닫기

Ex) Article Title, Author, Keywords

Original Article

Split Viewer

J Cosmet Med 2021; 5(1): 30-35

Published online June 30, 2021

https://doi.org/10.25056/JCM.2021.5.1.30

Skin tightening by an insulated microneedle radiofrequency device combined with lower blepharoplasty: a randomized fellow eye comparison study

Preamjit Saonanon, MD1 , Krit Rattanakit, MD2 , Patnapa Vejanurug, MD3 , Apichaya Thanyavuthi, MD4

1Department of Ophthalmology, King Chulalongkorn Memorial Hospital, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
2Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
3Institute of Dermatology, Department of Medical Services, Ministry of Public Health, Bangkok, Thailand
4Department of Dermatology, Siriraj Hospital, Faculty of Medicine, Mahidol University, Bangkok, Thailand

Correspondence to :
Krit Rattanakit
E-mail: crazykittyk@gmail.com

Received: March 23, 2021; Revised: April 14, 2021; Accepted: April 16, 2021

© 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: Aging in the lower eyelids creates bags under the eyes from the protruding orbital fat, and periorbital wrinkles. Therefore, lower blepharoplasty should be combined with a skin tightening procedure to enhance the results.
Objective: To compare the effects between lower blepharoplasty combined with an insulated microneedle radiofrequency (RF) device and lower blepharoplasty alone.
Methods: Twelve Asian (24 eyes) patients with baggy eyelids were included. One eye per patient was randomized for lower blepharoplasty combined with insulated microneedle RF devices (RF group), and the other eye for lower blepharoplasty alone (LB group). All patients underwent transconjunctival lower blepharoplasty with fat transposition and orbicularis oculi suspension. The primary outcome was the difference between both groups on the five-point Wrinkle Assessment Scale (WAS), assessed at baseline and at 2 months post-surgery. The secondary outcome was patient satisfaction using the Global Aesthetic Improvement Scale (GAIS).
Results: The WAS improvements were 75.0% (9/12 eyes) and 58.3% (7/12 eyes) in the RF and LB groups, respectively. The GAIS showed high patient satisfaction in both groups, with an average of 4.12 (3-5) in the RF group and 4.0 (2-5) in the LB group (p=0.157). There was no difference in the postoperative inflammation between both eyes at 1 week; and no decrease in the WAS score at 2 months or any adverse effects at 6 months were observed.
Conclusion: Wrinkle improvement was observed post-lower blepharoplasty with or without microneedle RF treatment. The insulated microneedle RF device proved safe when performed concurrently with lower blepharoplasty.

Keywords: blepharoplasty, cosmetic techniques, needles, radiofrequency therapy, randomized controlled trial, skin aging

Fig. 1.The three-needle partly insulated apllicator tip of microneedle radiofrequency (AGNES).
  1. McCann JD, Pariseau B. Lower eyelid and midface rejuvenation. Facial Plast Surg 2013;29:273-80.
    Pubmed CrossRef
  2. Hidalgo DA. An integrated approach to lower blepharoplasty. Plast Reconstr Surg 2011;127:386-95.
    Pubmed CrossRef
  3. Carter SR, Seiff SR, Choo PH, Vallabhanath P. Lower eyelid CO(2) laser rejuvenation: a randomized, prospective clinical study. Ophthalmology 2001;108:437-41.
    CrossRef
  4. Manuskiatti W, Siriphukpong S, Varothai S, Wanitphakdeedecha R, Fitzpatrick RE. Effect of pulse width of a variable square pulse (VSP) erbium:YAG laser on the treatment outcome of periorbital wrinkles in Asians. Int J Dermatol 2010;49:200-6.
    Pubmed CrossRef
  5. Greene RM, Green JB. Skin tightening technologies. Facial Plast Surg 2014;30:62-7.
    Pubmed CrossRef
  6. Lee SJ, Kim JI, Yang YJ, Nam JH, Kim WS. Treatment of periorbital wrinkles with a novel fractional radiofrequency microneedle system in dark-skinned patients. Dermatol Surg 2015;41:615-22.
    Pubmed CrossRef
  7. Calderhead RG, Goo BL, Lauro F, Gursoy D, Savant S, Wronski A. The clinical efficacy and safety of microneedling fractional radiofrequency in the treatment of facial wrinkles: a multicenter study with the INFINI system in 499 patients [Internet]. Goyang: Lutronic; c2013 [cited 2017 May 28].
    Available from: http://ayalasers.com/pdf/INFINI_WP_multicenter_ 499_cases_20130710.pdf.
  8. Roberts TL 3rd, Yokoo KM. In pursuit of optimal periorbital rejuvenation: laser resurfacing with or without blepharoplasty and brow lift. Aesthet Surg J 1998;18:321-32.
    CrossRef
  9. Chan HH, Manstein D, Yu CS, Shek S, Kono T, Wei WI. The prevalence and risk factors of post-inflammatory hyperpigmentation after fractional resurfacing in Asians. Lasers Surg Med 2007;39:381-5.
    Pubmed CrossRef

Article

Original Article

J Cosmet Med 2021; 5(1): 30-35

Published online June 30, 2021 https://doi.org/10.25056/JCM.2021.5.1.30

Copyright © Korean Society of Korean Cosmetic Surgery.

