Photo Credit: syneron.com
Everyone wants to take some years off but most of us don’t want to go in for the downtime, costs and ordeal of invasive surgery. We know that there are many effective laser and light based treatments to address skin imperfections such as sun spots, fine lines and skin tightening, but when you hit your 40s, you might want something more uplifting. Enter evolastin powered by epime from Syneron.
evolastin is the first aesthetic device that delivers controlled energy directly into the deeper layers to stimulate natural production of collagen and elastin plus hyaluronic acid – the three elements that add structure to skin. Unlike skin tightening devices, evolastin can achieve a unique 3D improvement to the quality, texture and tone, and actual volume of the skin. You might actually look like you have had a syringe of a filler after one of these treatments!
Before and 3 months after
A recent clinical study published in the Archives of Dermatology by leading dermatologists revealed that volume restoration with evolastin resulted in improvement comparable to 37% of the tightening seen after a surgical facelift. “It is unprecedented to be able to achieve results as good as one third of a facelift without undergoing traditional surgery. The evolastin treatment is safe, effective, and a minimally invasive alternative for people who are not ready or willing to have a traditional facelift. We see continual improvement out to twelve months, at which point the aging process begins again. But after treatment with ePrime, they will always be ahead,” said Dr. Macrene Alexiades Armenakas, New York Dermatologist, and the lead investigator on ePrime.
evolastin is also a colorblind radio frequency energy, making it safe for all skin types which is a big plus. According to Denver Dermatologist Stephen W. Eubanks, “evolastin is a very unique device that promotes an increase in volume and elasticity in the cheek areas. I have found that it adds the ability to improve wrinkles in the lower cheeks and below the chin that compare well to the results of fully ablative CO2 resurfacing, but with minimal downtime consisting of a day or two of swelling and possibly some bruising.”
evolastin is a single treatment session that takes about an hour in your doctor’s office. Local anesthetic may be used to keep you comfortable during the procedure. Downtime with evolastin is minimal and you can expect some minor redness, swelling, or bruising for a few days, which are easily covered with makeup. You can go back to work after a long weekend in most cases. Doctors say that you will begin to see results within six to eight weeks post treatment,with results improving continuously for six months of more. An evolastin treatment costs $3,000 – $4,500 depending on the individual clinician, geographic location, and areas to be treated.
To find an evolastin physician near you, visit www.syneron.com .
Medical aesthetics continue to evolve as the world of advanced skincare and anti-aging treatments matures. From skin tightening devices to “liquid facelifts,” these new technologies were explored during a robust panel of experts held at the recent HBA Expo in New York City. Entitled “The Present and Future of Medical Aesthetics: Trends from the Clinic to the Jar,” the panel members discussed how non-surgical methods are impacting retail trends and consumers.
“The medical aesthetics category continues to explode as consumers around the world seek the latest in injectables, active cosmetics, skin lightening and at-home devices. The global market is expected to increase more than 11% in 2012 with huge growth coming from Asia and Latin America,” said panel moderator Wendy Lewis, president of Wendy Lewis & Co LTD, Global Aesthetics Consultancy. “Non-surgical treatments lead the way across the globe.”
By combining several formulations of fillers along with Botox, injectables can deliver a “facelift-like” effect that consumers are craving. From “microbotox” to “bro-tox” to “baby botox”, the novel uses for neurotoxins continue to expand. A new category making its way from Europe and Latin America is called biorejuvenation or mesolifting; micro needle treatments administered by using handheld guns, machines and by hand injection. A new emphasis on soft or bendable needles, blunt-tip cannulae, injector pens, and other systems lead to fewer traumas and bruising. The panelists agreed that hyaluronic gel fillers – as in Restylane, Juvederm, Belotero and others – remain the most popular type of filler worldwide.
Autologous fat transfer has had a major resurgence for the face, body, and breasts. In addition, platelet rich plasma is also being used for rejuvenation. A growing segment of consumers are embracing the idea of a more natural approach to anti-aging treatments using their own tissues, which is perceived as safer, gentler, and less risky in some circles. According to New York and Connecticut Dermatologist Dr. Lisa Donofrio, “The benefits of fat are numerous. It is the longest lasting large volume filler, and the most economical, but most people have a plentiful supply, or at least enough to restore volume to facial areas. It is a 3-dimensional filler and works in a manner that fills to lift neighboring tissues. In my experience, it is also has very predictable longevity in the midface region.”
Skin Tightening Facelifts
Devices administered by doctors or other medical professionals help delay the need for a facelift. Many of these technologies, including evolastin, Ulthera, SkinTyte, and Pelleve, can be used for face and off face applications. According to Z. Paul Lorenc, MD, “Pelleve is an ideal skin tightening treatment because there is no pain and no downtime, so it fits into everyone’s schedule and can be repeated as needed.” Dr. Lisa Donofrio added that she continues to be underwhelmed with the long term results of skin tightening systems on the market, how she acknowledges that these treatments are very popular among consumers eager to bypass cosmetic surgery and long recovery periods.
Cosmeceuticals or Active Cosmetics
As Wendy Lewis said, “The market for cosmeceuticals (also called active cosmetics) has its largest following in the US, followed by Asia and Latin America with strong growth seen in Russia and Brazil. The EU ranks last mainly because in most European countries, physicians are not permitted to dispense skincare and beauty products out of their clinics.” That may be changing as physicians are finding new ways of integrating products into a global fee for the treatments they offer.
