1. Treatment Modalities
for Skin Aging
Department of Dermatovenereology
Faculty of Medicine
Maranatha Christian University
Bandung
Peter Nugraha Soekmadji
2. Conflict of Interest Statement
• NO support or commercial funding for this
presentation or for any products mentioned
here
9. The skin aging exposome. Krutmann J, Bouloc A, Sore G, Bernard BA, Passeron T. J Dermatol Sci. 2017 Mar;85(3):152-161. doi:
10.1016/j.jdermsci.2016.09.015. Epub 2016 Sep 28. Review.
10. IR-Induced
MMP Expression
Low to moderate doses of infrared A irradiation impair extracellular matrixhomeostasis of
the skin and contribute to skin photodamage. Robert C, Bonnet M, Marques S, Numa M, Doucet O. Skin Pharmacol Physiol.
2015;28(4):196-204. doi: 10.1159/000369829. Epub 2015 Feb 10.
11. Infrared plus visible light and heat from natural sunlight participate in
the expressionof MMPs and type I procollagen as well as infiltration of inflammatory cell in human skin in vivo. Cho S, Lee MJ, Kim MS, Lee S,
27. Combination with Toxins
Are combined same-day treatments the future for photorejuvenation? Review of the literature on combined treatments with lasers, intense
pulsed light, radiofrequency, botulinum toxin, and fillers for rejuvenation. Cuerda-Galindo E, Palomar-Gallego MA, Linares-Garcíavaldecasas R. J
Cosmet Laser Ther. 2015 Feb;17(1):49-54. doi: 10.3109/14764172.2014.968578. Epub 2014 Oct 16. Review.
28. Combination with Fillers
Are combined same-day treatments the future for photorejuvenation? Review of the literature on combined treatments with lasers, intense
pulsed light, radiofrequency, botulinum toxin, and fillers for rejuvenation. Cuerda-Galindo E, Palomar-Gallego MA, Linares-Garcíavaldecasas R. J
Cosmet Laser Ther. 2015 Feb;17(1):49-54. doi: 10.3109/14764172.2014.968578. Epub 2014 Oct 16. Review.
30. Upper Face
Consensus Recommendations for Combined Aesthetic Interventions in the Face UsingBotulinum Toxin, Fillers, and Energy-Based Devices.
Carruthers J, Burgess C, Day D, Fabi SG, Goldie K, Kerscher M, Nikolis A, Pavicic T, Rho NK, Rzany B, Sattler G, Sattler S, Seo K, Werschler WP,
Carruthers A. Dermatol Surg. 2016 May;42(5):586-97. doi: 10.1097/DSS.0000000000000754.
31. Mid-Face
Consensus Recommendations for Combined Aesthetic Interventions in the Face UsingBotulinum Toxin, Fillers, and Energy-Based Devices.
Carruthers J, Burgess C, Day D, Fabi SG, Goldie K, Kerscher M, Nikolis A, Pavicic T, Rho NK, Rzany B, Sattler G, Sattler S, Seo K, Werschler WP,
Carruthers A. Dermatol Surg. 2016 May;42(5):586-97. doi: 10.1097/DSS.0000000000000754.
32. Lower Face
Consensus Recommendations for Combined Aesthetic Interventions in the Face UsingBotulinum Toxin, Fillers, and Energy-Based Devices.
Carruthers J, Burgess C, Day D, Fabi SG, Goldie K, Kerscher M, Nikolis A, Pavicic T, Rho NK, Rzany B, Sattler G, Sattler S, Seo K, Werschler WP,
Carruthers A. Dermatol Surg. 2016 May;42(5):586-97. doi: 10.1097/DSS.0000000000000754.
33. Neck
Neck Rejuvenation Using a Combination Approach: Our Experience and a Review of the Literature. Vanaman M, Fabi SG, Cox SE.
Dermatol Surg. 2016 May;42 Suppl 2:S94-S100. doi: 10.1097/DSS.0000000000000699. Review.
34. Neck
Neck Rejuvenation Using a Combination Approach: Our Experience and a Review of the Literature. Vanaman M, Fabi SG, Cox SE.
Dermatol Surg. 2016 May;42 Suppl 2:S94-S100. doi: 10.1097/DSS.0000000000000699. Review.
35. Neck
Neck Rejuvenation Using a Combination Approach: Our Experience and a Review of the Literature. Vanaman M, Fabi SG, Cox SE.
Dermatol Surg. 2016 May;42 Suppl 2:S94-S100. doi: 10.1097/DSS.0000000000000699. Review.
37. Arm
Rejuvenation of the Aging Arm: Multimodal Combination Therapy for Optimal Results. Wu DC, Green JB. Dermatol Surg. 2016
May;42 Suppl 2:S119-23. doi: 10.1097/DSS.0000000000000732. Review.
38. Hand
Hand Rejuvenation Using a Combination Approach. Butterwick K, Sadick N. Dermatol Surg. 2016 May;42 Suppl 2:S108-18. doi:
10.1097/DSS.0000000000000687. Review.
39. Leg
Leg Rejuvenation: A Combination Approach: A Review and Our Experience. Weiss M, Mahoney AM, Gold M, Lawrence N.
Dermatol Surg. 2016 May;42 Suppl 2:S131-8. doi: 10.1097/DSS.0000000000000753. Review.
40. Buttock & Thigh
Combination Therapy for Rejuvenation of the Outer Thigh and Buttock: A Review and Our Experience. Coleman KM, Pozner J.
Dermatol Surg. 2016 May;42 Suppl 2:S124-30. doi: 10.1097/DSS.0000000000000752. Review.
41. Pearls & Pitfalls
• Acute stress responses & chronic damage
responses drive the skin aging process
• Photoaging mainly results from daily exposure
to non-extreme, low doses radiation
• Various multimodal regimens offer more
effective results for suitable patients