title: Combination of intense pulsed light, Sculptra, and Ultherapy for treatment of the aging face.
abstract: BACKGROUND
  Facial aging is a gradual process that involves a complex interaction of multiple factors including cutaneous photodamage and laxity, subcutaneous tissue volume loss, and bony resorption. These features have all been show to significantly improve with intense pulsed light (IPL), microfocused ultrasound (MFUS, Ultherapy), and poly-L-lactic acid (PLLA).
  
  
  METHODS
  To review the use of IPL, MFUS, and PLLA in combination with the treatment of facial aging.
  
  
  RESULTS
  Despite their extensive individual safety record, there is little data regarding combination therapy with these minimally invasive modalities.
  
  
  CONCLUSIONS
  IPL, MFUS, and PLLA may be safely performed in a single treatment session to target multiple tissue planes concurrently without increased adverse events.
authors.affiliation: Westlake Dermatology Clinical Research Center, Westlake Dermatology & Cosmetic Surgery, Austin, TX, USA.
authors.forename: Daniel P
authors.initials: DP
authors.lastname: Friedmann
authors.forename: Sabrina G
authors.initials: SG
authors.lastname: Fabi
authors.forename: Mitchel P
authors.initials: MP
authors.lastname: Goldman
mesh_terms: D002482:Cellulose / Q000627:therapeutic use*; D003131:Combined Modality Therapy / Q000009:adverse effects; D003879:Dermatologic Agents / Q000627:therapeutic use*; D005145:Face; D006801:Humans; D062325:Intense Pulsed Light Therapy; D019344:Lactic Acid / Q000627:therapeutic use*; D008353:Mannitol / Q000627:therapeutic use*; D012060:Rejuvenation; D015595:Skin Aging; D014464:Ultrasonic Therapy
chemical_list: D003879:Dermatologic Agents; C482305:New-Fill; D019344:Lactic Acid; D008353:Mannitol; D002482:Cellulose
keywords: Sculptra; Ultherapy; intense pulsed light; microfocused ultrasound; photorejuvenation; poly-L-lactic acid