Objectives: This talk introduces home-use products to the professional practitioner and explores how they may be a useful adjunct to in-office procedures. Fractional, non-fractional and mechano-biology products (mechanical stimuli) are considered.
Introduction: Media exposure of energy-based technologies and medical as well as scientific validation that lasers, intense light devices and other technologies produce measurable results in skin rejuvenation has led to the introduction of miniaturised, low-cost devices for in-home use by the consumer. Several leading brands and new technologies are now entering this expanding market sector but are these low-cost systems credible and how do they compare with professional treatments?
Materials / method: Home device options for skin rejuvenation include:
• Low level light therapy (LLLT) LEDs:
o Red light as stand alone
o in combination with IR light / RF
• Non-ablative fractional lasers
• Mechanical stress
So far, red LEDs, typically 630-655 nm, have been most popular as they are cheap and plentiful
Several FDA-cleared non-ablative fractional home laser devices with invisible infrared outputs (1410-1440 nm) are available to the consumer. Numerous studies have been published supporting statistically significant efficacy results for these devices.
Results: The histopathology response of home-use fractional is consistent with professional RX Fractional and non-ablative devices.
These home-use devices require significantly more treatments than is commonplace in the clinic environment where higher fluences, larger spot sizes and faster repetition rates permit a speedier and more efficient treatment with the reassurance of professional counselling and support.
Many consumers will be uncertain about safety, suitability for use with underlying medical conditions (e.g. diabetes, epilepsy, hormonal conditions, etc) and contra-indicated medication.
Conclusion: As practitioners delivering in-office skin rejuvenation treatments, we should also explore opportunities to use proven home-use devices alongside our own professional treatments e.g. for on-going home-care top-up treatments as part of a total professional treatment regimen.
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