Objectives: Bio Revitalization & Bio Rejuvenation of skin is the most sought after skin aesthetic treatment even after one has gone through a face lift surgery. The simple transdermal drug delivery system introduced by Michel Pistor stays as safest & effective tool to achieve a glowing skin. Data has shown a dramatic increase in the demand for noninvasive rejuvenation procedures(a 228% increase in non invasive procedures seen from 2000-2018).Though EBD like Hifu has gained a great deal of popularity for skin lift. The synergistic effect of cosmeceuticals cant be denied to get the optimal aesthetic outcome
Introduction: Aging of face is a complex, multifactorial process involving all layers of skin,sub/cut layer, SMAS,fat pads & bone.These days using threads,EBD,Injectables etc we try to achieve optimal aesthetic outcome. But we neglect the importance of a supple, soft, spotless &well hydrated skin. The Magnificent-7,as explained by Arthur Swift includes a clear well hydrated skin as an essential beauty parameter. By using peptides, vit B3, vit C,Hyaluronic acid & Transxemic acid with Microneedles/ mesotherapy we work at cellular level to improve hydration,texture &quality of skin to achieve luminosity.
Materials / method: 40 female Asian patients aged between 30-55 years were divided into group 1 & 2 as HIFU alone & HIFU combined with cosmeceuticals respectively. Both were assessed on Glogau & Fitzpatrick wrinkle scale before/after session. Both groups were first treated with HIFU using 1.5,3.0 & 4.5mm transducers. After15 days , Group 2 started a series of 4 mesotherapy sessions with a cocktail of non-cross linked HA,vit B3, vit C, biopeptides & retinol every 15 days.All were photographed before/after at day 0,15,30,60& 90. Everyone completed sessions with no side effects except mild erythema.
Results: All females in both groups completed their session.13 out of 20 females in group1 were satisfied and showed good response in before /after photos.10 showed improvement on Glogau & Fitzwrinkle assessment scale with satisfaction of 60 % .All of them wished to take another session.Others showed 35% improvement on wrinkle scale . Majority of the females in group 2 were satisfied and showed remarkable improvement on Before/after photos .16 showed a great result on Glogau & Fitzpatrick wrinkle assessement scale with 75 -80 % satisfaction.
Conclusion: Synergistic combinations of multiple aesthetic modalities enhance the efficacy of individual ones. Cosmeceuticals & biostimulators optimise the effects of EBD/ HIFU & other aesthetic procedures.We can achieve more natural results when these cosmeceutics are used on regular basis as an adjunct therapy to avoid over treatment. HIFU can tighten and strengthen retaining ligaments &SMAS by giving thermal injury. The cosmeceuticals delivered to epidermis& dermis work at cellular level to undo the effect of free radical & solar damage to elastic fibers.They bring the luminous, age defying skin back.
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