There are various approaches that are available in order to achieve facial rejuvenation. This talk focuses on a step by step, practical and multimodal way to approach patients of varying age and conditions while making the most of existing and promising technologies available in the field.

Melasma is a skin condition characterized by hyperpigmentation that poses a significant emotional burden, including effects on self-esteem and social interaction. Melasma is commonly found in populations with darker skin tones, such as the Indonesian demographic, which primarily falls under Fitzpatrick skin types IV-V. Dermatologists can play a key role in addressing both the physical and emotional burdens of melasma from a patient-centered perspective. The innovative multimodal treatment approaches are tailored for these skin types, emphasizing their unique needs and susceptibilities. Topical treatments, laser therapies, chemical peels, microneedling, and RF-based treatments are some of the therapy options for melasma. Integrating advanced treatments for melasma, such as Poly-D,L-lactic acid (PDLLA) and exosome therapy, offers promising approaches for skin regeneration and pigmentation reduction. A primary focus is placed on an in-silico study investigating the role of PDLLA and exosomes in treating melasma. In-silico studies help predict how these emerging therapies will interact with melanin-producing cells and collagen in the skin. These therapies offer promising approaches for skin quality restoration, particularly visible reduction in pigmentation, improved skin texture and firmness, and enhancement of overall skin quality. The integration of these cutting-edge technologies in a multimodal treatment regimen demonstrates a synergistic effect that improves holistically both cosmetic appearance and quality of life.

Microneedling RF is increasingly used as an adjunctive treatment for melasma. It works by creating micro-injuries and delivering energy to the deeper dermis, promoting collagen remodeling and improving skin texture. This combination enhances the absorption of topical treatments, reduces the risk of post-inflammatory hyperpigmentation (PIH), and provides effective treatment with minimal downtime. RF microneedling can be combined with other modalities like chemical peels or low-fluence lasers for enhanced results. It offers a safe alternative, especially for darker skin types in asian people.

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Aging signs over the the face can be divided into four category: loss deep support , volume loss or shifting, sagginess and skin aging . <br/>Skin booster injection are very popular alone or in combination with lasers and energy based devices(EBDs) in treating skin aging.<br/>In this session, my presentation will focus on overall strategy and injection techniques about using HA skin booster for skin rejuvenation.