Our Summary

This research paper reviews the effectiveness of microfocused ultrasound (MFU) for tightening facial skin. The researchers looked at 693 studies, but only 16 were suitable for their research. All of these studies involved female patients.

The results showed that MFU can tighten skin. This was observed in studies that measured the effects of MFU on brow lifts and submental lifts (lifts under the chin). The researchers collected data from a scale that measures aesthetic improvements, and found that 90 days after treatment, 92% of patients showed an improvement in skin tightening and/or wrinkle reduction. These improvements continued for up to a year.

However, patients reported that the skin improvements were mild and gradually increased from 42% (90 days after treatment) to 53% (360 days after treatment). The treatment was moderately painful and caused temporary redness and possible swelling. Other side effects were rare (2%) but included numbness or hypersensitivity, bruising, stinging, burns on the jawbone, striations, and skin irritation.

The researchers noted that the effectiveness of the treatment decreased in patients with very loose skin and a body mass index (BMI) over 30. They concluded that MFU treatment is effective in tightening mildly to moderately loose facial skin in female patients. They recommend that future studies should focus on objectively measuring treatment outcomes, optimizing treatment plans, and including male patients.

FAQs

  1. What is microfocused ultrasound (MFU) and how effective is it for skin tightening?
  2. What were the side effects reported by patients who underwent MFU treatment?
  3. Did the researchers find any limitations or factors that decreased the effectiveness of MFU treatment?

Doctor’s Tip

A helpful tip a doctor might give a patient considering a facelift is to consider alternative non-surgical options such as microfocused ultrasound (MFU) for skin tightening. This treatment has been shown to be effective in tightening mildly to moderately loose skin in female patients. It is important to discuss with your doctor the potential side effects, the expected results, and whether you are a suitable candidate for this treatment based on factors such as BMI and skin laxity. Additionally, it is important to have realistic expectations about the level of improvement that can be achieved with any cosmetic procedure.

Suitable For

Facelifts are typically recommended for patients who have mild to moderate loose facial skin, wrinkles, and sagging in the brow or chin area. Patients who are looking to improve the overall appearance of their face and achieve a more youthful look may benefit from a facelift procedure. It is important for patients to have realistic expectations about the results of the surgery and to be in good overall health before undergoing the procedure. Additionally, patients with very loose skin or a high BMI may not see as significant results from a facelift and may need to explore other treatment options.

Timeline

  • Before facelift:
  1. Patient researches and consults with a plastic surgeon to determine if a facelift is the right procedure for them.
  2. Patient undergoes pre-operative evaluation and medical clearance.
  3. Patient discusses goals and expectations with the surgeon, and a treatment plan is created.
  4. Patient receives instructions on pre-operative care, including avoiding certain medications and alcohol.
  5. Patient undergoes the facelift procedure, which typically takes a few hours under general anesthesia.
  6. Patient experiences swelling, bruising, and discomfort following the procedure.
  7. Patient follows post-operative care instructions, including resting and avoiding strenuous activities.
  • After facelift:
  1. Patient attends follow-up appointments with the surgeon to monitor healing progress.
  2. Swelling and bruising gradually subside over the following weeks.
  3. Patient may experience numbness, tightness, and itching as the skin heals.
  4. Patient may start to see initial results of the facelift, with improvements in skin tightness and wrinkle reduction.
  5. Skin improvements continue to develop over the following months, with full results visible after about a year.
  6. Patient may experience mild side effects such as redness, swelling, and temporary discomfort.
  7. Patient is advised to maintain a healthy lifestyle and skincare routine to prolong the results of the facelift.

What to Ask Your Doctor

Some questions a patient should ask their doctor about facelift procedures include:

  1. Is MFU treatment suitable for my specific skin tightening needs?
  2. What are the potential side effects and risks associated with MFU treatment?
  3. How long will the results of the treatment last?
  4. Are there any specific aftercare instructions I should follow?
  5. How many treatments will I need to achieve the desired results?
  6. Are there any alternative treatments or procedures that may be more suitable for my skin tightening goals?
  7. Can you provide before and after photos of patients who have undergone MFU treatment?
  8. What is the cost of the treatment and is it covered by insurance?
  9. What qualifications and experience do you have in performing MFU treatments?
  10. What can I expect in terms of pain and discomfort during and after the treatment?

Reference

Authors: Contini M, Hollander MHJ, Vissink A, Schepers RH, Jansma J, Schortinghuis J. Journal: Int J Environ Res Public Health. 2023 Jan 13;20(2):1522. doi: 10.3390/ijerph20021522. PMID: 36674277