A Single-Center Study to Evaluate the Safety, Efficacy, and Patient Satisfaction Associated With High-Intensity Ultrasound Treatment for Skin Crepiness/Laxity

BACKGROUND Skin laxity is a frequent cosmetic concern, requiring energy-based interventions to address structural changes in the dermis. High-intensity ultrasound technology has emerged as a noninvasive modality to promote fibroblastic stimulation and collagen remodeling. OBJECTIVE To evaluate the effectiveness, safety, and patient satisfaction associated with high-intensity ultrasound for skin laxity through the use of standardized photography and a patient questionnaire. METHODS A retrospective chart review was performed on patients aged 35 to 80 years who had received at least 1 treatment 3 months prior. Eligible patients had photographs taken and completed the Satisfaction and Subjective Global Aesthetic Improvement Scale. The Physician Global Aesthetic Improvement Scale was evaluated comparing baseline and follow-up photographs. RESULTS 25 subjects met inclusion criteria. Average subject-report satisfaction was 3.5 (scale of 1–5). The Subjective Global Aesthetic Improvement Scale was an average of 1.12 (scale −2 to 2). 72% of patients reported being “improved” and 20% reported as “much improved.” The Physician Global Aesthetic Improvement Scale score mean was 0.96 (scale −2 to 2), with 56% of patients ( n = 14) being rated as “improved” and 20% ( n = 5) as “much improved.” CONCLUSION High-intensity ultrasound treatment is a safe and effective option for improving facial skin laxity with high patient satisfaction and minimal side effects.