Light-Based Systems in Combination with Dermal Fillers and Botulinum Toxins

Vic A. Narurkar

Bay Area Laser Institute, San Francisco, CA, and Department of Dermatology, University of California Davis School of Medicine, Sacremento, CA, USA

13.1

Introduction

281

13.2

Lasers and Light-Based Systems

282

13.3

Ablative Laser Resurfacing

282

13.4

Nonablative Skin Resurfacing

283

13.5

Photodynamic Therapy

283

13.6

Photopneumatic Therapy

284

13.7

Nonablative and Ablative Fractional Resurfacing

284

13.8

Botulinum Toxins

286

13.9

Dermal Fillers

287

13.10

Conclusions

287

Suggested Reading

288

13.1

Introduction

The last decade has witnessed an unparalleled growth in the demand for nonsurgical procedures. This trend is a result of numerous advances in devices, fillers, and botulinum

Gurpreet S. Ahluwalia (ed.), Cosmetic Applications of Laser and Light-Based Systems, 281-289,

© 2009 William Andrew Inc.

toxins, in addition to an aging population. It is becoming increasingly evident that, while each modality, when used in monotherapy, may produce satisfactory clinical outcomes, combination therapies with multiple modalities are often necessary for optimal patient sat­isfaction. Devices are best for addressing anomalies of the facial canvas, dermal fillers are best for addressing facial volume loss, and neurotoxins are best for addressing dynamic facial lines of expression. There is some evidence that a synergy probably exists between these modalities, even at an ultrastructural level. This chapter will review combination therapies with lasers and light, dermal fillers, and botulinum toxins.

Updated: September 22, 2015 — 2:55 am