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What were the hot trends in aesthetics for 2019? DermTube consulting editor Joel L. Cohen, MD weighed in with what he sees as the top five developments.

1. Devices for Muscle Stimulation

“We’ve seen an exponential growth, as far as muscle stimulation, in some of the devices with Emsculpt (BTL) and now the entrance of CoolTone (Allergan) into the market and some of the focal therapies, such as from Cutera (truScuplt flex) and now Lutronic,” Dr. Cohen suggests.

Industry estimates suggest that the global body contouring procedures market is expected to value $9.3 billion by 2025, expanding at a CAGR of 7.7% from 2018 to 2025 (Grand View Research, Inc.).

What’s Hot?

DermTube consulting editor Joel L. Cohen, MD assesses the aesthetics field. Watch as he discusses the hottest trends.

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2. New Neuromodulators

“We’ve seen the introduction of a new neuromodulator with Jeuveau (Evolus) entering the marketplace, as well as data from products that had been on the market, such as Dysport and Xeomin, and some excitement about future products, such as Revance’s neuromodulator as well as liquid toxin (Galderma),” observes Dr. Cohen.

Among cosmetic consumers, injectable wrinkle relaxers are the fifth most popular aesthetic procedure, with 47 percent of survey respondents showing interest, the American Society for Dermatologic Surgery (ASDS) Consumer Survey on Cosmetic Dermatologic Procedures reports.

3. Cannulas

“As far as additional injectables, we’ve seen expanded interest and new indications for the use of cannula in the cheek for augmentation with Restylane Lyft (Galderma) as well as Voluma (Allergan),” Dr. Cohen notes.

4. PRP Data

“There’s been more data about PRP use—platelet rich plasma—for androgenetic alopecia,” Dr. Cohen says. This adds to the small but steadily growing body of controlled research on PRP. The first randomized study of PRP was published late in 2018 in JAMA Dermatology. In the trial, 19 participants received PRP injections to one side of their face and a saline solution to the other side. Six months after a single treatment, patients reported significantly improved skin texture and wrinkles on the side treated with PRP.

By contrast, expert dermatologist raters did not see significant difference, possibly due to photos not capturing textural change.

5. Off Face

“There’s new interest in some of the devices and some of the injections that we can use off face,” Dr. Cohen says. For example, he says, “dilute Radiesse (Merz) along with Ultherapy (Merz), such as for knee laxity.”

Looking Forward

“I think for 2020, there’s a lot of excitement for some products that are on the radar in terms of fractional resection with Recros and Cytrellis, and then we have nano-pulse technology with Pulse Biosciences’ new product, which is really looking at sebaceous hyperplasia and seborrheic keratoses,” Dr. Cohen says. “I think there’s a lot of excitement right now looking back at the year, and then we’re looking to more and more data and new products, new categories, and new mechanisms of action for 2020.”

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