It’s easy to see why this market is growing: wider offerings of treatments appeal to consumers of all ages and genders. Peels have had a resurgence in the professional skincare segment as a cheaper alternative to lasers and light based systems – and as an adjunct to skincare and other treatments. Microneedling is emerging to enhance, penetrate, and stimulate collagen for more youthful looking skin, and is often combined with other treatments including topical solutions.
Skin Lightening Topicals
New formulations and ingredients have increased demand for non-prescription skin lightening and brightening products, in areas including underarms and genital areas. However, hydroquinone is falling under greater regulatory scrutiny leaving the category wide open for innovation. For example, two of the newest hydroquinone-free topical ranges include elure Advanced Brightening System which is based on a proprietary enzyme, and Lumixyl, which is a decapeptide formulation, both of which are available only through dermatologists and plastic surgeons.
Home Care Devices
Home care devices continue to show an increase in consumer acceptance, largely fueled by convenience, greater ease of use, portability, advanced efficacy, and affordability. The range of benefits continues to grow too with devices available that are now targeting sun damage, hair removal, skin discoloration, acne, hair production, skin texture and tone, cleansing and microdermabrasion, and cellulite. PaloVia is one such example of a fractionated laser that is sold for home use in the anti-aging category.
On the Horizon
As the aesthetics market continues to evolve we can expect to learn more about microwave treatments to tame underarm sweating such as Miradry, lasers targeting cellulite, topical neurotoxins, injectable fat reducing agents like Kythera and even vaginal rejuvenation. Stay tuned.
When in need of laser dermatology treatments, denizens of the Denver area turn to Dr. Stephen Eubanks, a board-certified dermatologist and founder of the Dermatology & Laser Center at Harvard Park. With 12 laser and energy devices in his practice, he is able to address both medical and cosmetic issues including acne, skin discolorations and even abnormal leg veins and stretch marks. He also specializes in skin cancer surgery and standard dermatology care.
Dr. Eubanks received his medical degree from the University of Oklahoma and his dermatology training from Fitzsimons Army Medical Center in Denver. In addition to treating patients at his private practice, Dr. Eubanks is an assistant clinical professor at the University of Colorado Health Science Center. He also lectures and teaches laser-related courses throughout the country and has consulted for a prominent international laser corporation for more than a dozen years.
Tell us a little bit about your history – how did you choose dermatology as a specialty?
I went to medical school at the University of Oklahoma and did my internship at Tripler Army Hospital in Honolulu, Hawaii. During my internship, I was looking into different residencies and was told by the hospital dermatologists that a dermatology residency would be the best three years of training in my life. I took their advice and they were correct, dermatology has been a great specialty for me. It works very well with my personality. I usually know very quickly what I need to do for any patient, I love the technology demands of the lasers, I really like the short surgeries we perform in dermatology and I really enjoy looking at pathologic specimens under the microscope.
What areas of dermatology do you specialize in?
My practice is 70% general dermatology and 30% cosmetic dermatology. I do a lot of skin cancer surgery but also basic dermatology. My cosmetic practice centers on lasers and radio-frequency devices.
How do you think the science and practice of dermatology has changed during your time in the field?
The science and practice of dermatology has dramatically changed during my 28 years of private practice. Interestingly, the medical and clinical side of dermatology has only slightly changed. There are more drugs and techniques available but the art of clinical dermatology has changed little. The immense changes have been in the cosmetic arena. There were no fillers or botulinum toxins during my training. These have added large cosmetic changes to our specialty. However, the real change in the science has been in the fields of laser, light and radio-frequency. There was none of this in my training. In early years, I would lecture on what is new in lasers; this has become too great a change every year to possibly explain it in a one hour lecture. I really enjoy learning about new devices and incorporating them into my practice. I have always thought it important to understand the physics behind all of the devices I use. This may not necessarily change my clinical approach but I feel very comfortable when I understand what is behind each device.
How do you use different lasers to treat different skin and medical conditions?
We have twelve different lasers, IPL and radio-frequency devices that allow me to have a wide variety of treatment options. There are lasers such as pulsed dye and long-pulsed alexandrite lasers that are used to treat medical conditions such as port-wine stains and rosacea. I have a wide spectrum of devices for treating sun damage. This ranges from Intense Pulsed Light (IPL) to Sublative (eMatrix) to fractional ablative devices such as our fractional CO2 laser (CO2RE).
We use the light devices, lasers and radio-frequency devices to treat active acne, sebaceous hyperplasia, which is a benign oil gland growth on the face, scars, especially acne scars, warts, stretch marks, wrinkles, brown age spots, hair removal in light and dark skin, rosacea and blood vessels on the face and general sun damage.
What cosmetic procedures are most requested during the summer? During the winter?
During the winter we tend to do more of our treatments that are associated with downtime such as CO2 lasers. I also do most of my leg vein treatments either with laser or sclerotherapy during the winter months. My less invasive devices such as the eMatrix and ePrime evolastin can be performed all year round. The new evolastin device is an energy based micro-needle insertion dermal remodeling procedure that delivers measured radio frequency energy directly into the deep dermis.
Are there any new or forthcoming dermatological advances that you are especially excited about?
I feel the addition of radio-frequency devices to my practice is very promising. Combining radio-frequency with other energy sources such as light and laser adds a new dimension to the efficacy of these devices. I think we are just beginning to see the many uses for the fractional radio-frequency device (eMatrix). I have found this to be the best device by far for treating acne scars. The evolastin procedure using tiny needles to deliver high energy to a specified level in the dermis is also a very unique delivery system that we are beginning to find many uses for. These are examples of how we will find new and exciting uses for many new devices.