Online Exclusives

On Your Marks

By Nancy Jeffries, Contributing Editor | June 13, 2013

Sublative skin rejuvenation, acne scar treatment.

Skin imperfections surely  have an impact on self confidence, but a variety of issues often keep consumers from seeking treatment. Individuals considering invasive treatment are often inhibited by a number of factors including, cost, anticipated downtime, discomfort and side effects.

Now, say industry experts, there’s more options for wary consumers. Dr. Shimon Eckhouse, co-founder, Syneron, and co-developer of the proprietary Elos technology on which Syneron’s aesthetic medical devices are based, discussed the newest approach to skin rejuvenation and acne scar treatment, Sublative, describing both the mechanics of the process, as well as the reasons why individuals need not be inhibited by cost, pain or downtime.
 
At a press event in New York City last month, Dr. Eckhouse explained that Sublative is neither laser- nor light-based. Instead, the technology uses fractionated bi-polar radio frequency (RF), precisely directed to the skin in the form of a matrix. Healthy skin around the matrix dots accelerates the healing process, ultimately enabling the skin to return to a smooth, healthy state. Syneron, which develops, sells and supports energy-based devices that treat everything from leg veins and cellulite, to acne and hair removal, has zeroed in on the specifics of rejuvenation and acne scar repair with its latest product.
 
“When we talk about sublative rejuvenation, we are treating aging skin, skin laxity, visible lines and wrinkles, and overall deterioration in skin tone and texture,” explained Eckhouse. “The goal is to achieve a more compact, younger dermal matrix, a homogenous epidermis, and overall smooth surface.”
 
Sublative technology creates a minor injury on the surface of the skin, which ultimately enables the skin to come back to a healthy, smooth state. This is essentially a wound healing response. Very small electrode points are applied to the skin, utlizing a small amount of energy, and creating a slight injury to the surface of the skin, and it then conducts the thermal energy below the skin. It is a small disruption of the outer surface, with a stronger heating below the surface, which effectively targets the skin’s imperfections.
 
According to Dr. Eckhouse, sublative technology offers several advantages, including affordable cost to patients and doctors, treatment of skin laxity, wrinkles, and improved texture, and added brightness and luminosity for the skin. He adds that for acne, one can have laser resurfacing done, but that this technology, Sublative, is different, as it requires less downtime, reduces acne scars, and improves tone and texture. It is also claimed to reduce orbital wrinkles and lines, is long-lasting, and with the suggested regimen of three treatments, 4-6 weeks apart, patients are said to see a marked difference in the skin, including new collagen and healthy skin cell production, and a smoother, more elastic skin texture.
 
The Concept of Skinhibition
 
Skinhibition, said Dr. Eckhouse, is the name given to the sublative effect of the procedure, as it is intended to assure the patient that they can get rid of their skin inhibitions and reticence about going for a procedure.
 
 “The challenge today is finding the sweet spot for ridding yourself of lines and wrinkles,” said Dr. Thomas E. Rohrer, a board-certified dermatologist at Skincare Physicians of Chestnut Hill, MA, and a clinical associate professor of dermatology at Boston University School of Medicine, who joined Eckhouse in the presentation. “With every advance of technology, we get closer and closer to this, and we now can make changes and get dramatic results without all the downtime and with minimal epidermal disruption.”
 
He noted that, with age, collagen breaks down and loses contact with the fibroblasts, causing skin to lose elasticity and tone. This technology is designed to address this situation in the skin.
 
Dr. Rohrer provided a brief history of skin rejuvenating procedures, beginning with the ablative resurfacing lasers used in the 90s. These removed the epidermis and superficial dermis, and healing occurred in the epithelial layers. The procedure also required considerable downtime, and there were occasional scarring issues. Later, fractional resurfacing and non-ablative fractional resurfacing proved to be an improvement over the ablative procedure. This was followed by fractional CO2 technology; and now, the sublative technique, with its direct contact radio frequency.
 
“This makes a little mark in the surface of the skin and creates a maximized result in the dermis,” said Dr. Rohrer, who noted that the pins used are really contact points, enabling negative charge to flow back to the contact area. A typical procedure lasts 15-25 minutes, with most patients opting for 3-5 treatments, 4-6 weeks apart.
 
Some patients report a warm sensation as energy enters the skin, and following treatment there may be pink or red flush resembling minor sunburn. Topical anesthetic ointments and cooling gels may be used to reduce discomfort during treatment; unlike light-based corrective treatments, Sublative is said to work on all skin types.
 
