Skinova helps rosacea with Ultrasound Skin Treatments at home

Written by on August 29, 2013 in Home Remedies, laser therapy, research with 0 Comments

skinova_ultrasound

A recently published paper introduces us to a new form of at-home therapy based on high frequency ultrasound.

The Skinova treatment using sound waves at a very high frequency of 10 MHz.

This allows treatments to a depth of around 0.3cm. At this depth we are told that “the effect is mainly concentrated on the epidermis and dermis where ageing processes take place or pathological changes occur”.

Wellcomet, the makers of Skinova call the handpieces sonotrodes, and are controlled wirelessly from the base station.

The authors of this paper tell us that an important feature of ultrasound  waves are that they “produce a significant modulation of MMPs activity as well as of heat shock proteins”. Treatments are scheduled twice per day, making a home based treatment the only viable option.

See the full article for before and after pictures from rosacea sufferers. Although treatments are pain-free and well tolerated, the rosacea patients did have redness for an hour after treatments.

Article Extracts

Pilot Study into Super-Fractionation Treatment Strategy of Acne and Rosacea

Journal of Cosmetics, Dermatological Sciences and Applications, Vol.3 No.3 (2013), Article ID:35865, 6 pages, Dirk Meyer-Rogge, Ilja L. Kruglikov.

It is evident that matrix metalloproteinases (MMPs) are involved in the pathophysiology of different inflammatory skin diseases.

In this pilot study, we investigated the ability of very high frequency ultrasound—frequencies of approximately 10 MHz—to modulate the activity of MMPs in the skin in inflammatory skin diseases such as acne and rosacea.

It was shown that such waves can significantly improve the skin appearance in these diseases; however, the results are dependent on applied treatment schedule. The best results were obtained through the application of a super-fractionation strategy in the form of home treatments carried out twice daily.

3.2. Treatment Device

The study was conducted with a new very high frequency ultrasound (VHF-US) device Skinova (Wellcomet GmbH, Karlsruhe, Germany) operating with a frequency of approximately 10 MHz.

This device consists of a programming station and several applicators (sonotrodes). The sonotrode can be programmed by doctor with a predefined program and needed number of allowed treatments using programming station.

Every patient received one programmed sonotrode in a special case supplied with a charging station for a pre-determined period of time (normally 12 days) for home self-treatments.

5. Discussion

As demonstrated in our previous studies, VHF-US waves with frequencies about 10 MHz alone or in combination with dual frequency US waves can be effectively used in some applications which primarily demand the improvement of connective tissue turnover, e.g. in treatments of non-healing wounds  or in aesthetic skin improvements. The important feature of these US waves is their ability to produce a significant modulation of MMPs activity as well as of heat shock proteins.

Since the pathophysiologies of different inflammatory skin diseases are actually increasingly connected with the overexpression of some MMPs and destruction of the barrier skin function (especially that of the basement membrane), it was self-evident to apply this treatment method in the next step to such inflammatory skin conditions as acne and rosacea. However, since the relaxation times of MMPs after their modulation can be relatively short (normally less than 1 day), for such treatment to be effective it must be connected with the application of a special treatment schedule which demands a high (up to twice daily) frequency of treatments. We named this treatment schedule “super-fractionation”.

Our results demonstrate a significant skin improvement in acne and rosacea patients after application of VHF-US in a super-fractionated schedule. The observed grade of skin improvement in acne and rosacea patients in this study reached in average almost 50% after one to two weeks of regular treatments. Although a similar grade of acne skin improvement was observed in application of other treatment modalities, an unusually short (1 – 2 weeks) treatment time was needed to see this improvement. We can conclude that VHF-US can be principally used for effective treatment of at least some inflammatory skin diseases.

Similar improvement of skin condition in acne and rosacea through application of one and the same modality using the same treatment schedule must evidently mean the involvement of the same pathophysiological step. It is quite likely that it is due to the modulation of specific MMPs’ activity, which is normally significantly increased in both diseases.

6. Conclusion

The present pilot study has demonstrated that the application of VHF-US of approximately 10 MHz can significantly improve a skin condition in acne and rosacea. The schedule of super-fractionation with application of treatments twice daily during one to two weeks appears to be optimal for such indications.

A controlled study will be needed in order to obtain reliable information concerning the remission time after such intensive treatment courses, to define the optimal treatment schedule and to carry out the statistical analysis of long term results.

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About the Author: David Pascoe started the Rosacea Support Group in October 1998. .

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