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Safety of Microfocused Ultrasound With Visualization in Patients With Fitzpatrick Skin Phototypes III to VI
Monte O Harris1, Hema A Sundaram2
1Center for Aesthetic Modernism, Chevy Chase, Maryland2Department of Otolaryngology-Head and Neck Surgery, Georgetown University Hospital, Washington, DC.
JAMA Facial Plastic Surgery
|August 28, 2015
Summary
Microfocused ultrasound (MFU) is a safe aesthetic treatment for skin tightening. This study found MFU safe for Fitzpatrick skin types III to VI, with temporary adverse events.
Area of Science:
- Aesthetic dermatology
- Medical aesthetics
- Ultrasound technology
Background:
- Microfocused ultrasound (MFU) systems offer a non-invasive approach to skin tightening and lifting.
- Assessing the safety of MFU treatments is crucial, particularly for individuals with darker skin tones (Fitzpatrick skin types III to VI).
Purpose of the Study:
- To evaluate the safety and efficacy of microfocused ultrasound for improving facial and neck skin laxity.
- To assess MFU treatment outcomes in adults with Fitzpatrick skin types III to VI.
Main Methods:
- An open-label, nonrandomized trial involving 52 adult participants with Fitzpatrick skin types III to VI.
- Pre-treatment skin assessment and ultrasound imaging were conducted to ensure proper acoustic coupling.
- Treatments were administered between March 23, 2011, and July 20, 2011.
Main Results:
- Three temporary adverse events were reported: two instances of mild edema (welts) and one case of prolonged erythema with mild scabbing.
- All reported adverse events resolved completely within 90 days without any lasting side effects.
- The study demonstrated a favorable safety profile for MFU in the target population.
Conclusions:
- Microfocused ultrasound (MFU) treatments are safe for individuals with Fitzpatrick skin types III to VI when performed by trained physicians.
- The observed adverse events were transient and linked to treatment technique, not inherent to the MFU system.
- MFU is a viable and safe option for addressing skin laxity in diverse skin types.

