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- Presentation
AAD 2025 Pearls from the Masters of Dermatological Surgery: Facial Recontouring Combining Devices with Surgery and Other Pearls
Description
The session, led by Julie Munaveli, covers innovative techniques in facial recontouring, focusing on combining surgeries with devices for enhanced aesthetic outcomes. Munaveli discusses various facial and neck procedures, emphasizing the benefits of RF microneedling, especially in the periorbital area to address fine lines and brow elevation. She demonstrates how microneedling can be effective alongside injectables and filler treatments, providing anesthesia techniques to minimize bruising during procedures. Other topics include treating xanthelasmas with Q-switched Nd:YAG lasers, highlighting their effectiveness in cases of difficult lesions without excessive thermal damage. Munaveli also mentions advanced techniques such as microcoring and different forms of resurfacing to enhance skin tightening and rejuvenation in the cheeks and neck areas. She discusses the integration of liposuction with RF energy to address submental fat while maintaining skin elasticity, as well as troubleshooting persistent neck and jawline issues. Munaveli concludes with a focus on post-treatment results, emphasizing sustained improvements and patient satisfaction through tailored approaches that incorporate both surgical and non-surgical techniques. Overall, the session presents a comprehensive overview of modern practices in dermatological surgery for facial recontouring.
View moreConclusions
- RF microneedling (RFMN) can effectively rejuvenate the periorbital area, reducing fine lines and improving brow elevation.
- Combining hyaluronic acid (HA) fillers with RFMN enhances treatment outcomes in the periorbital region.
- Q-switched Nd:YAG lasers are effective for the treatment of xanthelasma with notable results using specific pulse settings.
- Using a blunt cannula for lidocaine injections significantly reduces bruising in periocular procedures.
- Combination treatments, such as RF microneedling with biostimulatory fillers, are effective for treating cheek and accordion lines.
- A combination approach to submental liposuction can result in improved contouring and skin tightening.
- Real-time infrared photography can aid in monitoring treatment effectiveness and skin temperature during procedures.
- Extended follow-up shows sustained improvements in submental liposuction outcomes over time.
- Jun Khee Heng, S., Chua, S.H., Goh, C.L., Cheng, S., Tan, V., & Tan, W.P. (2017). Treatment of xanthelasma palpebrarum with a 1064-nm, Q-switched Nd:YAG laser. Journal of the American Academy of Dermatology, 77(4), 728-734. https://doi.org/10.1016/j.jaad.2017.03.041
- JAAD ONLINE: SURGICAL PEARL. (n.d.). Cannula for periocular eyelid lidocaine injection to prevent bruising. Houston, Texas and Winston-Salem, North Carolina.