Non-Surgical Skin Tightening Options for Face and Body
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This document discusses skin cancer and non-invasive skin tightening procedures. It provides information on the most common types of skin cancer, including basal cell carcinoma, squamous cell carcinoma, and melanoma. Risk factors like sun exposure are covered, as well as detection methods. Non-surgical skin tightening options like Ultherapy, Sublime, Sublative, VelaShape, and CoolSculpting are summarized, explaining how they use heat, radiofrequency or other energy to stimulate collagen production and reduce skin laxity with minimal downtime. Prevention through sun protection is also emphasized.
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Non-Surgical Skin Tightening Options for Face and Body
- 1. Skin Cancer Tim Jochen, MD Associate clinical Professor USC Board Certified Dermatologist Fellow American Society of Cosmetic Surgery
- 2. What is the most common type of cancer?
- 3. What causes skin cancer? • Fun
- 4. Best way to protect yourself from developing skin cancer • Move into a cave • Move to Seattle • Stop living your life
- 5.
- 6. What are the types of skin cancer • Actinic keratosis • Squamous cell carcinoma (SCC) • Basal Cell Carcinoma (BCC) • Melanoma
- 7. How do I detect them?
- 10. BCC
- 16. What makes a skin cancer serious? • Time
- 17. Oh no. What am I going to do? • Precancers • Liquid nitrogen
- 18. Topical agents
- 20. 5 Fluorouracil
- 25. Blue light
- 27. Non melanoma skin cancers • Superficial BCC and SCC • Topical therapies • 5 fluoracil • Aldara • Photodynamic therapy
- 29. Surgery
- 31. Mohs surgery • Advantage of Mohs • Indications for mohs • Cosmetic areas • Greater than 2 cm body • Greater than 1 cm face • Recurrence • Sclerosing bcc
- 32. Closure
- 33. Why contour? • Professor at USC • Fellow of American society for cosmetic surgery
- 34. Radiation therapy • Non surgical candidates • Poor wound healing • Limited options for further surgery
- 35. Melanoma Staging how deep into issue ulceration number of mitosis
- 36. Prevention techniques? • Sun protective clothing • Sunscreen • Skin exams • Avoid peak hours of the day
- 37. Skin Cancer Tim Jochen, MD Associate clinical Professor USC Board Certified Dermatologist Fellow American Society of Cosmetic Surgery
- 38. Non-laser devices Ultherapy, Sublime, sublative, vela, cool sculpt
- 39. Ultherapy, Sublime, Sublative, Vela, Cool sculpting • The basic premise of most of these devices is the same • Deliver energy into the skin • Wound healing response = neocollagenesis= tissue tightening
- 40. Healthy collagen = smooth tight skin!
- 41. Ultherapy • Focused Ultrasound • FDA approved for LIFTING • Bypasses skin surface and targets deeper tissue where collagen lives • Works from the inside-out
- 42. Comparison
- 44. Ultherapy • Delivers tiny deposits of focused ultrasound energy at the same layer that a facelift typically addresses • Coagulation points=Stimulates the growth of new collagen • Can vary depth 4.5, 3, 1.5 mm
- 45. Ultherapy • Minimal downtime • Gradual tightening and lifting of skin over 90 days • For the post surgical, non-surgical pt, and preventative pt • Expectations
- 46. How long does ULTHERAPY last? • Stimulating new collagen but we are continuing to age
- 48. Sublime • Combines light and bipolar radiofrequency (ELOS • Stimulates new collagen growth
- 49. SublimE
- 50. sublime • An electrical current that is not chromophore specific • Epidermal melanin is not damaged/color blind • All skin types • Heat accumulation= production of new collagen
- 51. sublime • The RF current has preference for pre-heated targets • The epidermis is cooled by the chilled applicator tip protecting the epidermis • Forcing the RF energy to penetrate deeper into tissue
- 52. SUblime •Safe •No downtime •All skin types •Minimal pain
- 56. Sublative RF • Fractionated RF delivered via 64 electrodes on applicator tip • Deep dermal heating= induces injury = induces healing process = neocollagenesis
- 57. Sublative • 5% epidermal ablation • Dispersed heat to dermal layers (30% dispersion) • All skin types • social downtime (2-3 days) • 3 treatments needed
- 58. sublative
- 59. SUBLATIVE TIP
- 65. Velashape 3 • Powered by elōs technology, VelaShape III combines IR (infrared), bi-polar RF and vacuum • Deep heating of the fat cells (adipocytes), their surrounding connective fibrous septae and the underlying dermal collagen fibers
- 66. Velashape 3
- 67. Vela • Vacuum • Heats – apoptosis • Brakes fibrous connective tissue • Smooth's • Tightens
- 68. result • A localized reduction in skin laxity, volume and an overall improvement in skin structure and texture.
- 73. Layered approach
- 74. Cool Sculpt
- 79. power of beauty Tim Jochen MD