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,

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.