PRIME Journal Vol. 11 Issue 4

PERIORBITAL REJUVENATION WITH THERMOMECHANICAL THERAPY ABSTRACT The periorbital region serves as a barometer of chronologic and environmental age, and a lot of patients often seek its cosmetic rejuvenation. Anti-ageing treatments in the periorbital region are often difficult to administer due to their frequent side effects. This case report explains the use of a thermomechanical device (Tixel®, Novoxel®) to improve the skin structures and appearance in regards to wrinkling. Patients and methods: A 62-year-old woman with skin type II and slightly sun-damaged skin was treated once with a fractional thermomechanical device (a protrusion of 800 µ m and a pulse duration of 16 ms, double- pulse with a total of 140 pulses delivered). Result: After just one treatment, the skin condition improved in terms of wrinkles in the periorbital region. Conclusions: In aesthetic medicine, it is often difficult to effectively treat the periorbital region. This alternative treatment method shows an impressive response to this complicated area. Further studies should follow so that the transdermal delivery of substances through the use of thermo-mechanical pretreatment can possibly be added. T HE PERIORBITAL REGION IS THE THINNEST SKIN STRUCTURE ON the face and an important wrinkle-prone region as they are usually where the first signs of ageing are witnessed. Common problems such as fine lines and wrinkles, infraorbital dark circles, puffiness under the eyes, and thinning eyelashes and brows are the issues many patients complain about. Changes that occur to the periocular structures with age are categorised into dynamic and static changes. The dynamic component is related to muscular activities and changes in resting muscle tone. This static component is defined as the change related to volume loss and fat pad changes. Signs of photodamage are also prevalent, and knowledge about the contributing factors is also required. Realistic patient expectations in relation to the results are the basis of a good treatment. To this day, a large number of products such as botulinum toxin, dermal fillers, threads or various lasers are used in this area. The aimof treatment is to reduce ageing characteristics, restore the general smoothness, reduce the appearance of wrinkles in the periorbital area and achieve a more even skin complexion. Case report The authors report on a 62 -year-old female patient with Fitzpatrick skin type II, originally blonde hair with blue eyes. First, a 10% lidocaine-containing topping was applied to the periorbital region. The treatment was carried out using Tixel® technology (Novoxel Ltd., Israel). This device combines thermal energy with movement. The tip was heated to 400°C, and a double KEYWORDS Tixel, periorbital, anti-ageing, thermomechanical delivery, wrinkles ArnaShab,ManuelaLisandru, and CatharinaShab describe howthermomechanical fractional injury (TMFI) technology canbeused to improvewrinkles andskinappearance in theperiorbital region ARNA SHAB, MANUELA LISANDRU, CATHARINA SHAB; M.D, Private Practice for Dermatology and Aesthetic Medicine, Frankfurt/Main, Germany email arna.shab@med-aesthet.de CASE STUDY | THERMOMECHANICAL THERAPY | 50 September/October 2021 | prime-journal.com