A new treatment protocol of microfocused ultrasound for lower eyelid fat bulging

Background Microfocused ultrasound (MFU) causes tissue tightening by producing thermal injury zones and is used to treat various age-related changes including lower eyelid fat bulging. Objective To investigate the efficacy of a new treatment protocol of MFU for lower eyelid fat bulging. Methods and...

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Bibliographic Details
Main Authors: Hye Chan Jeon, Do-Yeop Kim, Seon-Pil Jin, Dong Hun Lee
Format: Article
Language:English
Published: Taylor & Francis Group 2021-11-01
Series:Journal of Dermatological Treatment
Subjects:
Online Access:http://dx.doi.org/10.1080/09546634.2020.1720581
Description
Summary:Background Microfocused ultrasound (MFU) causes tissue tightening by producing thermal injury zones and is used to treat various age-related changes including lower eyelid fat bulging. Objective To investigate the efficacy of a new treatment protocol of MFU for lower eyelid fat bulging. Methods and materials We reviewed the medical records of all patients who began MFU for lower eyelid fat bulging from March 2017 to September 2018. MFU was performed in two steps to tighten the lower eyelid dermis and orbital septum. Data on age, sex, bulging severity, and the number of treatment sessions were obtained. Associations of these variables with treatment response were determined through an ordinal logistic regression analysis. Results Among 191 enrolled patients, 119 (62.3%) and 47 (24.6%) achieved fair and good responses, respectively. In the multivariable analysis, multiple treatment sessions (odds ratio (OR) 6.618; 95% confidence interval (CI) 3.242–13.513; p < .001), moderate bulging (OR 4.328; 95% CI 1.755–10.671; p = .001), and severe bulging (OR 7.570; 95% CI 2.537–22.585; p < .001) were associated with greater treatment response. There were no serious adverse events. Conclusions The new treatment protocol of MFU is an effective and safe strategy for lower eyelid fat bulging.
ISSN:0954-6634
1471-1753