Renato SORIANI PASCHOAL 医师
皮肤科医师
Clinical case on the use of pen-type HIFU for nasolabial folds (Educational grant from ASTERASYS)
Objectives: Understand the application of microfocused ultrasound technology for facial rejuvenation, with a focus on mid-face treatment. Learn about the challenges and innovations in using pen-like applicators for targeting nasolabial fat pads and malar eminence with increased customization and patient comfort. Show the optimized parameters, including energy levels, number of shots, and vectorial movements, to achieve consistent and natural-looking results in mid-facial rejuvenation. Highlight the safety profile and patient satisfaction including potential reductions in the need for facial fi
Introduction: Microfocused ultrasound has become a popular modality for non-invasive facial rejuvenation. While linear applicators have been widely used for lower facial treatments, their application in the mid-face region has been limited due to anatomical challenges. In recent years, advancements in technology have introduced pen-like applicators, providing new opportunities for targeting mid-facial structures with increased precision and patient comfort.
Materials / method: The presented technique involves the use of microfocused ultrasound with pen-like applicators to target the nasolabial fat pad and malar eminence in the mid-face region. The application parameters include maximum energies of 0.5 to 0.7J, an optimized number of shots (600 to 800 per side), and precise anatomical localization. Pain levels and any adverse effects were recorded and analyzed.
Results: The results of this mid-facial rejuvenation technique with pen-like applicators were found to be consistent and natural-looking. Patient reported a noticeable reduction in nasolabial and palpebromalar grooves, resulting in a lighter, rested, and youthful appearance. Moreover, she expressed satisfaction with the outcomes and reported a decreased need for facial fillers in this area following the treatment. The technique demonstrated a high safety profile, with no adverse effects, such as pain and erythema, reported in this case.
Conclusion: The use of microfocused ultrasound with pen-like applicators represents a significant advancement in mid-facial rejuvenation. The presented technique, targeting the nasolabial fat pad and malar eminence, showed consistent and natural-looking results, providing patients with a refreshed appearance. This innovative approach allows for increased customization and patient comfort, potentially reducing the reliance on facial fillers in the mid-face region.