Skin tightening by an insulated microneedle radiofrequency device combined with lower blepharoplasty: a randomized fellow eye comparison study

Preamjit Saonanon, MD1 , Krit Rattanakit, MD2 , Patnapa Vejanurug, MD3 , Apichaya Thanyavuthi, MD4

1Department of Ophthalmology, King Chulalongkorn Memorial Hospital, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
2Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
3Institute of Dermatology, Department of Medical Services, Ministry of Public Health, Bangkok, Thailand
4Department of Dermatology, Siriraj Hospital, Faculty of Medicine, Mahidol University, Bangkok, Thailand

Correspondence to:Krit Rattanakit
E-mail: crazykittyk@gmail.com

Received: March 23, 2021; Revised: April 14, 2021; Accepted: April 16, 2021

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: Aging in the lower eyelids creates bags under the eyes from the protruding orbital fat, and periorbital wrinkles. Therefore, lower blepharoplasty should be combined with a skin tightening procedure to enhance the results.
Objective: To compare the effects between lower blepharoplasty combined with an insulated microneedle radiofrequency (RF) device and lower blepharoplasty alone.
Methods: Twelve Asian (24 eyes) patients with baggy eyelids were included. One eye per patient was randomized for lower blepharoplasty combined with insulated microneedle RF devices (RF group), and the other eye for lower blepharoplasty alone (LB group). All patients underwent transconjunctival lower blepharoplasty with fat transposition and orbicularis oculi suspension. The primary outcome was the difference between both groups on the five-point Wrinkle Assessment Scale (WAS), assessed at baseline and at 2 months post-surgery. The secondary outcome was patient satisfaction using the Global Aesthetic Improvement Scale (GAIS).
Results: The WAS improvements were 75.0% (9/12 eyes) and 58.3% (7/12 eyes) in the RF and LB groups, respectively. The GAIS showed high patient satisfaction in both groups, with an average of 4.12 (3-5) in the RF group and 4.0 (2-5) in the LB group (p=0.157). There was no difference in the postoperative inflammation between both eyes at 1 week; and no decrease in the WAS score at 2 months or any adverse effects at 6 months were observed.
Conclusion: Wrinkle improvement was observed post-lower blepharoplasty with or without microneedle RF treatment. The insulated microneedle RF device proved safe when performed concurrently with lower blepharoplasty.

Keywords: blepharoplasty, cosmetic techniques, needles, radiofrequency therapy, randomized controlled trial, skin aging

Fig 1.

Figure 1.The three-needle partly insulated apllicator tip of microneedle radiofrequency (AGNES).
Journal of Cosmetic Medicine 2021; 5: 30-35https://doi.org/10.25056/JCM.2021.5.1.30

References

  1. McCann JD, Pariseau B. Lower eyelid and midface rejuvenation. Facial Plast Surg 2013;29:273-80.
    Pubmed CrossRef
  2. Hidalgo DA. An integrated approach to lower blepharoplasty. Plast Reconstr Surg 2011;127:386-95.
    Pubmed CrossRef
  3. Carter SR, Seiff SR, Choo PH, Vallabhanath P. Lower eyelid CO(2) laser rejuvenation: a randomized, prospective clinical study. Ophthalmology 2001;108:437-41.
    CrossRef
  4. Manuskiatti W, Siriphukpong S, Varothai S, Wanitphakdeedecha R, Fitzpatrick RE. Effect of pulse width of a variable square pulse (VSP) erbium:YAG laser on the treatment outcome of periorbital wrinkles in Asians. Int J Dermatol 2010;49:200-6.
    Pubmed CrossRef
  5. Greene RM, Green JB. Skin tightening technologies. Facial Plast Surg 2014;30:62-7.
    Pubmed CrossRef
  6. Lee SJ, Kim JI, Yang YJ, Nam JH, Kim WS. Treatment of periorbital wrinkles with a novel fractional radiofrequency microneedle system in dark-skinned patients. Dermatol Surg 2015;41:615-22.
    Pubmed CrossRef
  7. Calderhead RG, Goo BL, Lauro F, Gursoy D, Savant S, Wronski A. The clinical efficacy and safety of microneedling fractional radiofrequency in the treatment of facial wrinkles: a multicenter study with the INFINI system in 499 patients [Internet]. Goyang: Lutronic; c2013 [cited 2017 May 28]. Available from: http://ayalasers.com/pdf/INFINI_WP_multicenter_ 499_cases_20130710.pdf.
  8. Roberts TL 3rd, Yokoo KM. In pursuit of optimal periorbital rejuvenation: laser resurfacing with or without blepharoplasty and brow lift. Aesthet Surg J 1998;18:321-32.
    CrossRef
  9. Chan HH, Manstein D, Yu CS, Shek S, Kono T, Wei WI. The prevalence and risk factors of post-inflammatory hyperpigmentation after fractional resurfacing in Asians. Lasers Surg Med 2007;39:381-5.
    Pubmed CrossRef

Stats or Metrics

Share this article on :

  • line
  • mail

Related articles in JCM

Most KeyWord ?

What is Most Keyword?

  • It is most registrated keyword in articles at this journal during for 2 years.

Journal of Cosmetic Medicine

eISSN 2586-0585
pISSN 2508-8831
qr-code Download