title: Skin tightening of aging upper arms using an infrared light device.
abstract: BACKGROUND
  Upper arm skin laxity is an important area of cosmetic concern. Recent studies using a noninvasive infrared device has demonstrated its efficacy in tightening skin in various body regions. The use of this device in upper arm loose skin has not been investigated.
  
  
  OBJECTIVE
  To determine the safety and efficacy of an infrared device to treat upper arm laxity in aged skin.
  
  
  METHODS
  Twenty women with mild to very loose aged upper arm skin underwent two treatments with an infrared device 1 month apart. Nineteen patients completed the study with a 3-month follow-up. Outcome measures included investigator and participant evaluations of skin laxity improvement, blinded photographic assessments of skin tightening, and differences in circumferences and spectrophotometric analysis of collagen content in the treated arms. Two patients participated in histological evaluations.
  
  
  RESULTS
  The patient and investigator clinical assessments showed minimal improvement in skin laxity. There was a statistically significant decrease in arm circumference. Blinded photographic assessments and spectrophotometric analysis revealed no statistical improvement in skin laxity. The immediate post-treatment histological evaluations showed architectural disarray of dermal collagen and elastin.
  
  
  CONCLUSIONS
  An infrared device is safe, well tolerated, and minimally effective in treating aged upper arm skin laxity.
authors.affiliation: Department of Dermatology and Cutaneous Surgery, University of Miami, Miami, Florida, USA. blyuminmd@gmail.com
authors.forename: Marianna
authors.initials: M
authors.lastname: Blyumin-Karasik
authors.forename: Panta
authors.initials: P
authors.lastname: Rouhani
authors.forename: Nidhi
authors.initials: N
authors.lastname: Avashia
authors.forename: Maria
authors.initials: M
authors.lastname: Miteva
authors.forename: Paolo
authors.initials: P
authors.lastname: Romanelli
authors.forename: Joely
authors.initials: J
authors.lastname: Kaufmann
authors.forename: Heather
authors.initials: H
authors.lastname: Woolery-Lloyd
mesh_terms: D000328:Adult; D000368:Aged; D001132:Arm; D044466:Asian People; D003357:Cosmetic Techniques / Q000295:instrumentation*; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007259:Infrared Rays / Q000627:therapeutic use*; D008875:Middle Aged; D016037:Single-Blind Method; D015595:Skin Aging / Q000528:radiation effects*; D016896:Treatment Outcome