TURNING BACK THE CLOCK

dr.Resti Agiastuty Eka Putri dipl CIBTAC

Rederma Aesthetic Clinic

Skin rejuvenation

 re·ju·ve·na·tion

 noun
 the action or process of making someone or
something look or feel better, younger, or more vital.
 introduction

 Multiple new technologies are introduced into the
aesthetic arena on an almost daily basis.
 The most appropiate use of these technologies
remains as challenge to practicing cosmetic
physicians.
 goals for aesthetic
rejuvenation
 skin toning

 decreased wrinkling
 homogenous vascularity
 decreased skin pigmentation
 improved skin smoothing
 volume replacement
 skin tightening
 strategies for
rejuvenation

 Cell protection
 Cell turnover
 Chromophore targeting
 Cell stimulation
 Tissue tightening
 Volume depletion
 Aesthetic approaches

 Microdermabrasion
 Chemical peeling
 Light emitting diodes
 Intense pulsed light sources
 Lasers
 Radiofrequency devices
 Ultrasound technologies / HIFU
 Toxins
 Filler agents
 Thread lifts
Structural classification
system of photoaging
Type

Clinical manifestation
Type 1
Epidermal superficial Hyperpigmentation
dermal Hypopigmentatioin
•Epidermal turnover Telangiectasias, flushing
•Chromophore targeting Rough, wide pored skin
•Hemoglobin
•Melanin
•Pilosebaceous abberation
Type 2
Pandermal
•Decreased collagen Rhytides
•Decreased elastin
•Decreased ground
substances

Type 3
Subcutaneous, muscle, bone Skin folds/furrows
•Skin laxity
•Loss and redistribution of fat,
lipoatrophy
muscle,and bony structures
Type 1 photoaging

Treatment
Goal
modalities
Chemical peels
Epidermal Mikrodermabrasion
turnover Topikal growth factors

Intense pulse light + RF (500-

1200 nm)
Chromophore KTP laser (523 nm)
targeting Pulse dye lasers (585-600 nm)
Q Switched lasers (694, 755.
1064 nm)

Light emitting diodes (LED)

Intense pulse light + RF (500-
1200 nm)
Skin smoothing Photodynamic Therapy (PDT)
Topical growth factors
 Type 2 Photoaging

Treatment
Goal
modalities Diode laser + RF (815
nm)
Collagen stimulation HIFU
High Intensity Focused
Ultrasound

Nd:Yag Laser (1064 nm)

CO2 laser (10600 nm)
Medium/deep chemical peel
Dermal remodelling
Dermabrasion
Topical growth factor
 Type 3 photoaging

Treatment
problem
modalities
Broad spectrum
Skin laxity flashlamps (700-
2000nm)
Thread lifts

Radiofrequency
Loss and High Intensity Focused
Ultrasound (HIFU)
redistribution of fat,
Autologous fat
muscle, and bone
Toxin
Contour Fillers
irregularities Thread lifts
Before after treatment Filler
dagu

Before after treatment face
threadlift

Before after treatment
Nose threadlift

Before after acne tx

Before after


