Gabriela Casabona, MD, of the Ocean Clinic Marbella, Marbella, Spain, was able to achieve two-point improvement in severe skin laxity of the chest and buttocks using a combination of dilute calcium hydroxylapatite dermal filler (CaHA, Radiesse, Merz Aesthetics) and microfocused ultrasound with visualization (MFU-V, Ultherapy). Her study, published in the Journal of Drugs in Dermatology (January 2022) adds to the growing body of research supporting the combination therapy for skin laxity.
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She treated four patients total (two with Grade 3 chest laxity on the Décolleté Wrinkling Assessment scale and two with Grade 3 scores on the Gluteus Laxity Scale). All four patients' skin laxity improved by two grade points after two to three treatment sessions of dilute CaHA and MFU-V.
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She notes that when treating patients with severe skin laxity, practitioners should customize the number and depth of MFU-V treatment lines and the amount of CaHA needed when making a treatment plan for these patients. Similarly, it is important to consider body mass index (BMI) when treating body areas such as the gluteus and the potential need for volume correction.
