A combined approach to correcting age-related changes in the face: High-Intensity Focused Ultrasound (HIFU), botulinum toxin, and hyaluronic acid fillers

Kalashnikova N.G.; Pozdeeva E.V.; Murakov S.V.

doi:https://doi.org/10.17116/klinderma202322031346

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Abstract:

The multifactorial process of facial aging warrants using a combined approach, which has become the current standard of aesthetic medicine. Combining methods with different mechanisms of action that implement the effect at different tissue levels is pathogenetically justified and promising. Since high-intensity technologies provide controlled tissue damage, there are concerns about reducing the effectiveness and increasing the risk of adverse events from previously injected agents. Therefore, it is recommended to perform treatment using energy-based action before injectables, and this sequence of interventions is most common in practice. However, studying the effectiveness and safety of the reverse sequence of treatments and combining them into one session is becoming increasingly relevant; therefore, the interaction of energy-based action and injection agents is of considerable interest to specialists. We present possible applications of High-Intensity Focused Ultrasound (HIFU) in combined face rejuvenation protocols with botulinum toxin injections and hyaluronic acid (HA) fillers based on a review of available case studies and personal experience.

Keywords:

high-intensity focused ultrasound

hyaluronic acid-based fillers

botulinum toxin

combined treatment

combined approach

aesthetic correction

age-related facial changes

Authors:

Kalashnikova N.G.

«Linline» Clinic Chain

ORCID: 0000-0001-5250-9288

Pozdeeva E.V.

«Linline» Clinic Chain

ORCID: 0000-0002-5507-9751

Murakov S.V.

Academy of Postgraduate Education under Federal Scientific and Clinical Center of Federal Medical-Biological Agency of Russia

ORCID: 0000-0003-4330-2570

Received:

14.03.2023

Accepted:

08.04.2023

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