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    What’s new in facial rejuvenation

    From single devices that perform a spectrum of rejuvenation procedures, to older devices that are re-emerging, to new combinations using tried-and-true technologies, dermatologists are at the forefront of what’s new and exciting in facial rejuvenation. Two dermatologists weigh in with their favorites.


    Tina S. Alster, M.D., director, Washington Institute of Dermatologic Laser Surgery and clinical professor of dermatology, Georgetown University Hospital, Washington, DC, said she is a laser user and abuser, but her top pick is no laser at all. It’s micro-needling, which she says is affordable for dermatologists and patients, and is an effective wrinkle reducer.

    “I’m using microneedling every day to minimize perioral rhytides and large pores. I’m seeing impressive results—similar to those that are achieved with fractionated laser treatment. Unlike lasers that produce heat during treatment, the microneedling device produces micro injuries in the skin without heat; thereby, stimulating new collagen production without risk of postinflammatory hyperpigmentation,” Dr. Alster says.

    Tina S. Alster, M.D.

    READ: Experts' top device picks

    Dr. Alster recommends that dermatologists who don’t have much or any experience with microneedling use it initially on small areas, such as on patients’ upper lips, until they get comfortable using the devices.

    “You want to produce pinpoint bleeding indicating dermal penetration, which will kickstart the wound-healing cascade,” says Dr. Alster. “Until you see how these devices work in your hands, keep the treatment confined within cosmetic units. When treating the perioral region, use the nasolabial folds as your lateral border and treat very lightly over the vermillion border.”

    More experienced dermatologists can venture beyond the cosmetic units, without having to worry as much about discoloration as with laser treatment.

    When using microneedling on the face to treat large pores, Dr. Alster avoids the nasal bridge.

    “The skin in that area is much thinner and more prone to bruising,” she says.

    NEXT: Combination microneedling approach

    Lisette Hilton
    Lisette Hilton is president of Words Come Alive, based in Boca Raton, Florida.


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