New HuiTing, Cai SuiQing
Department of Dermatology, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Lasers Med Sci. 2025 Mar 8;40(1):131. doi: 10.1007/s10103-025-04395-x.
Facial aging involves structural changes in the skin, subcutaneous tissues, and skeletal framework. Ultra-Pulse Shockwave (UPSW) therapy, a non-thermal, high-frequency shockwave technology, has emerged as a promising, non-invasive option for facial rejuvenation. This study evaluates the efficacy and safety of UPSW in improving skin texture, reducing subcutaneous fat, and enhancing skin tightness. A clinical study was conducted with 20 participants (ages 25-60) undergoing three UPSW treatment sessions over six weeks. Objective assessments included standardized photography, VISIA skin analysis, and Paragon XHD ultrasound imaging to document and analyze treatment effects. Subjective evaluations were performed using the Global Aesthetic Improvement Scale (GAIS) to measure aesthetic outcomes and the Visual Analog Scale (VAS) to assess pain levels experienced during and after treatment. UPSW therapy significantly improved skin texture (p = 0.010) and showed promising effects on subcutaneous fat reduction and skin tightness. Wrinkles (p = 0.069) and pores (p = 0.232) did not reach statistical significance. Adverse effects, including transient erythema and mild edema, were minor and self-limiting. The mean VAS pain score was 2.8, indicating high tolerability. Ultra-Pulse Shockwave (UPSW) therapy demonstrated both safety and efficacy as a non-invasive treatment for facial rejuvenation. The findings indicate that UPSW significantly enhances skin texture while exerting positive effects on skin tightening and subcutaneous fat reduction. Despite the limitations of a small sample size, limited treatment sessions, and a short follow-up period, this study highlights UPSW's potential as a valuable addition to aesthetic medicine. Further research involving larger cohorts, more frequent treatments, and extended follow-up durations is recommended to optimize treatment protocols and comprehensively evaluate its long-term benefits.
面部老化涉及皮肤、皮下组织和骨骼结构的变化。超脉冲冲击波（UPSW）疗法是一种非热、高频的冲击波技术，已成为一种有前景的非侵入性面部年轻化选择。本研究评估了UPSW在改善皮肤质地、减少皮下脂肪和增强皮肤紧致度方面的疗效和安全性。对20名年龄在25至60岁之间的参与者进行了一项临床研究，他们在六周内接受了三次UPSW治疗。客观评估包括标准化摄影、VISIA皮肤分析和Paragon XHD超声成像，以记录和分析治疗效果。主观评估使用全球美学改善量表（GAIS）来衡量美学效果，使用视觉模拟量表（VAS）来评估治疗期间及治疗后的疼痛程度。UPSW疗法显著改善了皮肤质地（p = 0.010），并在减少皮下脂肪和皮肤紧致度方面显示出有前景的效果。皱纹（p = 0.069）和毛孔（p = 0.232）未达到统计学显著性。包括短暂红斑和轻度水肿在内的不良反应轻微且为自限性。平均VAS疼痛评分为2.8，表明耐受性高。超脉冲冲击波（UPSW）疗法作为一种非侵入性面部年轻化治疗方法，显示出了安全性和有效性。研究结果表明，UPSW显著改善了皮肤质地，同时对皮肤紧致和皮下脂肪减少产生了积极影响。尽管存在样本量小、治疗次数有限和随访期短的局限性，但本研究突出了UPSW作为美容医学有价值补充的潜力。建议进一步开展涉及更大队列、更频繁治疗和更长随访期的研究，以优化治疗方案并全面评估其长期益处。
