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J Cosmet Med 2022; 6(1): 20-26

Published online June 30, 2022

https://doi.org/10.25056/JCM.2022.6.1.20

Rejuvenating and contouring effect of bipolar fractional microneedle radiofrequency on the lower eyelid

Hana Kwon, MEd1 , Raweewat Maschamadol, MD2 , Hosun Chang, MD, MS3 , Kyoungjin (Safi) Kang, MD, PhD4

1Korean Society of Korean Cosmetic Surgery and Medicine, Seoul, Rep. of Korea
2Masterpiece Plastic Surgery and Skin Hospital, Bangkok, Thailand
3Medicastle Clinic, Cheonan, Rep. of Korea
4Department of Plastic Surgery, Masterpiece Plastic Surgery and Skin Hospital, Bangkok, Thailand

Correspondence to :
Kyoungjin (Safi) Kang
E-mail: safikccs@pascal-world.com

Received: May 19, 2022; Accepted: May 31, 2022

© Korean Society of Korean Cosmetic Surgery

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Background: Fractional microneedle radiofrequency (FMR) devices are used for non-invasive facial rejuvenation, with aging lower eyelids a popular area for improvement. However, treating lax eyelid skin, particularly determining the exact depth to insert the needle, remains challenging.
Objective: To evaluate Inus—an FMR device that uses a bipolar current with a specialized vacuum edge line for optimal needle insertion in lax skin—on aging lower eyelids.
Methods: Eleven Korean women (22 eyes) with aging lower eyelids who visited the Seoul Cosmetic Surgery Clinic in 2017 were included. After applying topical anesthesia, an Inus disposable tip with 25 insulated microneedles was used on the lower lids and lateral canthal regions, including temporal hollows. Microneedles of depth 1.0 mm or 0.8 mm were used to apply FMR of 0.5 MHz or 2.0 MHz, respectively, to the entire lower lid during three sessions at 2-week intervals. Morphological and statistical analyses of changes in the horizontal palpebral width, canthal tilt, and distance of the lid-cheek junction were performed using pre-and postoperative photographs.
Results: Improvements in lax, deflated, wrinkles on the lower eyelids with scarring, and syringoma were observed. The lower lid contour changed from round to straighter, indicating improved laxity. Decreased lid-cheek junction (p<0.05) and increased canthal tilt (p<0.05) and horizontal palpebral width (p<0.05) were estimated. The mild erythema disappeared within 1-2 days. Mild ectropion (one case) in the case of protruded eyes with thin skin and unexpected transverse wrinkles at the medial part of the lids (two cases) were observed.
Conclusion: Total rejuvenation of aging lower lids without serious complications was demonstrated. Therefore, Inus is suitable for treating aging lower eyelids safely.

Keywords: fractional microneedle radiofrequency, lower lid contour, rejuvenation, scar, syringoma

