No-incision dual-laser facelift a viable option for properly chosen patients


Preliminary results from a prospective study indicate that a no-incision, dual-laser facelift procedure can be a viable option for properly chosen patients interested in a minimally invasive alternative to a traditional surgical facelift.

Dr. Nease

The procedure combines laser lipolysis of the lower face and neck with fractional CO2 laser resurfacing and was developed by Carey Nease, M.D., to satisfy patient demands for a procedure that would provide good cosmetic results with less downtime than a traditional facelift and no visible scars. Dr. Nease is a fellowship-trained, board-certified cosmetic surgeon in private practice with offices in Chattanooga, Tenn., and Calhoun, Ga.

“Dr. Nease was looking to meet the needs of patients who did not want a traditional facelift either because of the downtime, the cost, or because they were not emotionally or clinically ready for it,” says Vincent Gardner, M.D., who conducted the research as a cosmetic surgery fellow. The fellowship training program is approved by the American Academy of Cosmetic Surgery (AACS) and is under the direction of Dr. Nease. “Having achieved good outcomes using laser lipolysis to contour the neck and jowls and with the fractional CO2 laser for facial skin resurfacing and tightening, he decided to investigate combining the two technologies.”

PROCEDURE DETAILS The dual-laser facelift is performed using modified tumescent anesthetic solution and light intravenous sedation and is completed in less than 60 minutes. Its efficacy and safety are being evaluated in a study that enrolled 27 nonsmoking patients ages 40 to 55 with Fitzpatrick skin types I-III who had no prior surgical procedures to the neck, jowls or facial skin.

Final data collection was at six months, and at the AACS meeting in January of this year, Dr. Gardner reported results from the first 15 patients that showed that outcomes varied but were generally positive. About two-thirds of patients reported that they felt they looked younger, but only about half thought the procedure met their expectations and said they would recommend it to friends. The remaining patients were split about 2 to 1 between being dissatisfied and neutral, Dr. Gardner says.

Providing an update in a Cosmetic Surgery Times interview a few months after the meeting, however, Dr. Nease says as more patients reached the six-month visit, the overall results improved. Based on follow-up from about 20 patients, three-fourths were satisfied or highly satisfied, he says.

Post-treatment sequelae included some minor bruising and swelling from injection of the tumescent solution. Downtime for the majority of patients was only four to five days, however, and there have been no significant complications, although one dissatisfied patient went on to a traditional facelift prior to six months of follow-up.

PATIENT SELECTION The availability of more patient data is also allowing insight as to who are the best candidates for the dual-laser facelift, Dr. Nease says.

“It appears this procedure is best for women and men in their 40s who have very mild skin laxity with mild jowling and mild-to-moderate excess fat deposits in the neck and submental region. In fact, a significant proportion of such patients we treated felt the procedure made them look five years younger, and several considered themselves looking five to 10 years younger. That is an impressive result for a one-hour procedure with such reasonable downtime,” Dr. Nease says. “However, for older individuals, above 50, who have more skin laxity, the laser treatment itself does not seem to provide sufficient tightening, and these patients were less satisfied with their cosmetic outcome.”

Halle Berry

Muscle Toning: Getting That Chiseled Look

Men generally like to build muscle, while women prefer to “tone” their muscles. Toning involves making... ...

Halle Berry

Ten Bed-time Beauty Tips

Wake up to a fresh and soft skin every morning by following these bed time beauty tips without fail. Taking care... ...

Halle Berry

What is Breast Reconstructive Surgery?

Breast reconstructive surgery has arrived as a significant body surgery development for women who have been undergoing... ...

Halle Berry

8 Tips to Boost Your Fertility

Getting pregnant is a matter of perfect timing. The chances are in your favor that something is not medically wrong... ...

Halle Berry

Cesareans: 10 Reasons Why You May Need a C-Section

One in three babies in the U.S. is born by a cesarean birth (or C-section). A C-section is the delivery of a baby... ...

