title: Nonablative fractional laser treatment for the skin in the eye area - clinical and cutometric analysis.
abstract: OBJECTIVE
  The purpose of the research was to evaluate skin elasticity and reduction in the aging eye area using a 1410-nm nonablative fractional laser treatment, cutometric measurements and photographic documentation.
  
  
  METHODS
  This study included 24 patients (21 women, three men), aged 33-50 years (the average age was 44.6) with Fitzpatrick skin type II and III. They received five successive treatment sessions with a 1410-nm nonablative fractional laser in 2-week intervals. Biomechanical properties of the skin were measured by using Cutometer (Courage+Khazaka electronic). Measurements of skin elasticity were made in three places of the eye area. A photographic documentation was used to compare changes after the series of treatment sessions. Additionally, the patients filled in a survey in which they were asked to make a self-evaluation of the administered procedure.
  
  
  RESULTS
  Cutometric analysis showed a significant improvement of skin elasticity. Changes in the measurements of R2 and R6 parameters indicate that the statistical significance level is mostly P < 0.0001 for the differences in the measurements. The analysis of clinical results of the therapy, using photographic documentation, showed a 47% decrease in the quantity and depth of wrinkles in the eye area.
  
  
  CONCLUSIONS
  A 1410-nm nonablative fractional laser treatment seems to be an effective method aiming at reducing wrinkles in the eye area and improving tightness. Cutometric measurements provide invaluable help in the objective evaluation of the anti-aging treatment and the photographic documentation is an excellent addition to the clinical analysis.
authors.affiliation: Department of Cosmetology and Aesthetic Dermatology, Faculty of Pharmacy, Medical University of Lódź, Łódź, Poland.|Good Time Day Spa, Łódź, Poland.
authors.forename: Anna
authors.initials: A
authors.lastname: Augustyniak
authors.affiliation: Department of Cosmetology and Aesthetic Dermatology, Faculty of Pharmacy, Medical University of Lódź, Łódź, Poland.
authors.forename: Helena
authors.initials: H
authors.lastname: Rotsztejn
mesh_terms: D000328:Adult; D004548:Elasticity / Q000528:radiation effects*; D005123:Eye; D005260:Female; D006801:Humans; D053685:Laser Therapy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D010781:Photography; D015595:Skin Aging; D012879:Skin Physiological Phenomena / Q000528:radiation effects*
keywords: cutometer; eye area; laser treatment; nonablative fractional laser; skin aging; skin elasticity; wrinkles