TY - CHAP M1 - Book, Section TI - Skin Tightening A1 - Mehrabi, Joseph N. A1 - Kream, Elizabeth J. A1 - Wang, Jordan V. A1 - Saedi, Nazanin A2 - Baumann, Leslie S. A2 - Rieder, Evan A. A2 - Sun, Mary D. PY - 2022 T2 - Baumann’s Cosmetic Dermatology, 3e AB - SUMMARY POINTSWhat’s Important?Novel technologies in the aesthetic market continue to facilitate the growth of skin tightening procedures. This has led to improved patient experiences and clinical outcomes, while encouraging patients to further embrace cosmetic dermatology. Since skin tightening is a common cosmetic goal of many cosmetic patients, physicians should be familiar with the many devices and modalities available in order to optimize results.What’s New?Newer RF devices have been equipped with subdermal probes and real-time monitoring to increase patient safety and reduce the potential for over-heating. Novel ultrasound devices have incorporated high-intensity, high-frequency, parallel ultrasound beams that bypass the epidermal layer and directs the thermal damage to depths of 0.5–2 mm, while avoiding injury to deeper anatomic structures. Patient interest in absorbable thread lifting is high, and newer absorbable threads have a favorable safety and efficacy profile compared to their predecessors.What’s Coming?Thermomechanical fractional injury (TMFI) is a relatively new modality that combines thermal energy with motion. A current TMFI device focuses thermal energy on a titanium tip with a grid of pyramids, which, when heated, is pulsed to contact the skin surface and coagulate the tissue. The expansion of topical drug delivery via lasers and other energy-based devices may offer synergistic effects when combined with these skin tightening devices. SN - PB - McGraw Hill LLC CY - New York, NY Y2 - 2024/03/29 UR - dermatology.mhmedical.com/content.aspx?aid=1190669695 ER -