Clinical results include skin tightening, improvements in texture and pigment, and a reduction of wrinkles, acne scarring and stretch marks. According to Rohrer, there is minimal dermal impact with maximal epidermal disruption. One of the unique advantages, said Rohrer, is that by creating a narrow corridor or conduit of application, the procedure has the ability to do things to impact the skin without irritating the melanocytes. This potentially eliminates darkening in the areas that have been treated. There is also no ionizing radiation, removing any chance of skin cancer.
 
“The beauty of this is making the skin heal itself,” said Dr. Eckhouse, adding, “We’re asking the skin to do a better job of keeping itself healthy, which is quite unique.”
 
A Psychological View
 
Jennifer R. Wolkin, PhD, a licensed psychologist and clinical neuropsychologist, reiterated the emotional component that is often overlooked, but may be the most important aspect when it comes to procedures.
 
“It’s an emotional journey. While many women have a desire to look younger and stay youthful for their career and themselves, many expressed anxiety about treatments,” she observed. “Can they afford it? Will they see improvement? What will the downtime be?”
 
Dr. Wolkin suggested that there are trigger moments when women notice changes in their appearance and want to look more like themselves again. While many women seem to linger or never get past the doubtful phase, there is a hopeful phase; and this is when women are able to get over their anxieties and do something hopeful for their appearance. This concept ties into the creation of the term, skinhibition, when the desire to have more youthful looking skin is hampered by anxiety regarding side effects, cost, and outcome.
 
Dr. Eric S. Schweiger, board-certified dermatologist at Schweiger Dermatology in New York City, and director of the Clear Clinic, a dedicated treatment center with the sole focus of treating acne and acne scars, demonstrated the procedure to attendees. According to Dr. Schweiger, treatments are customized for the particular scarring conditions for which patients seek treatment. He noted the classification of scars resulting from acne, including Rolling Scars and Hypertrophic Keloid scars, adding that the Sublative technology has been useful in reducing moderate to severe acne scars for all skin types, and does not cause demarcation marks. The Sublative RF applicator delivers RF energy to the skin in a fractional manner, via an array of multi-electrode pins, which deliver bipolar RF energy to the skin. Microscopic zones of epidermis and dermis are thermally ablated in a grid over the skin surface, where non-ablated zones serve as a reservoir of cells that promote rapid healing.
 
“The technology can also be used off the face as well,” noted Dr. Rohrer, “including for the treatment of back acne, and it will also enable the improvement of any surgical scar. We are finding that early treatment of scars is much better,” he said, adding that the technology is multi-functional. “We may be seeing these sublative techniques in use in the future for actual drug delivery,” he said.
 
Additional information about Sublative may be found at: www.syneron-candela.com.
 

Related End-User Markets:

  • The World Comes to Orlando

    The World Comes to Orlando

    Tom Branna , Editorial Director||December 1, 2016
    More than 1,600 chemists traveled to Florida for the IFSCC Congress

  • Perform or Perish

    Perform or Perish

    Christine Esposito, Associate Editor||December 1, 2016
    Success in today’s skin care sector begins with active ingredients, formulated in products that address modern-day issues.

  • Soap Opera

    Soap Opera

    Christine Esposito, Associate Editor||November 2, 2016
    FDA’s recent antibacterial ruling has soap sector stakeholders scrambling to keep some ingredients in their formulation kit.

  • Cos Bar: Turning 40 and Hitting Fast Forward

    Cos Bar: Turning 40 and Hitting Fast Forward

    Christine Esposito, Associate Editor||November 21, 2016
    With a recent investor infusion, a new CEO and rebranding effort underway, this luxury beauty retailer has big plans.

  • Organic Matter

    Organic Matter

    Christine Esposito, Associate Editor||November 14, 2016
    FTC and USDA hold a public roundtable to discuss consumers’ perception of organic claims.

  • Get Ready, ‘Cause Here it Comes…

    Get Ready, ‘Cause Here it Comes…

    Christine Esposito, Associate Editor||November 1, 2016
    Skinphonic is a new brand created with a team of beauty experts and fronted by singer Smokey Robinson.

  • Hair for Me!

    Hair for Me!

    October 31, 2016
    Function of Beauty fulfills the promise of personalization in the beauty space—one bottle at a time.

