Carruthers Jean, Burgess Cheryl, Day Doris, Fabi Sabrina G, Goldie Kate, Kerscher Martina, Nikolis Andreas, Pavicic Tatjana, Rho Nark-Kyoung, Rzany Berthold, Sattler Gerhard, Sattler Sonja, Seo Kyle, Werschler William Philip, Carruthers Alastair
*University of British Columbia, Vancouver, Canada; †Center for Dermatology and Dermatologic Surgery, Washington, D.C.; ‡Day Dermatology and Aesthetics, New York City, New York; §Cosmetic Laser Dermatology, San Diego, California; ‖European Medical Aesthetics Ltd., London, United Kingdom; ¶University of Hamburg, Hamburg, Germany; #Victoria Park Medispa, Montreal, Canada; **Private Practice for Dermatology and Aesthetics, Munich, Germany; ††Leaders Clinic, Seoul, Korea; ‡‡RZANY & HUND, Berlin, Germany; §§Rosenparkklinik, Darmstadt, Germany; ‖‖Seoul National University, Seoul, Korea; ¶¶University of Washington, Seattle, Washington.
Dermatol Surg. 2016 May;42(5):586-97. doi: 10.1097/DSS.0000000000000754.
The aging process is a complex interplay of intrinsic and extrinsic factors across multiple layers of the face. Accordingly, combining aesthetic interventions targeting different manifestations of aging often leads to better results than single modalities alone. However, no guidelines for a pan-facial approach using multiple interventions have been published to date.
To develop consensus recommendations for the optimal combination and ideal sequence of botulinum toxin (BoNT), hyaluronic acid, calcium hydroxylapatite, and microfocused ultrasound with visualization (MFU-V) in persons of all Fitzpatrick skin types.
Fifteen specialists convened under the guidance of a certified moderator. Consensus was defined as approval from 75% to 94% of all participants, whereas agreement of ≥95% denoted a strong consensus.
Optimal aesthetic treatment of the face begins with a thorough patient assessment and an individualized treatment plan. Spacing consecutive treatments 1 to 2 weeks apart allows for resolution of side effects and/or to assess results. For same-day treatments, BoNT and fillers may be performed together in either sequence, whereas MFU-V is recommended before injectable agents.
Expert consensus supports a combination approach using multiple modalities in specific sequence for the safe and effective treatment of the aging face.
衰老过程是面部多层内在和外在因素的复杂相互作用。因此，针对衰老的不同表现形式联合进行美学干预通常比单独使用单一方式能取得更好的效果。然而，迄今为止尚未发布关于使用多种干预措施的全脸治疗方法的指南。
为所有菲茨帕特里克皮肤类型的人群制定关于肉毒毒素（BoNT）、透明质酸、羟基磷灰石钙和可视化微聚焦超声（MFU-V）的最佳组合及理想顺序的共识性建议。
在一名认证主持人的指导下召集了15位专家。共识定义为所有参与者中75%至94%的人认可，而≥95%的一致意见表示强烈共识。
面部的最佳美学治疗始于全面的患者评估和个性化治疗计划。连续治疗间隔1至2周可使副作用消退和/或评估效果。对于同一天的治疗，BoNT和填充剂可以按任意顺序一起进行，而建议在注射剂之前进行MFU-V治疗。
专家共识支持采用多种方式按特定顺序联合治疗，以安全有效地治疗衰老面部。
