Objectives: 1. Knowing differences in aging in Asian skin and facial shapes.
2. Knowing different effects after different energy setting in different skin thickness and facial shapes.
3. Limitation of HIFU
Introduction: Employments of focused ultrasound greatly change and improve our non-surgical aesthetic treatment practices, especially in Asians. Our skin are thicker and delayed aging. We have thicker and more compact dermis which resists formation of fine wrinkles and dynamic wrinkles. But the downside of thicker skin will be sagging which resists to many lifting procedures which might work well in Caucasians. Asians have wider and rounder face, but flatter midface. When we doing procedures to correct deficits, the facial structure differences will make the treatment different from that in Caucasians.
Materials / method: The depth and thickness of SMAS also varies in different areas of mid face. It ranges from 1.7 to 4.3 mm over cheek area in mid face. Sometimes SMAS is very deep, especially in lower face. It was up to 6 to 6.5mm in depth.
Results: A new classification is proposed to show how I evaluate and treat patients in my practice.
Conclusion: The layered anti-aging approach model to minimize risk, to reduce downtime and, most importantly, to maximize anti-aging effects was proposed in my lectures in IMCAS 4 years ago. Making very good use of these anti-aging methods, depending on the demands of patients and evaluations by dermatologists, we will offer the best of mono or combined therapy for our patients. Focused ultrasound is just only one of the important devices to tighten deeper part of skin.
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