Monopolar radiofrequency treatment of human eyelids: A prospective, multicenter, efficacy trial

Lasers in Surgery and MedicineVolume 38, Issue 10 p. 890-898 Clinical Reports Monopolar radiofrequency treatment of human eyelids: A prospective, multicenter, efficacy trial Brian S. Biesman MD, FACS, Corresponding Author Brian S. Biesman MD, FACS [email protected] Department of Ophthalmology, Otolaryngology, Dermatology, Vanderbilt University Medical Center, Nashville, Tennessee Assistant Clinical Professor.345 23rd Avenue North, Suite 416, Nashville, TN 37203.Search for more papers by this authorSterling S. Baker MD, Sterling S. Baker MD Department of Ophthalmology, Adjunct Clinical Professor Dermatology, College of Medicine of the University of Oklahoma, Oklahoma City, Oklahoma Assistant Clinical Professor.Search for more papers by this authorJean Carruthers MD, FRCS(C), FRC(Ophth), Jean Carruthers MD, FRCS(C), FRC(Ophth) Department of Ophthalmology, University of British Columbia, Vancouver, Canada Fellow American Society of Ophthalmic Plastic and Reconstructive Surgery, Diplomate of the American Board of Cosmetic Surgery.Search for more papers by this authorHector Leal Silva MD, Hector Leal Silva MD UltraLaser, SA, Monterrey, Mexico Clinical Professor.Search for more papers by this authorErin L. Holloman MD, Erin L. Holloman MD Cimarron Eye Center, Oklahoma City, Oklahoma Founder and Director General.Search for more papers by this author Brian S. Biesman MD, FACS, Corresponding Author Brian S. Biesman MD, FACS [email protected] Department of Ophthalmology, Otolaryngology, Dermatology, Vanderbilt University Medical Center, Nashville, Tennessee Assistant Clinical Professor.345 23rd Avenue North, Suite 416, Nashville, TN 37203.Search for more papers by this authorSterling S. Baker MD, Sterling S. Baker MD Department of Ophthalmology, Adjunct Clinical Professor Dermatology, College of Medicine of the University of Oklahoma, Oklahoma City, Oklahoma Assistant Clinical Professor.Search for more papers by this authorJean Carruthers MD, FRCS(C), FRC(Ophth), Jean Carruthers MD, FRCS(C), FRC(Ophth) Department of Ophthalmology, University of British Columbia, Vancouver, Canada Fellow American Society of Ophthalmic Plastic and Reconstructive Surgery, Diplomate of the American Board of Cosmetic Surgery.Search for more papers by this authorHector Leal Silva MD, Hector Leal Silva MD UltraLaser, SA, Monterrey, Mexico Clinical Professor.Search for more papers by this authorErin L. Holloman MD, Erin L. Holloman MD Cimarron Eye Center, Oklahoma City, Oklahoma Founder and Director General.Search for more papers by this author First published: 12 December 2006 https://doi.org/10.1002/lsm.20452Citations: 31 AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat Abstract Background/Objective To evaluate the efficacy of a novel 0.25 cm2 monopolar radiofrequency (RF) treatment tip for aesthetic rejuvenation of the eyelids. Study Design/Materials and Methods This was a prospective, multicenter trial in which the eyelids of 72 patients were treated. Patients underwent a single treatment session and were then followed on a serial basis for 6 months. Cutaneous anesthesia was not required to perform the treatments. Assessments were made by the treating physician, the subjects, and by masked physician observers evaluating photographs taken at each data point. Results Upper eyelid tightening and reduction of hooding was noted in 88 and 86% of subjects, respectively. Lower eyelid tightening was noted in 71–74% of subjects. The majority of patients treated achieved at least up to 25% improvement while a smaller percentage achieved more dramatic results. There was no correlation between the amount of energy applied to the eyelids and the clinical outcome. There were no serious adverse sequelae. Conclusion Human eyelids can be safely treated with monopolar RF energy delivered via a novel 0.25 cm2 treatment tip. Using this technology non-invasive eyelid rejuvenation was achieved in the majority of subjects treated. The factors differentiating those patients who achieve the most impressive changes from others remain unclear. Further development and testing of this technology is warranted. Lasers Surg. Med. 38:890–898, 2006. © 2006 Wiley-Liss, Inc. REFERENCES 1 ASAPSS. American Society for Aesthetic Plastic Surgery Survey. 2005. 2 Zelickson BD, Kist D, Bernstein E, Brown DB, Ksenzenko S, Burns AJ, Kilmer S, Mehregan D, Pope K. Histological and ultrastructural evaluation of the effects of a radiofrequency-based nonablative dermal remodeling device: A pilot study. Arch Dermatol 2004; 140(2): 204–209. 3 Koch RJ. Radiofrequency nonablative tissue tightening. Facial Plast Surg Clin North Am 2004; 12(3): 339–346. 4 Fitzpatrick RE, Geronemus R, Goldberg D, Kaminer M, Kilmer S, Ruiz-Esparza J. First multi-center study of a new non-ablative radio frequency device to tighten facial tissue. 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Citing Literature Volume38, Issue10December 2006Pages 890-898 ReferencesRelatedInformation