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MACRENE ALEXIADES-ARMENAKAS1, 2,
JEFFREY S. DOVER1, 3, 4
& KENNETH A. ARNDT1, 3, 4, 5
Yale University School of Medicine,
New Haven, CT, USA,
2
Private Practice, New York, NY, USA,
3
Dartmouth Medical School, Hanover, NH, USA,
4
SkinCare Physicians, Chestnut Hill, MA, USA and
5
Emeritus Professor, Harvard Medical School,
Boston, MA, USA
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Contour: 05smooth; 15one indentation; 252 indentations; 353 indentations; 454 or more indentations; indent5overall indentation of contour to thigh. Density: 05none; 1512 per site;
2535 per site; 3568 per site; 459210 or more per site. Sites (graded individually): buttock, anterior thigh upper, anterior thigh lower, posterior thigh upper, posterior thigh lower;
upper refers to upper K and lower to lower K of thigh length. Distribution: 05none; 151 site; 252 sites; 353 sites; 454 or more sites. Depth: 05n/a; 15shallow (12 mm); 25moderate
(34 mm); 35advanced (56 mm); 45deep (> 7 mm in depth). Dimple depth was estimated in the blinded evaluations of photographs. Diameter: mean difference in diameter (mm) on
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MACRENE
ALEXIADES-ARMENAKAS1, 2,
JEFFREY S. DOVER1, 3, 4
& KENNETH A. ARNDT1, 3, 4, 5


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Yale University School of Medicine,


New Haven, CT, USA,
2
Private Practice, New York, NY, USA,
3
Dartmouth Medical School,
Hanover, NH, USA,
4
SkinCare Physicians, Chestnut Hill,
MA, USA and
5
Emeritus Professor, Harvard Medical
School, Boston, MA, USA
1

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References

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1. Ross EV, McKinlay JR, Anderson RR. Why does carbon dioxide resurfacing work? A review. Arch Dermatol. 1999;135:44454.
2. Hsu TS, Kaminer MS. The use of nonablative radiofrequency technology to tighten the lower face and neck. Semin Cutan Med Surg. 2003;22:11523.
3. Fitzpatrick R, Geronemus R, Goldberg D, Kaminer M, Kilmer S, Ruiz-Esparza J. Multicenter study of noninvasive radiofrequency for periorbital tissue tightening.
Lasers Surg Med. 2003;33:23242.
4. Sadick N, Alexiades-Armenakas M, Bitter P, Hruza G, Mulholland S. Enhanced full-face skin rejuvenation using synchronous intense pulsed optical and conducted
bipolar
radiofrequency energy (ELOS): Introducing selective radiophotothermolysis. J Drugs Dermatol. 2005;4:1816.
5. Alexiades-Armenakas MR. Rhytides, laxity and photoaging treated with a combination of radiofrequency, diode laser, and pulsed light and assessed with a
comprehensive grading scale. J Drugs Dermatol. 2006;5:60916.
6. Alster TS, Tanzi EL. Cellulite treatment using a novel combination radiofrequency, infrared light, and mechanical tissue manipulation device. J Cosmet Laser Ther.
2005;7:815.
7. Del Pino E, Rosado RH, Azuela A, Graciela Guzman M, Arqu elles D, Rodrguez C, et al. Effect of controlled volumetric tissue heating with radiofrequency on cellulite
and the subcutaneous tissue of the buttocks and thighs. J Drugs Dermatol. 2006;5:71422.
8. Fisher GH, Jacobson LG, Bernstein LJ, Kim KH, Geronemus RG. Nonablative radiofrequency treatment of facial laxity. Dermatol Surg. 2005;31(9 Pt 2):123741.
9. Goldberg DJ, Fazeli A, Berlin AL. Clinical, laboratory, and MRI analysis of cellulite treatment with a unipolar radiofrequency device. Dermatol Surg. 2008;34:2049.

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