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Rejuvenation of the Aging Arm: Multimodal Combination Therapy for Optimal Results

Wu, Douglas C. MD, PhD; Green, Jeremy B. MD

doi: 10.1097/DSS.0000000000000732
Original Article

BACKGROUND The aging arm is characterized by increased dyspigmentation, a proliferation of ectactic blood vessels, excessive adiposity, excessive skin laxity, and actinic keratosis. A variety of laser, energy, and surgical techniques can be used to improve these features.

OBJECTIVE The objective of this article is to describe the treatment modalities that have proven efficacious in rejuvenating the aging arm and combination therapies that have the potential to optimize patient outcomes while maintaining safety and tolerability.

METHODS A Medline search was performed on nonsurgical aesthetic combination treatments because it relates to arm rejuvenation, and results are summarized. Practical applications for these combination treatments are also discussed.

RESULTS Although there is significant evidence supporting the effective use of nonsurgical treatments for arm rejuvenation, little in the literature was found on the safety and efficacy of combining such procedures and devices. However, in the authors' clinical experience, combining arm rejuvenation techniques can be done safely and often result in optimal outcomes.

CONCLUSION Arm rejuvenation can be safely and effectively achieved with combination nonsurgical aesthetic treatments.

*Goldman, Butterwick, Groff, Fabi and Wu, Cosmetic Laser Dermatology, San Diego, California;

Skin Associates of South Florida, Coral Gables, Florida

Address correspondence and reprint requests to: Douglas C. Wu, MD, PhD, Goldman, Butterwick, Groff, Fabi and Wu, Cosmetic Laser Dermatology, 9339 Genesee Avenue, Suite 300, San Diego, CA 92121, or e-mail:

J. B. Green serves on the advisory board of Lutronic and Merz/Ulthera and is a consultant for Cutera, Merz/Ulthera. The other author has indicated no significant interest with commercial supporters.

© 2016 by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. All rights reserved.
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