High-frequency ultrasound imaging is suitable for medical and aesthetic dermatology. The transducer requires at least 10 MHz, even up to 20MHz or 50MHz. We can apply ultrasound imaging not only for the diagnosis of skin diseases but also for aesthetic purposes to improve the effectiveness and safety of the treatment.
For example, in cosmetic medicine:
1. During radiotherapy, the thickness of the dermal layer and subcutaneous tissue can be measured by ultrasound to estimate the thermal relaxation time to avoid soft tissue burns and determine the best timing for overlapping energy to improve the therapeutic effect.
2. Before firing microfocused ultrasound (MFU), the depth of periosteum can be measured to avoid energy reflection to cause burns or other complications. It also allows the therapist to select the best depth of focus. Moreover, SMAS thinning and damage after long-term repeated MFU therapy was observed by some surgeons. Ultrasound may have the potential in the serial monitoring of the SMAS thickness for safety concern.
3. For fractional laser treatment, the data of dermal thickness can help the physician to select appropriate energy parameters to achieve better results.
4. Ultrasound can evaluate the complications of injectables, such as the range, size, and quantity of foreign body granulomata after PLLA injection. For vascular embolism caused by the hyaluronic acid injection, we can observe the location of the affected blood vessels that can provide a reference point for the injection of hyaluronidase.
5. When targeting the axillae with microwave therapy for hyperhidrosis, ultrasound can evaluate the depth of brachial plexus to avoid nerve injury.
On the scenario of medical dermatology, ultrasound can assist the management of diseases. It can differentiate multiple skin tumors. We can apply ultrasound to assess the extent and depth of severe skin infections (e.g., cellulitis). Besides, ultrasound can help to evaluate and treat many skin disorders.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Introduction. The patient consultation is a critical element , both in establishing trust between physician and patient, and for educating the patient in a short period of time regarding treatment options. In the past, many of us have relied on sharing our before and after gallery in order to show our skills and aesthetic style. However, most people want to know what we can do for them, not for somebody else.
Materials and methods. An updated 3D camera was introduced that allows a projection of the minimally invasive or surgical result to be seen on the particular patient in question. 360 degree images are taken, and placement of anatomic landmarks, measurements, and proportions are performed by the computer. This saves time for the physician and records these into the patient record as well. Animations of the process help the patient understand both the process and goals of the surgeon. The interactive process can involve the patient's input as well.
Results. Having a consultation module that totally focuses on the person present, rather than other people's results, helps to cement a relationship as well as educate the patient about what is possible. Of course, in any simulation it should be stated that no guarantees as to outcome can be made. Instead of having to extrapolate someone else's results to her or him, the patient can easily grasp the vision of the treating physician.
Analysis. This cost effective 3D system type is available from several vendors. Analysis of variables such as asymmetry, volumetric change, persistence of fillers,
and improvement over time can help with dissatisfied patients. Standardized measurements and pre-op review of treatment goals help to moderate patient expectations.
Conclusion. The addition of a 3D camera system with computer generated analysis and the ability to project patient outcomes with interactive animations adds value to both the preoperative education phase and the postoperative assessment phase.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

BACKGROUND Current approaches use subjective semi-quantitative or cumbersome objective methodologies to assess physical characteristics of hypertrophic and keloid scars.

OBJECTIVE This pilot study aimed to evaluate the accuracy and feasibility of a new stereoscopic optical and high-resolution three-dimensional (3D) imaging system, for objectively measuring changes in above surface scar volume following various interventions.

METHODS Feasibility of the system was assessed by monitoring the above surface scar volume of five scars in two patients for five successive months. Above surface scar volume and Vancouver Scar Scale (VSS) scores and the investigator and patient volume improvement assessment scores were assessed before and twelve weeks after last intervention.

MAIN OUTCOME MEASURE Feasibility and accuracy of an objective scar assessment system.

RESULTS Scar volume measured by the imaging system correlated significantly with the gold standard (actual weight). The greatest volume reduction followed a combination of cryotherapy and intralesional triamcinolone acetonide and 5-fluorouracil injections in Patient 1, and a combination of pulse dye laser and intralesional triamcinolone acetonide injections in Patient 2.

CONCLUSION The new stereoscopic optical system is a valid, accurate and practical objective method for assessing scar volume and for monitoring treatment response. It is more sensitive and accurate than semi-quantitative objective scales. Further studies with a higher number of patients and scars are required to increase the measurement validity of the system.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Cryolipolysis is today a well-recognised energy-based device technology that has shown unbeatable results in the field of body contouring. The Symposium will be the opportunity to examine Cryolipolysis more in depth and present how to conduct safe and efficient treatment procedures. The latest Cryolipolysis applicators will be unveiled as well as the way they can be used on new indications that could not be treated efficiently until now. Also, a review of the most popular combination treatments involving Cryolipolysis with other energy-based device or surgery techniques will be discussed.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No
Please specify entities (individual, company, society): syneron

Were you provided with any honoraria, payment or other compensation for your work on this study?
Yes
Please specify entities (individual, company, society): syneron

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work is presented thanks to the support of: