The techniques of noninvasive facial rejuvenation are forever being redefined and improved.
This article will review historical as well as present approaches to resurfacing, discussing
the nonablative tools that can complement resurfacing procedures. Current thoughts on the
pre- and postoperative care of resurfacing patients are also considered.
Semin Cutan Med Surg 32:53-58 © 2013 Frontline Medical Communications

OVER THE PAST CENTURY, our understanding of wound healing has undergone an absolute turnaround.

Numerous nonsurgical techniques and devices have sought to reproduce the effectiveness
of liposuction. Unfortunately, the vast majority of these has fallen short of adequate results
or has been plagued with complications. UltraShape (UltraShape; Yoqneam, Israel) is a
device that is able to accomplish the reduction of the subcutaneous fat with a procedure
that is both comfortable and leads to good patient satisfaction. Its design of a nonthermal
ultrasonic energy is able to produce cavitation leading to fat cell lysis while sparing
adjacent blood vessels and nerves. Although the results are not equivalent to surgical
results, this device will offer a safe and effective alternative for patients who are apprehensive
about undergoing liposuction.
Semin Cutan Med Surg 28:263-267 © 2009 Elsevier Inc. All rights reserved.

Noninvasive procedural dermatology has evolved rapidly during the past decade. An array
of skin tightening, resurfacing, and fat-reducing energy devices can now be combined with
filler and neurotoxin injectables to reduce the visible signs of aging with minimal downtime
and risk. In the future, such advances will likely continue, although the pace of technological
breakthroughs is difficult to predict. Complex feedback devices, nanotechnology, and
cell-based therapies will eventually begin to fulfill the promise of scar removal, pigmentation
correction, and replacement of aged skin with skin that is new and completely
functional. Dermatologists are well equipped to retain their leadership in noninvasive
esthetic medicine, and they will, to the extent that they continue to pioneer outstanding
therapies that are effective, affordable, and safe.
Semin Cutan Med Surg 32:59-61 © 2013 Frontline Medical Communications