Minimally Invasive Facial Rejuvenation

Current Concepts and Future Expectations

Moetaz El-Domyati; Walid Medhat


Expert Rev Dermatol. 2013;8(5):565-580. 

In This Article

Expert Commentary & Five-year View

The armamentarium offered for minimally invasive facial rejuvenation is strikingly expanding, however because each person is different, there is no one modality that is suitable for everybody. Thus, it is important not only to correct the wrinkles, but also to develop a cosmetic overall concept with the patient. This suggests that the choice of any of the treatment options should be selected according to the patient's condition, needs and goals.

BTX injection may be useful for wrinkles associated with mild and early degrees of photodamage in young patients with hyperkinetic muscles, while lasers, light sources and RF technologies are more beneficial for more photodamage caused by loss of collagen. Meanwhile, combination therapy is highly useful for those having moderate to severe photodamaged skin with hyperkinetic muscles or volume loss. For appropriate reversal of signs of aging face, selection of a suitable combination should be put in mind. A combination treatment is considered an approach that includes at least two different and unrelated modalities, such as a light or laser device combined with non-laser technology, ELOS or other procedures or techniques. Often, appropriate patient selection and combination of different techniques allow individualized treatment with optimal outcomes.

Multiple sessions and combined minimally invasive modalities, beside the use of future home devices would fill the gap between ablative and non-ablative approaches in improving the signs of skin aging and maintaining the clinical and the histological improvement. Advanced cellular and skin aging knowledge and research paves the way for the technical evolution of the use of stem cells in skin rejuvenation. Meanwhile, advances of laser sources and techniques, fractional laser and other energy approaches, beside new and safer filler options, as well as new neurotoxin complexes represents a promising future for minimally invasive skin rejuvenation and treatment of the aging skin.