DASH: Designed for Every Body

DASH: Designed for Every Body

Diets are a lot like fashion. Depending on the season (and which celebrity is currently obsessed),...

Dietary Help for Iron-Deficiency Anemia

Dietary Help for Iron-Deficiency Anemia

If you have been diagnosed with iron-deficiency anemia, your doctor has likely advised you to eat...

Simple Swaps! Make Healthy Food Even Healthier

Simple Swaps! Make Healthy Food Even Healthier

Looking for easy ways to boost the nutritional value in your food? ...

Does Advertising affect Eating Disorders?

Advertisements are all around us. What we see impacts us in some or the other way.

How to Stop Online Shopping Addiction

How to Stop Online Shopping Addiction

In the age of electronics, there are many trends that turn into addictions....

Grocery Shopping Tips for College Students

Grocery Shopping Tips for College Students

College life is the most enjoyable part in one’s life but it also inculcates sensibility and ...

Skin Care »

  • Global Hand Washing Day

    Global Hand Washing Day

    The primary practice aim was mobilize people and transform handwashing from being just an abstract idea to an automatic ...
  • Pre School Hand Hygiene

    Pre School Hand Hygiene

    Children are very notorious and they can literally give a deaf ear to their parents when the latter ...
  • Personality Type Diet Plan

    Personality Type Diet Plan

    The Personality Type Diet has been crafted by Robert Kushner. He is a known expert on ...
Easy Way to Stop Smoking
Easy Way to Stop Smoking

Medical practitioners all over the world have been constantly appealing ...

Self Hypnosis Techniques
Self Hypnosis Techniques

A self hypnosis session requires a strong suggestion, proper relaxation and delivering ...

How to Tighten Loose Skin
How to Tighten Loose Skin

Loose skin is a common problem that a lot of women as well . ...

Careers in Speech Pathology
Careers in Speech Pathology

With a rise in speech-related problems in people, speech pathologists are in great demand

8 SureFire Tips on How to Lose Inches Off Your Waist Fast

Want to know how to lose inches fast?

The 2 Types of Knee Braces With Side Stabilizer
The 2 Types of Knee Braces With Side Stabilizer

Do you have a problem with your knees?...

RiRi
Is It Easy To Quit Smoking Forever?

How do I dare to say that it is easy to quit smoking? ...

Kids and Martial Arts Can Be a Great Match
Kids and Martial Arts Can Be a Great Match

All parents want their children to grow up healthy and develop discipline...

Don't miss

Take It Easy: Preventing and Treating Shin Splints

What are shin splints? Typically, shin splints cause pain or tenderness along the shin bone from inflamed muscles,... ...

Fit to a Tee: The Basics of Golf

Think golf is just a slow-paced game for businessmen in plaid pants? Think again – it might be worth taking... ...

9 Ways to Exercise When You Don’t Have Time

You know exercise can help improve your health and lose weight. Yet, 1 in 4 adults doesn’t exercise, according... ...

What is Energy Balance?

Energy is another word for “calories.” Your energy balance is the balance of calories consumed through...

Middle Age Weight Gain in Men

As the years pass men too experience hormonal changes in their body which can lead to weight gain. In men, testosterone...
Key Strategies for Keeping the Weight Off

Key Strategies for Keeping the Weight Off

It’s hard to lose weight. Shedding pounds and trimming down take dedication, discipline, and months of effort....
Depression in Teens May Be Hard to Spot

Depression in Teens May Be Hard to Spot

Teenagers have a tough time. They’re dealing with raging hormones plus the social and emotional pressures...

In diabetes, what do you understand by 2 hour glucose tolerance test?

The 2 hour glucose tolerance test is done to diagnose diabetes. The test may be done if the fasting serum glucose...
8 Tips to Boost Your Fertility

8 Tips to Boost Your Fertility

Getting pregnant is a matter of perfect timing. The chances are in your favor that something is not medically wrong...