RT Book, Section 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. SR Print(0) ID 1197534846 T1 Skin Tightening T2 Baumann’s Cosmetic Dermatology, 3e YR 2022 FD 2022 PB McGraw Hill LLC PP New York, NY SN 9780071794190 LK dermatology.mhmedical.com/content.aspx?aid=1197534846 RD 2024/03/29 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.