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Use of an Imaging Device After Nonablative Radiofrequency (Pellevé): Treatment of Periorbital Rhytids

Javate, Reynaldo M. M.D., F.I.C.S.; Grantoza, Charlene L. M.D.; Buyucan, Kathleen Faye N. M.D.

Ophthalmic Plastic & Reconstructive Surgery: November/December 2014 - Volume 30 - Issue 6 - p 499–503
doi: 10.1097/IOP.0000000000000156
Original Investigations

Objective: To use the Canfield Reveal imager in objective photo documentation of the effect of nonablative radiofrequency (Pellevé) treatment on periorbital rhytids.

Methods: This is a prospective cohort study. Twelve patients underwent 1 to 2 sessions of nonablative radiofrequency (Pellevé) treatment over the periorbital region. Inclusion criteria: aged 30 to 60 years old, minimal tissue laxity, and shallow wrinkle development. Standardized reproducible photographs (left, frontal, right views) with use of the Canfield Reveal imager’s superimposition feature were taken of each patient prior, immediately after application, and on 2nd, 4th, 6th, and 8th week follow up. Brow elevation was measured in the pre- and posttreatment photographs with the use of the Canfield Reveal imager and rendered the photographs in 3-dimensional images.

Results: Comparison of the pre- and posttreatment photographs taken via the Canfield Reveal imager showed reduction in the wrinkles, smoothening, and tightening of the eyelid and the periorbital tissue. Patients exhibited an average increase of 2.05 mm (p < 0.001) of eyebrow lift and 0.98 mm (p < 0.001) of superior eyelid crease elevation immediately after treatment. Eight weeks after, average brow elevation was measured at 3.52 mm (p < 0.001) and crease elevation at 1.84 mm (p < 0.001). The 3-dimensional imaging feature rendered in normal skin tone, and shades of gray showed softening of fine lines and crow’s feet after treatment. Furthermore, it also rendered in color relief that highlighted the changes seen with depressions noted to decrease after treatment.

Conclusion: The Canfield Reveal imager can be used in the objective photodocumentation of subtle and modest effects of nonablative radiofrequency (Pellevé) treatment to the periorbital region.

The Canfield Reveal imager can be used in the objective photo documentation of subtle and modest effects of nonablative radiofrequency (Pellevé) tightening procedure, which is effective in the treatment of periorbital rhytids.

Department of Ophthalmology, University of Santo Tomas Hospital, University of Santo Tomas, Manila, Philippines

Accepted for publication January 23, 2014.

Presented as oral presentation “Use of an Imaging Device after Non-ablative Radiofrequency (Pellevé) Treatment of Periorbital Rhytids” during the 42nd Annual Meeting of the American Society of Ophthalmic Plastic and Reconstructive Surgery, Hilton Bonnet Creek, Orlando, Florida, October 21 and 22, 2011, and during the 13th Annual Meeting of the International Master Course on Aging Skin, Palais Des CongresParis France, January 6 to 9, 2011.

All data gathered will be kept confidential and will be solely used for this investigation. The authors have no financial interest in any equipment, instruments, or medications discussed in this study.

Address correspondence and reprint requests to Reynaldo M. Javate, M.D., F.I.C.S., Department of Ophthalmology, Rm. 501, New Doctors’ Clinics, 5th Floor, Clinical Division, University of Santo Tomas Hospital, University of Santo Tomas, España, Sampaloc Manila, Philippines 1008. E-mail: rmjavatemd@gmail.com

© 2014 by The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc., All rights reserved.