ASCP Skin Deep


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Listen to the ASCP Esty Talk podcast at 41 Focused Ultrasound by Maggie Staszcuk AS WE AGE, COLLAGEN AND ELASTIN Žbers break down and lead to Žne lines and sagging jowls. Since no one can avoid this biological process, antiaging treatments are a perennially popular service for a range of clientele. According to dermatologist Carolyn Jacob, MD, our skin's collagen begins to diminish by 1 percent each year after the age of 30. 1 Skin on the neck is especially fragile and thinner than skin on the face and body. As a result, this area tends to develop signs of aging faster. It's no wonder there are countless ways to treat the neck, and one of the most popular is ultrasound. HOW IT WORKS Focused ultrasound for skin tightening uses the same technology as ultrasound for imaging purposes but with a di‹erent intensity. Similar to a magnifying glass focusing sunlight, ultrasound for skin works by rapidly heating the targeted tissue to between 65 and 70 degrees Celsius. 2 Ultrasound focuses this heat to a depth of 1.5–5 millimeters within the reticular layer of the dermis, where Žbroblasts (the cells responsible for collagen and elastin production) are located. 3 The above papillary and epidermal layers are spared. As heat builds, the cells are damaged. 4 This cell damage is an important part of the process, but not the end goal; the goal is to encourage the body's wound healing response to stimulate cells to rebuild. Over time, collagen and elastin increase, leading to smoother, plumper looking skin. WHAT TO EXPECT A good candidate for focused ultrasound is the client with mild to moderate skin laxity. Loose skin under the chin and around the neck, or Žne lines and wrinkles in this region, are a good indicator your client may be a candidate. Ultrasound skin tightening treatments have little to no downtime, although some clients may experience redness or tingling that resolves within a few hours. Beyond this, clients are free to go about their normal routine following treatment. 5 During treatment, comfort levels will vary from client to client. Some clients report discomfort due to the amount of heat generated by the ultrasound device, but this sensation only lasts while the ultrasound energy is being applied. 6 Pain management in the form of numbing agents or distractions like music and vibrations around the ADVANCED MODALITIES

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