Dos Santos Teodoro Matheus, da Fonseca Armada Barros João Henrique, da Cunha Ana Lúcia Gonzaga
Instituto Corpo e Pele, Belo Horizonte, Minas Gerais, Brazil.
Clínica Skinline, Santo André, São Paulo, Brazil.
J Cosmet Dermatol. 2025 Feb;24(2):e16667. doi: 10.1111/jocd.16667. Epub 2024 Dec 4.
In the pursuit of integral beauty and a harmonious overall appearance, individuals are increasingly seeking cosmetic treatments for both facial and extrafacial regions. Among these areas, the neck and décolleté have become focal points for care due to their visibility and susceptibility to postsurgical scarring and dyschromia compared with the face. Environmental stressors and sun exposure contribute to aging signs in these areas, prompting a demand for effective, minimally invasive procedures with reduced downtime and minimal risks. Biostimulators, hyaluronic acid, laser therapy, microfocused ultrasound and neurotoxins have become key players in addressing these concerns.
This manuscript introduces the Diamond technique, which uses a diamond-shaped acetate device to perform a minimally invasive protocol combining calcium hydroxyapatite, hyaluronic acid, and incobotulinumtoxinA for neck and décolleté rejuvenation.
PATIENTS/METHODS: The technique involves two steps: solution preparation and device-guided injections. The diamond-shaped device was developed to guide the injections, enhancing precision and reproducibility and facilitating medical training. The device's strategic markings aid in solution application, ensuring a multidimensional approach to rejuvenation. Four female patients, aged between 55 and 63 years were used to demonstrate the technique, with two categorized as grade II and two as grade III according to the Merz scale of neck laxity at rest.
The four examples demonstrate improvements in skin laxity, wrinkles, and overall skin quality. Two participants reported "good results," and two reported results "beyond expectations." The Diamond technique's potential lies in its ability to provide predictable outcomes, individualized treatments, and patient satisfaction.
While the authors assert the technique's safety and efficacy, the need for controlled studies is crucial. Rigorous, long-term studies are warranted to validate its effectiveness and safety compared with the existing approaches.
在追求整体美和和谐外观的过程中，人们越来越多地对面部和面部以外的区域寻求美容治疗。在这些区域中，颈部和胸部由于其可见性以及与面部相比更容易出现术后疤痕和色素沉着异常，已成为护理的重点部位。环境压力源和阳光照射会导致这些部位出现衰老迹象，这促使人们需要有效、微创的治疗方法，减少停工期并降低风险。生物刺激剂、透明质酸、激光治疗、微聚焦超声和肉毒素已成为解决这些问题的关键手段。
本文介绍了钻石技术，该技术使用一种菱形醋酸盐装置，执行一种微创方案，将羟基磷灰石、透明质酸和incobotulinumtoxinA联合用于颈部和胸部的年轻化治疗。
患者/方法：该技术包括两个步骤：溶液制备和设备引导注射。开发菱形装置以引导注射，提高了精确性和可重复性，并便于医学培训。该装置的战略标记有助于溶液的应用，确保采用多维度方法实现年轻化。四名年龄在55至63岁之间的女性患者被用于演示该技术，根据颈部静态松弛的Merz量表，两名患者被归类为II级，两名患者被归类为III级。
这四个案例展示了皮肤松弛、皱纹和整体皮肤质量的改善。两名参与者报告“效果良好”，两名参与者报告结果“超出预期”。钻石技术的潜力在于其能够提供可预测的结果、个性化治疗以及患者满意度。
虽然作者断言该技术的安全性和有效性，但进行对照研究至关重要。与现有方法相比，需要进行严格的长期研究来验证其有效性和安全性。
