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Skin Laser & Surgery Specialists of NY/NJ, New York, NJ Mount
Sinai School of Medicine, New York, NY Unilever Research and Development, Edgewater,
NJ
Background and Objectives: Despite high patient
satisfaction, subjective clinical improvement after non-ablative treatments are
often difficult to document. Varied objective tests have been used to quantify results.
The purpose of this study was to compare a variety of objective measurements that
document efficacy after non-ablative laser treatment.
Study Design/Materials and Methods: Twelve
subjects received 5 full-face 1,320 nm Nd:YAG non-ablative laser treatments. All
subjects were followed for 6 months after treatment. Objective improvement analyses
were made of changes in skin firmness with balistometric analysis; improvement in
skin texture with both full face digital screening and optical 3D profilometry;
and changes in structural changes with protein analyzes.
Results: Significant improvement in skin firmness and elasticity
was seen with balistomteric evaluation. Facial scanner analysis showed improvement
both in depth of facial rhytides, with individual improvement up to 60%, and in
length of rhytides with individual improvement up to 100%. Optical 3D profilometric
analyses showed both improvement in depth of rhytides,. with individual improvement
up to 28%, and microtexture with individual improvement up to 22%. Finally, post
non-ablative treatment protein analyzes showed increases in procollagen I, fillagrin
and proliferating cell nuclear antigen, all markers of wound repair.
Conclusions: A wide variety of objective analyzes confirm the subjective changes
seen after non-ablative treatment
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