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这项工作的完成感谢以下机构的支持： SAD et ATDL

Objectives: High-Intensity Focused Ultrasound (HIFU) technology provides safe, non-invasive procedures with high efficacy without a recovery period. These traits are highly in demand in the 21’st century.

Introduction: HIFU technology was intensively improved over the past years. However, one that marked the most significant development is HIFU Liftera. Various technologies of this device need to be outlined, especially Thermal Diffusion Treatment & stable and precise peak power. Innovative Pen’s type applicator characteristics allow treatment on narrow and curved areas. On top of that, HIFU Liftera combines well with other anti-aging procedures e.g. threads or various regenerative treatments. Last but not least, the HIFU procedure can be performed on both face and body with results presented and described o

Conclusion: HIFU Liftera’s cutting-edge technologies put the device at the forefront of the latest non-invasive and contouring treatment.

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Objectives: 1. Explore a new treatment protocol
2. Learn how to practically treat patients with facial photoaging who deserve more than a simple photorejuvenation but are not willing to accept a long downtime procedure
3. Understand how 2 different technologies can be synergistic if used sequentially

Introduction: The constant research to obtain an aesthetic improvement of the face with a rapid recovery and a minimum risk is at the basis of a new treatment protocol. Efficacy and safety of a new sequential (same session) use of IPL and microneedle radiofrequency and galvanic energy for facial rejuvenation have been evaluated.

Materials / method: 212 patients with mild to moderate facial solar elastosis have been enrolled since 2018. The new therapeutic protocol consists of 4 treatment sessions at 30-40 days interval. A full face OPT - IPL photorejuvenation procedure is immediatelly followed by a 3 pass hybrid energy MRF procedure The degree of photoaging and the efficacy of treatment were evaluated using a modified Dover's scale (5 point scale for global score, fine lines, mottled pigmentation, sallow complexion, tactile roughness and coarse wrinkles). The follow-up was at 6 months after the end of the last treatment session.

Results: All the variables of the modified Dover’s scale showed a statistically significant improvement in the majority (> 75%) of patients and only minor adverse events have been recorded.

Conclusion: It is hypothesized that the observed improvement could be attributed to the synergistic effect of the 2 technologies used sequentially. The IPL treatment, by increasing the tissue temperature and increasing the water content of tissues, could allow a greater and deeper diffusion of the radiofrequency explaining, consequently, the results that can be observed on collagen production

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