Fig. 1.Measurements of the horizontal palpebral width, canthal tilt, and distance of lid-cheek junction. a) a line between the medial and lateral canthi, b) a transverse parallel line from the medial canthus, c) lid-cheek junction, d) a vertical line of the lateral canthus, and e) a vertical line of the medial canthus. Blue-colored round arrow indicates canthal tilt; yellow-colored transverse arrow, horizontal palpebral width; white-colored vertical arrow, distance of the lidcheek junction.
  1. el-Domyati M, el-Ammawi TS, Medhat W, Moawad O, Bren-nan D, Mahoney MG, et al. Radiofrequency facial rejuvena-tion: evidence-based effect. J Am Acad Dermatol 2011;64:524-35.
    Pubmed KoreaMed CrossRef
  2. Hruza G, Taub AF, Collier SL, Mulholland SR. Skin rejuvena-tion and wrinkle reduction using a fractional radiofrequency system. J Drugs Dermatol 2009;8:259-65.
  3. Shin JW, Park JT, Chae JB, Choi JY, Na JI, Park KC, et al. The efficacy of micro-insulated needle radiofrequency system for the treatment of lower eyelid fat bulging. J Dtsch Dermatol Ges 2019;17:149-56.
    CrossRef
  4. Kwon HN, Chang HS, Kim HY, Kang KJ. Effect of microneedle radiofrequency on scars of transcutaneous lower blepharo-plasty. J Cosmet Med 2021;5:99-102.
    CrossRef
  5. Mupas UJ, Kitaguchi Y, Takahashi Y, Kakizaki H. Age-related eyelid changes. J Cosmet Med 2017;1:16-24.
    CrossRef
  6. Kim JK, Roh MR, Park GH, Kim YJ, Jeon IK, Chang SE. Frac-tionated microneedle radiofrequency for the treatment of periorbital wrinkles. J Dermatol 2013;40:172-6.
    Pubmed CrossRef
  7. Cho SI, Chung BY, Choi MG, Baek JH, Cho HJ, Park CW, et al. Evaluation of the clinical efficacy of fractional radiofrequency microneedle treatment in acne scars and large facial pores. Dermatol Surg 2012;38(7 Pt 1):1017-24.
    Pubmed CrossRef
  8. Kang KJ, Chai CG. Complementary effect of fat grafting on traditional subciliary incisional lower blepharoplasty: es-timated by the change of lid-cheek junction. J Cosmet Med 2018;2:12-21.
    CrossRef
  9. Kang KJ, Yang HH, Chai CY. Assessment of rejuvenation by change of lid-cheek junction after transconjunctival and traditional subciliary incision blepharoplasty. J Cosmet Med 2017;1:30-8.
    CrossRef
  10. Swanson NA, Grekin RC. Recognition and treatment of skin lesions. In: Flint PW, Haughey BH, Robbins KT, Lund VJ, Thomas JR, Niparko JK, et al., editors. Cummings otolaryn-gology-head neck surgery. 5th ed. Philadelphia: Mosby Inc.; 2010. p.281-94.

Article

Original Article

J Cosmet Med 2022; 6(1): 20-26

Published online June 30, 2022 https://doi.org/10.25056/JCM.2022.6.1.20

Copyright © Korean Society of Korean Cosmetic Surgery.

Rejuvenating and contouring effect of bipolar fractional microneedle radiofrequency on the lower eyelid

Hana Kwon, MEd1 , Raweewat Maschamadol, MD2 , Hosun Chang, MD, MS3 , Kyoungjin (Safi) Kang, MD, PhD4

1Korean Society of Korean Cosmetic Surgery and Medicine, Seoul, Rep. of Korea
2Masterpiece Plastic Surgery and Skin Hospital, Bangkok, Thailand
3Medicastle Clinic, Cheonan, Rep. of Korea
4Department of Plastic Surgery, Masterpiece Plastic Surgery and Skin Hospital, Bangkok, Thailand

Correspondence to:Kyoungjin (Safi) Kang
E-mail: safikccs@pascal-world.com

Received: May 19, 2022; Accepted: May 31, 2022

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background: Fractional microneedle radiofrequency (FMR) devices are used for non-invasive facial rejuvenation, with aging lower eyelids a popular area for improvement. However, treating lax eyelid skin, particularly determining the exact depth to insert the needle, remains challenging.
Objective: To evaluate Inus—an FMR device that uses a bipolar current with a specialized vacuum edge line for optimal needle insertion in lax skin—on aging lower eyelids.
Methods: Eleven Korean women (22 eyes) with aging lower eyelids who visited the Seoul Cosmetic Surgery Clinic in 2017 were included. After applying topical anesthesia, an Inus disposable tip with 25 insulated microneedles was used on the lower lids and lateral canthal regions, including temporal hollows. Microneedles of depth 1.0 mm or 0.8 mm were used to apply FMR of 0.5 MHz or 2.0 MHz, respectively, to the entire lower lid during three sessions at 2-week intervals. Morphological and statistical analyses of changes in the horizontal palpebral width, canthal tilt, and distance of the lid-cheek junction were performed using pre-and postoperative photographs.
Results: Improvements in lax, deflated, wrinkles on the lower eyelids with scarring, and syringoma were observed. The lower lid contour changed from round to straighter, indicating improved laxity. Decreased lid-cheek junction (p<0.05) and increased canthal tilt (p<0.05) and horizontal palpebral width (p<0.05) were estimated. The mild erythema disappeared within 1-2 days. Mild ectropion (one case) in the case of protruded eyes with thin skin and unexpected transverse wrinkles at the medial part of the lids (two cases) were observed.
Conclusion: Total rejuvenation of aging lower lids without serious complications was demonstrated. Therefore, Inus is suitable for treating aging lower eyelids safely.

