Pavicic, Nark-Kyoung Rho, Berthold Rzany, Sonja Sattler, Kyle Seo, William Philip Werschler, Gerhard Sattler. 1. *Cosmetic Laser Dermatology, San Diego, California;†Center for Dermatology and Dermatologic Surgery, Washington, DC;‡University of British Columbia, Vancouver, Canada;§Day Dermatology and Aesthetics, New York, New York;‖European Medical Aesthetics Ltd., London, United Kingdom;¶University of Hamburg, Hamburg, Germany;#Victoria Park Medispa, Montreal, Canada;**Private Practice for Dermatology and Aesthetics, Munich, Germany;††Leaders Clinic, Seoul, Korea;‡‡RZANY & HUND, Berlin, Germany;§§Rosenparkklinik, Darmstadt, Germany;‖‖Seoul National University, Seoul, Korea;¶¶University of Washington, Seattle, Washington;##Rosenparkklinik, Darmstadt, Germany.
Abstract
BACKGROUND: The popularity of aesthetic procedures in the face has led to greater disparity between treated areas and those that still show evidence of true age. Although many areas of the body often require multiple treatment procedures for optimal rejuvenation, combination therapy for specific areas is not yet well defined. OBJECTIVE: To develop recommendations for the optimal combination and ideal sequence of botulinum toxin (BoNT), hyaluronic acid, calcium hydroxylapatite (CaHA), and microfocused ultrasound with visualization in nonfacial areas across all skin phototypes. METHODS: Fifteen specialists convened under the guidance of a certified moderator. Consensus was defined as approval from 75% to 94% of all participants, whereas agreement of ≥95% denoted a strong consensus. RESULTS: Recommendations have been provided for the neck, décolletage, and hands and include the timing and sequence of specific procedures when used concurrently or over several treatment sessions. Position statements are offered in lieu of consensus for the upper arms, abdomen, buttocks, and knees. CONCLUSION: Nonfacial rejuvenation often requires multiple procedures for optimal results in individuals with significant age-related changes. Further clinical studies are recommended to raise awareness of non-facial indications and provide clinicians with the best evidence for best treatment practices.
BACKGROUND: The popularity of aesthetic procedures in the face has led to greater disparity between treated areas and those that still show evidence of true age. Although many areas of the body often require multiple treatment procedures for optimal rejuvenation, combination therapy for specific areas is not yet well defined. OBJECTIVE: To develop recommendations for the optimal combination and ideal sequence of botulinum toxin (BoNT), hyaluronic acid, calcium hydroxylapatite (CaHA), and microfocused ultrasound with visualization in nonfacial areas across all skin phototypes. METHODS: Fifteen specialists convened under the guidance of a certified moderator. Consensus was defined as approval from 75% to 94% of all participants, whereas agreement of ≥95% denoted a strong consensus. RESULTS: Recommendations have been provided for the neck, décolletage, and hands and include the timing and sequence of specific procedures when used concurrently or over several treatment sessions. Position statements are offered in lieu of consensus for the upper arms, abdomen, buttocks, and knees. CONCLUSION: Nonfacial rejuvenation often requires multiple procedures for optimal results in individuals with significant age-related changes. Further clinical studies are recommended to raise awareness of non-facial indications and provide clinicians with the best evidence for best treatment practices.
Authors: Sabrina Fabi; Tatjana Pavicic; André Braz; Jeremy B Green; Kyle Seo; Jani Aj van Loghem Journal: Clin Cosmet Investig Dermatol Date: 2017-10-30
Authors: Jani van Loghem; Sonja Sattler; Gabriela Casabona; Sebastian Cotofana; Sabrina Guillen Fabi; Kate Goldie; Uliana Gout; Martina Kerscher; Ting Song Lim; Carla de Sanctis Pecora; Gerhard Sattler; Ada Trindade de Almeida; Rungsima Wanitphakdeedecha; Philip Werschler; Tatjana Pavicic Journal: Clin Cosmet Investig Dermatol Date: 2021-09-08