Use of an imaging device after nonablative radiofrequency (Pellevé): treatment of periorbital rhytids.

Abstract

To use the Canfield Reveal imager in objective photo documentation of the effect of nonablative radiofrequency (Pellevé) treatment on periorbital rhytids. This is a prospective cohort study. Twelve patients underwent 1 to 2 sessions of nonablative radiofrequency (Pellevé) treatment over the periorbital region. aged 30 to 60 years old, minimal tissue laxity, and shallow wrinkle development. Standardized reproducible photographs (left, frontal, right views) with use of the Canfield Reveal imager's superimposition feature were taken of each patient prior, immediately after application, and on 2nd, 4th, 6th, and 8th week follow up. Brow elevation was measured in the pre- and posttreatment photographs with the use of the Canfield Reveal imager and rendered the photographs in 3-dimensional images. Comparison of the pre- and posttreatment photographs taken via the Canfield Reveal imager showed reduction in the wrinkles, smoothening, and tightening of the eyelid and the periorbital tissue. Patients exhibited an average increase of 2.05 mm (p<0.001) of eyebrow lift and 0.98 mm (p<0.001) of superior eyelid crease elevation immediately after treatment. Eight weeks after, average brow elevation was measured at 3.52 mm (p<0.001) and crease elevation at 1.84 mm (p<0.001). The 3-dimensional imaging feature rendered in normal skin tone, and shades of gray showed softening of fine lines and crow's feet after treatment. Furthermore, it also rendered in color relief that highlighted the changes seen with depressions noted to decrease after treatment. The Canfield Reveal imager can be used in the objective photodocumentation of subtle and modest effects of nonablative radiofrequency (Pellevé) treatment to the periorbital region.