Innovative Cosmetic Therapy of Wrinkles by Heat Dermabrasion with Longstanding Outcomes

Background: Wrinkling is a major health problem following excessive sunlight exposure and aging that gives a bad cosmetic appearance and premature aging. These wrinkles will interfere with job selection and social activities. Materials and Methods: This is a surgical cosmetic interventional trial where four patients shared in this new procedure, their ages ranged from 35-70 years with three males and one female. After local anesthesia, a direct diathermy heated needle was applied on wrinkles (two males, one with crow's feet and one with frown lines). While in other two patients, one male and one female, this procedure was carried out for the whole face wrinkles and other aging changes, followed directly by 35% trichloroacetic acid peel. Patients were given topical and systemic antibiotics to be seen after 2 weeks. Then, the patients were given mild topical corticosteroids and avoiding sunlight exposure. Follow up was done after 1,2, 4 months and four years. Reduction score of wrinkling was assessed as follow: mild (1-25%), moderate (>25-50%), marked (>50-75%) and excellent (>75-100%). Results: There was marked to excellent reduction of wrinkles with general healthy youthful looking of the face and these cosmetic changes continued even many years after the procedure. No complications were seen apart from temporary pigmentation that was observed during the first month and gone overtime. Conclusion: Heat dermabrasion of moderate to severe wrinkling gave marked to excellent results in reduction of wrinkles and gave more youthful healthy appearance to the face. Keywords: Wrinkles, Crow's feet, Heat dermabrasion, Diathermy, Rejuvenation