Microfocused ultrasound, MFU is a medical procedure of tightening and rejuvenating the skin. It tends to generate heat in layers of skin, named as dermis and subcutaneous layer which results in synthesis of new collagen layers which are responsible for skin tightening. Collagen and elastin proteins are two proteins which play vital roles in tightening the skin. When collagen is exposed to excessive heat, 60-65ͦC it leads to denaturation. In the presence of hyaluronic acid, expression of these proteins tends to increase. This new technique can be used to lift eyebrows, reverse signs of aging such as lines and wrinkles and lift the tissue in the area of chin and neck. In microfocused skin tightening, ultrasound waves are used for rejuvenating the skin tissues. Higher ultrasound waves give good super facial results while lower ultrasound waves are good for penetrating in deeper layers of the skin. When these waves are made to fall on skin, they penetrate into the collagen fibers. The sound energy is converted into heat energy due to molecular vibrations. As a result of this heat, the collagen protein is denatured and neocollagenesis, which is the process of synthesis of new collagen protein, starts. The ultrasound waves are absorbed by the intended tissues without causing damage to the surrounding tissues.
What is this skin tightening technique?
The treatment of microfocused ultrasound tightening is known as the Ulthera. It had been approved by FDA in 2009 for lifting eyebrow area, however it has now been used on a daily basis to lift the area near the chin and neck, the submental area. The depth of target tissue is set by changing the settings of device.3.0mm is used for deeper penetrations of dermis whereas 4.5mm is used for superficial muscular layer known as superficial muscular aponeurotic system, SMAS. The instrumentation of microfocused ultrasound system for skin tightening consists of a hand piece and monitor. Handpiece is used to transfer energy to the target whereas, monitor is used to visualize the degree of penetration so that damage to bone can be avoided. Skin histology showed the formation of reproducible and consistent injury zones mediated by thermal energy. Average time duration spent to complete this process range from 30 to 90 minute depending upon the experience of the doctor, adherence with the protocols and patient compliance. Before initiating the procedure, the dermatologist applies topical analgesics such as lidocaine to reduce the sensation of pain.
Who can be a candidate for skin tightening?
How to find out if you are a good candidate for microfocused ultrasound therapy? Person who has some degree of laxity, to the point of looking less firm, is often a good candidate. It is a procedure to fix problems for the people who have loose skin under chin and neck, or wrinkles on chest. The people who are not ready for undergoing surgical procedures for face lifting due to physical, mental or financial problems, can use this process for coping with loose skin problems under face, though it is not a replacement of surgical facelift. People who are young and want to stay ahead of the game or to look aesthetic also go for this procedure. As far as the cost of microfocused ultrasound for skin tightening is concerned, pricing may vary upon the area of skin being treated. This also depends upon the location you are preferring to move, in order to get this treatment. However, treatment can be customized and exact prices can be discussed during the consultation process. Majority of the patients usually get the desired result by a single procedure though multiple procedures can be performed in order to get the desired laxity and patients’ own response to the ultrasound waves and the normal collagen synthesizing process.
Complications & Side effects
As some degree of risks are always being associated with the medical procedures, microfocused ultrasound skin tightening also comes up with certain degrees of side effects. These side effects include transient erythema, transient edema, mild bruising, pain and tenderness. People experience redness and a flushed face after the procedure. It usually disappears in a day. Mild to moderate tenderness is also faced by some patients which usually diminishes in a month. Swelling of the skin after treatment is not a common practice, as well as the degree of swelling also differs in different patients. This can be treated with cold compresses, bleeding under the skin can also take place and this issue is resolved in a couple of weeks. Corticosteroids might be used if grooves or scratch like marks are formed on the skin. More serious complications of microfocused ultrasound skin tightening include palpable nodules formed underneath if the procedure is not performed well, areas of the skin rich in nerve impulses can be paralyzed by ultrasound waves which can be treated with anti-inflammatory medications. These complications and risks can be avoided by choosing a well experienced doctor with proper qualification and skills. The cost of this process ranges from 50,000 to 75000 Rs in Lahore Pakistan.
Microfocused ultrasound skin tightening of face and neck gives results in 90 days. It is used on periorbital region, nasolabial folds and jawline, superficial musculoaponeurotic system, buttocks, arms, thighs and knees. During this procedure, pain is usually frequent. Increases in pain can prolong the duration of time. Special protocols are designed for the pain and comfort management during this procedure which includes administering oral anti-inflammatory non-steroidal drugs, oral narcotics and anxiolytics, topical anesthesia, injectable nerve blocks, cool air device, pre cooled ultrasound gel and nitrous oxide gas. These can be used alone or in combination in order to reduce pain and increase contort. No after care is usually needed after microfocused ultrasound skin tightening. Recovery rate is fast. As no skin tightening procedure promises permanent results, the after effects of this process is seen for 10 years. The process is conducted by the physicians however, the medications and anesthesia are performed by nurses and trained anaesthesias. The outcomes of this procedure are better in patients with mild to moderate facial aging. It is a noninvasive technique and recovery time is fast as compared to any other treatment procedure. Due to variability in results in different patients, more modifications are expected in this technique.
Frequently Asked Questions
What is the best device for skin tightening treatment in Lahore Pakistan?
Any device which is approved and cleared by FDA is the best to tighten the loose skin.
What is the cost of skin tightening treatment in Lahore Pakistan?
The cost for FDA approved devices is in the range of 30,000 to 75000 Pak Rupee for one procedure.
Who is the best doctor for skin tightening treatment in Lahore Pakistan?
Dr. Ahmad Chaudhry is a best doctor in Lahore who got his training, qualification and experience from Paris France. He has more than twenty years of experience.
Can I get HIFU treatment in Lahore Pakistan?
Yes HIFU (high intensity focused ultrasound) is available in Lahore and you can get an appointment by calling or through WhatsApp +92-333-430-9999