title: Rejuvenation of the Aging Arm: Multimodal Combination Therapy for Optimal Results.
abstract: BACKGROUND
  The aging arm is characterized by increased dyspigmentation, a proliferation of ectactic blood vessels, excessive adiposity, excessive skin laxity, and actinic keratosis. A variety of laser, energy, and surgical techniques can be used to improve these features.
  
  
  OBJECTIVE
  The objective of this article is to describe the treatment modalities that have proven efficacious in rejuvenating the aging arm and combination therapies that have the potential to optimize patient outcomes while maintaining safety and tolerability.
  
  
  METHODS
  A Medline search was performed on nonsurgical aesthetic combination treatments because it relates to arm rejuvenation, and results are summarized. Practical applications for these combination treatments are also discussed.
  
  
  RESULTS
  Although there is significant evidence supporting the effective use of nonsurgical treatments for arm rejuvenation, little in the literature was found on the safety and efficacy of combining such procedures and devices. However, in the authors' clinical experience, combining arm rejuvenation techniques can be done safely and often result in optimal outcomes.
  
  
  CONCLUSIONS
  Arm rejuvenation can be safely and effectively achieved with combination nonsurgical aesthetic treatments.
authors.affiliation: *Goldman, Butterwick, Groff, Fabi and Wu, Cosmetic Laser Dermatology, San Diego, California; †Skin Associates of South Florida, Coral Gables, Florida.
authors.forename: Douglas C
authors.initials: DC
authors.lastname: Wu
authors.forename: Jeremy B
authors.initials: JB
authors.lastname: Green
mesh_terms: D050154:Adiposity; D001132:Arm; D003131:Combined Modality Therapy; D057086:High-Intensity Focused Ultrasound Ablation; D006801:Humans; D015187:Lipectomy / Q000379:methods; D010859:Pigmentation Disorders / Q000628:therapy; D000078702:Radiofrequency Therapy; D012060:Rejuvenation; D015595:Skin Aging