Keywords: fractional microneedle radiofrequency, lower lid contour, rejuvenation, scar, syringoma

Fig 1.

Figure 1.Measurements of the horizontal palpebral width, canthal tilt, and distance of lid-cheek junction. a) a line between the medial and lateral canthi, b) a transverse parallel line from the medial canthus, c) lid-cheek junction, d) a vertical line of the lateral canthus, and e) a vertical line of the medial canthus. Blue-colored round arrow indicates canthal tilt; yellow-colored transverse arrow, horizontal palpebral width; white-colored vertical arrow, distance of the lidcheek junction.
Journal of Cosmetic Medicine 2022; 6: 20-26https://doi.org/10.25056/JCM.2022.6.1.20

References

  1. el-Domyati M, el-Ammawi TS, Medhat W, Moawad O, Bren-nan D, Mahoney MG, et al. Radiofrequency facial rejuvena-tion: evidence-based effect. J Am Acad Dermatol 2011;64:524-35.
    Pubmed KoreaMed CrossRef
  2. Hruza G, Taub AF, Collier SL, Mulholland SR. Skin rejuvena-tion and wrinkle reduction using a fractional radiofrequency system. J Drugs Dermatol 2009;8:259-65.
  3. Shin JW, Park JT, Chae JB, Choi JY, Na JI, Park KC, et al. The efficacy of micro-insulated needle radiofrequency system for the treatment of lower eyelid fat bulging. J Dtsch Dermatol Ges 2019;17:149-56.
    CrossRef
  4. Kwon HN, Chang HS, Kim HY, Kang KJ. Effect of microneedle radiofrequency on scars of transcutaneous lower blepharo-plasty. J Cosmet Med 2021;5:99-102.
    CrossRef
  5. Mupas UJ, Kitaguchi Y, Takahashi Y, Kakizaki H. Age-related eyelid changes. J Cosmet Med 2017;1:16-24.
    CrossRef
  6. Kim JK, Roh MR, Park GH, Kim YJ, Jeon IK, Chang SE. Frac-tionated microneedle radiofrequency for the treatment of periorbital wrinkles. J Dermatol 2013;40:172-6.
    Pubmed CrossRef
  7. Cho SI, Chung BY, Choi MG, Baek JH, Cho HJ, Park CW, et al. Evaluation of the clinical efficacy of fractional radiofrequency microneedle treatment in acne scars and large facial pores. Dermatol Surg 2012;38(7 Pt 1):1017-24.
    Pubmed CrossRef
  8. Kang KJ, Chai CG. Complementary effect of fat grafting on traditional subciliary incisional lower blepharoplasty: es-timated by the change of lid-cheek junction. J Cosmet Med 2018;2:12-21.
    CrossRef
  9. Kang KJ, Yang HH, Chai CY. Assessment of rejuvenation by change of lid-cheek junction after transconjunctival and traditional subciliary incision blepharoplasty. J Cosmet Med 2017;1:30-8.
    CrossRef
  10. Swanson NA, Grekin RC. Recognition and treatment of skin lesions. In: Flint PW, Haughey BH, Robbins KT, Lund VJ, Thomas JR, Niparko JK, et al., editors. Cummings otolaryn-gology-head neck surgery. 5th ed. Philadelphia: Mosby Inc.; 2010. p.281-94.

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