What is Intraoral Nasolabial Fold Tightening
Intraoral Nasolabial Fold Tightening is an exclusive non-invasive treatment that heats up the skin intraorally and targets volume through the process called collagen induction. The effects are an overall improvement of tightness and elasticity of the skin along with a plumping effect, much like a filler.
How does this treatment work?
Non-ablative laser skin remodeling is based on controlled induction of thermal injury of the collagen while preserving the epidermis. A temperature increase up to 70°C leads to subsequent collagen remodeling.
The intraoral treatment with Er:YAG enables tissue heating to well-controlled temperature levels of between 45°C and 65°C in the upper layers of the dermis (around 500 µm deep), resulting in immediate shrinkage of the tissue, which can be as large as 30% of the tissue volume.
The treatment was done in two steps
The first step included the tightening of the cheeks, diminishing of the nasolabial fold and lifting of the labial commissure.
The second step involved a raising of the philtrum and cupid bow lip augmentation.
An additional third step could be done to achieve augmentation of the bottom lip volume.
Six passes were delivered to the intraoral area using SMOOTH mode pulses. Each shot was delivered in one spot at a time with no overlapping.
The treatment is non-invasive and no special patient preparation is needed.
No anesthesia or cooling were applied before or after the treatment
The intraoral non–ablative SmoothLiftin™ results in a plumping effect to the nasolabial folds from the inside, much like a filler.
SMOOTH® mode treats the skin in a smooth, almost “feather-like” non-ablative manner, without bleeding and with precisely controlled temperature deposition.
The optical energy is delivered in a unique, sub-second long pulse sequence which prevents temperature build-up at the surface and achieves homogeneous heating within several hundred micrometers of the tissue.
How many treatments required?
Up to five sessions is needed for efficient reduction of the nasolabial folds, depending on the severity of the perioral wrinkles.
Intraoral Nasolabial Fold Tightening procedure is typically painless, not requiring anesthesia and can be done without any downtime.
Moreover, it can be performed year round, including the summer months, without the risk of adverse events such as post– procedural hyperpigmentation.”
Patient discomfort during the treatment was minimal and there was no pain or any other adverse effects after the treatment. The average pain evaluated by the patients on a 10-point scale was 0.67, and the maximal pain reported by one patient was 2.
What can I expect from the treatment?
Intraoral Nasolabial Fold Tightening is an intramural procedure and will require you to keep your mouth open through the duration of the procedure. Each person is different but you can expect but you can expect minimal to no discomfort during the treatment. Immediately following the treatment, you may expereince some redness or swelling that will diminish after a few hours and an immediate tightness and fullness of the area. Most patients can resume their daily activities immediately following the treatment.
Why does skin lose laxity with age?
Collagen is essential for healthy young-looking skin because it gives structures to the cells and supports dermis. As we age, the production of collagen reduces causing our skin to loose laxity and create wrinkles. This process is natural and can be expedited by enviromental factors like smoking, sun exposure and pollution.
How can you sustain collagen?
You can help sustain your collagen with healthy lifestyle choices and a collagen supporting regiment. Use sunscreen year round, drink plenty of water and help restore your skin firmness and structure with collagen formation treatments.
Are there any clinical studies?
Click here to view clinical studies
A significant reduction of perioral wrinkles was observed in all treated patients. The average wrinkle score before the treatment, evaluated at 2.22, was improved by 69% to 0.69.
The results of wrinkle reduction as evaluated by three independent observers using the Modified Fitzpatrick Wrinkle Scale.
In addition to an immediate effect resulting in the shrinkage of collagen fibers, the initiation of neocollagenesis (lasting up to 6 months) occurs causing the generation of new collagen.
Both the short-term as well as the long-term effects result in an overall improvement of laxity and elasticity in the treated tissue.
An additional effect is achieved by the mechanical pull of deeper tissue layers following the shrinkage of upper, photo-thermally processed tissue layers.
The long-lasting tightening effect can be described with neo-collagenesis initiated with the expression of heat shock proteins (HSP) resulting in the generation of new collagen fibers, which further contributes to the improvement of thickness and elasticity in the facial skin.
This treatment is very effective for mild-to-moderate wrinkles. The unique histological features of intraoral mucosa enable us to achieve skin tightening, resulting in a lifting of the labial commissure and an augmentation of rythides and nasolabial folds.
The method was proven to be very effective, showing an excellent immediate as well as medium term effect. The safety and non-invasiveness of the method is another advantage, with no down time and no adverse effects, which explains why it was so well accepted by the patients.
This non-ablative 2940 nm Er:YAG laser treatment using the intra-oral technique represents one of the safest and most effective treatments, however, additional follow-up studies should be performed to evaluate the long-term effect on wrinkle reduction.