Session puts a face on mixed treatment approach

Volumizers and neuromodulators can turn back the hands of time for the face and body. However, dermatologists have learned that any one single approach will not always work effectively. Exploring available combination resources and technology is the focus of the Friday, July 26, session, Comprehensive Approach to Neuromodulators and Fillers in 2019 (C001).

Neil S. Sadick, MD

Combination therapy is key to whole body rejuvenation, according to Neil S. Sadick, MD, who will lead the session. Dr. Sadick is a professor of dermatology at Weill Cornell Medical College.

“Most often, volumizers and toxin are combined with radiofrequency, lasers, or ultrasounds to improve skin laxity and replete the age-related volume loss. Body rejuvenation can be achieved by combining non-invasive fat removal strategies (CoolSculpting, truSculpt) with skin-tightening devices,” he said.

During the session, Dr. Sadick and a panel of dermatologists will describe what happens to the face and body as we age, how dermatologists can help patients decide on which problem areas to address, and how customized treatment regimens may differ between volumizers (also referred to as fillers) and neuromodulators.

“Depending on the age of the patient, their lifestyle, and their genetic background, we see different age-related changes,” Dr. Sadick said. “More often than not, we see mild facial laxity and under-eye volume loss in patients who are in their 30s and 40s. Patients in their 50s have more discoloration on their face, hands, and body, moderate laxity in the whole body, and more global volume loss in the face.”

With dozens of volumizers and neurotoxins on the market, some are suited for deep injection to replace lost volume from depleted facial fat, while others are ideal for superficial contouring and sculpting to give patients the “look’’ they want, Dr. Sadick said.

Panelists will discuss the safety profile of energy-based devices, including ultrasound, lasers, and radiofrequency. According to Dr. Sadick, dermatologists rarely see side effects with the use of those devices. The exception is hyperpigmentation, which usually resolves within two to three weeks. Complications with fillers also are rare, he said, given the extensive research and development invested in the products before they are approved for use. Adverse effects are more commonly associated with poor technique, he said, including injecting the wrong dose at the wrong depth.