Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, Yale School of Medicine, New Haven, Connecticut.
Department of Otolaryngology-Head and Neck Surgery, Georgetown University Medical Center, Washington, District of Columbia.
Facial Plast Surg. 2023 Oct;39(5):496-500. doi: 10.1055/s-0043-1772197. Epub 2023 Aug 9.
The use of energy-based devices in cosmetic treatments for patients with higher Fitzpatrick skin types is a topic of concern due to the increased risk of complications such as hyperpigmentation and scarring. Advancements in technology have enabled the development of safe and effective energy-based modalities for improving skin tone, texture, and signs of aging in patients with higher Fitzpatrick skin types. This article reviews various modalities that have shown positive outcomes in Fitzpatrick skin types 4 to 6.Radiofrequency (RF) skin tightening devices have emerged as a noninvasive method for improving skin laxity by stimulating collagen and elastin production without generating excessive heat, making them suitable for darker skin tones. Microfocused ultrasound (MFUS) is another noninvasive option for skin tightening and lifting. By producing thermal coagulation in the deeper layers of the skin, MFUS stimulates collagen production, resulting in improved skin tightness. Fractional laser resurfacing, both ablative and nonablative, offers effective treatment options for various concerns such as acne scars, skin texture, and dyspigmentation. Nonablative fractional lasers, which target water rather than melanin, are particularly safer for darker skin types. Broadband light devices that emit different wavelengths have shown success in skin rejuvenation, improving wrinkles, pore size, erythema, telangiectasias, and dyspigmentation. Additionally, RF microneedling combines the benefits of both modalities, delivering safe treatment for skin laxity and textural concerns. The short-pulse neodymium-doped yttrium aluminum garnet (Nd:YAG) laser has become a transformative tool for patients with Fitzpatrick skin types 4 to 6. This laser targets melanin, hemoglobin, and water, providing improvements in hyperpigmentation, acne, fine lines, and scar texture. Combining the short-pulse Nd:YAG laser with other treatments like chemical peels or microneedling has shown synergistic effects and enhanced outcomes. Understanding these modalities and tailoring treatments to specific concerns is crucial for safe and effective solutions in patients with higher Fitzpatrick skin types.
能量设备在高 Fitzpatrick 皮肤类型患者的美容治疗中的应用是一个令人关注的话题，因为这会增加出现并发症的风险，如色素沉着和瘢痕形成。技术的进步使得开发安全有效的能量治疗方式成为可能，这些方式可以改善高 Fitzpatrick 皮肤类型患者的肤色、质地和衰老迹象。本文综述了各种在 Fitzpatrick 皮肤类型 4 至 6 中显示出积极效果的治疗方式。射频（RF）皮肤紧致设备已成为一种非侵入性的方法，可以通过刺激胶原蛋白和弹性蛋白的产生来改善皮肤松弛，而不会产生过多的热量，因此适合较深的肤色。微聚焦超声（MFUS）是另一种非侵入性的皮肤紧致和提升选择。通过在皮肤深层产生热凝固，MFUS 刺激胶原蛋白的产生，从而改善皮肤紧致度。剥脱性和非剥脱性的分数激光换肤术为各种问题提供了有效的治疗选择，如痤疮疤痕、皮肤质地和色素不均。针对水而不是黑色素的非剥脱性分数激光对于较深的肤色更为安全。发射不同波长的宽带光设备已成功应用于皮肤年轻化，改善皱纹、毛孔大小、红斑、毛细血管扩张和色素不均。此外，RF 微针结合了两种治疗方式的优点，为皮肤松弛和质地问题提供了安全的治疗。短脉冲掺钕钇铝石榴石（Nd:YAG）激光已成为 Fitzpatrick 皮肤类型 4 至 6 患者的变革性工具。这种激光针对黑色素、血红蛋白和水，可改善色素沉着、痤疮、细纹和瘢痕质地。将短脉冲 Nd:YAG 激光与化学换肤或微针等其他治疗方法结合使用，已显示出协同作用和增强的效果。了解这些治疗方式并针对特定问题进行治疗是为高 Fitzpatrick 皮肤类型患者提供安全有效的解决方案的关键。