  • A Facial Bar Grows in Brooklyn

    A Facial Bar Grows in Brooklyn

    Christine Esposito, Associate Editor||October 24, 2016
    With three doors in Canada, Blitz Facial Bar opens its first US location in one of the hippest areas of New York.

  • Let the Magic Begin!

    Let the Magic Begin!

    Tom Branna, Editorial Director||October 10, 2016
    IFSCC Congress gets underway at Walt Disney World this month.

  • Ogee Opens for Business

    Ogee Opens for Business

    Christine Esposito, Associate Editor||October 10, 2016
    Banking on the power of jojoba oil, a Vermont-based start-up is the newest player in organic luxury skin care.

  • P&G’s Latest Patents

    P&G’s Latest Patents

    Christine Esposito, Associate Editor||October 10, 2016
    A look at recent patent and IP related news from the biggest household and personal care player in the US.

  • A Cosmetic Armor Against Pollution

    A Cosmetic Armor Against Pollution

    Julia Comas, Cristina Davi, Elena Canadas, Laia Gonzalez, Raquel Delgado, Lipotec SAU||October 3, 2016
    Lipotec’s Pollushield creates a barrier between skin and pollutants and boosts the antioxidative potential of skin.

  • Cosmetic Chemists Head to Orlando Next Month

    Cosmetic Chemists Head to Orlando Next Month

    September 26, 2016
    Organizing Chair Guy Padulo explains why you should attend the IFSCC Congress.

  • Expanding Erbaviva

    Expanding Erbaviva

    Christine Esposito, Associate Editor||September 13, 2016
    A farm-to-bottle organic brand celebrates its 20th anniversary with a new look, new products and plans to expand in the US.

  • Lauder’s Latest Patents

    Lauder’s Latest Patents

    September 1, 2016
    A composition with NIR light emitting material, a skin care device and more awarded to this beauty business giant.

  • Long Term Sustainability In the Nonwovens Market

    Long Term Sustainability In the Nonwovens Market

    August 23, 2016
    Learn more at Cleaning Products USA, Nov. 9-11, 2016

  • TLC for Those Who Need It Most

    TLC for Those Who Need It Most

    Christine Esposito, Associate Editor||August 22, 2016
    New curriculum debuting at Bellus Academy helps estheticians treat a population that needs TLC.

  • Individualism IS The American Way

    Individualism IS The American Way

    Tom Branna, Editorial Director||August 15, 2016
    Why blue hair and BB creams still thrill US consumers.

  • Red, Black & Blue

    Red, Black & Blue

    August 8, 2016
    No matter who wins the US Presidential election, Americans expect their finances to get bloodied and bruised in 2017.

  • Athletes, Not Objects

    Athletes, Not Objects

    Nancy Jeffries, Contributing Editor||August 1, 2016
    Dove Unveils My Beauty billboard in Times Square.

  • Patent Update

    Patent Update

    July 28, 2016
    Three-layered hair product from Lauder, palm oil extracts for wrinkle treatment and more in recently awarded patents.

  • Pushin’ the Cushion

    Pushin’ the Cushion

    Christine Esposito, Associate Editor||July 26, 2016
    AmorePacific, the creator of the cushion compact, continues to improve its unique product.

  • Senior Skin Care

    Senior Skin Care

    Christine Esposito, Associate Editor||July 19, 2016
    McCord Research and Product Quest Manufacturing roll out new hospital-grade skin care kits for seniors to use at home.

  • An Antioxidant Arsenal

    An Antioxidant Arsenal

    July 11, 2016
    BioRewind is Dermarché Labs' new anti-aging regimen that delivers broad-spectrum antioxidant protection against free radicals

  • Enter Éclair

    Enter Éclair

    Christine Esposito, Associate Editor||July 5, 2016
    A new naturals line rolls out in Rite Aid stores nationwide.

  • Patent Update

    Patent Update

    June 30, 2016
    J&J's anti-aging patent, LVMH and cannabis essential oil, transdermal botulinum toxins and more in recent patent news.

  • Start Stuffing The Ballot Box (Again)!

    Start Stuffing The Ballot Box (Again)!

    June 28, 2016
    Vote on the finalists in Happi's reader's choice Anti-Aging Product of the Year contest!

  • What

    What's Next for the UK?

    Sarah Boumphrey, Euromonitor International||June 27, 2016
    Euromonitor weighs in on how Brexit could impact consumer product companies.