Evaluation of microfocused ultrasound with visualization for lifting, tightening, and wrinkle reduction of the decolletage

Background Laxity and rhytides are manifestations of photodamage on the chest. Objective We sought to evaluate efficacy and safety of microfocused ultrasound with visualization treatment of decolletage laxity and rhytides. Methods In all, 24 subjects with moderate to severe rhytides, as measured by a validated 5-point photonumeric scale (Fabi/Bolton Chest Wrinkle Scale), received microfocused ultrasound with visualization treatment. Efficacy was measured at 90 and 180 days by the Fabi/Bolton Chest Wrinkle Scale, mid-clavicular to nipple distance, masked assessment, Physician and Subject Global Aesthetic Improvement Scales, and patient satisfaction. Adverse events were recorded. Results Rhytides improved over time ( P P P P Limitations Single-center study, small sample size, and only Fitzpatrick skin types I and II enrolled were limitations. Conclusion There was appreciable efficacy and patient satisfaction after a single microfocused ultrasound with visualization treatment in wrinkle reduction and lifting of the decolletage.