<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0376-7892</journal-id>
<journal-title><![CDATA[Cirugía Plástica Ibero-Latinoamericana]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. plást. iberolatinoam.]]></abbrev-journal-title>
<issn>0376-7892</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0376-78922023000200007</article-id>
<article-id pub-id-type="doi">10.4321/s0376-78922023000200007</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Tratamiento simultáneo secuencial con ultrasonidos focalizados de alta intensidad, láser de CO2 fraccionado y plasma rico en plaquetas para rejuvenecimiento facial en fototipos altos]]></article-title>
<article-title xml:lang="en"><![CDATA[Sequential simultaneous treatment with high-intensity focused ultrasound, fractional CO2 laser and platelet-rich plasma for facial rejuvenation in dark phototypes]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Téllez-Amésquita]]></surname>
<given-names><![CDATA[Cindy C]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Carpio]]></surname>
<given-names><![CDATA[Pedro A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Téllez]]></surname>
<given-names><![CDATA[Cindy C]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Carpio]]></surname>
<given-names><![CDATA[Pedro A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Trelles]]></surname>
<given-names><![CDATA[Mario A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro de Estética Renova Láser  ]]></institution>
<addr-line><![CDATA[Tacna ]]></addr-line>
<country>Perú</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Martínez-Carpio Institute-Investiláser Unidad de Ensayos Clínicos ]]></institution>
<addr-line><![CDATA[Sabadell Barcelona]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,American Board de Láser en Cirugía Plástica-Estética  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Estados Unidos</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<volume>49</volume>
<numero>2</numero>
<fpage>147</fpage>
<lpage>160</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0376-78922023000200007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0376-78922023000200007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0376-78922023000200007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y objetivo. La combinación de técnicas mínimamente invasivas es muy frecuente para tratar el envejecimiento de la piel. El objetivo de este ensayo es evaluar un protocolo de tratamiento intensivo para rejuvenecimiento facial en una sesión única, combinada y secuencial, empleando ultrasonidos focalizados de alta intensidad (HIFU), láser de CO2 fraccionado y plasma rico en plaquetas (PRP) autólogo.  Material y método. Ensayo piloto para evaluar la eficacia y seguridad del tratamiento combinado en una muestra seleccionada de 15 pacientes (fototipos III-V) con signos evidentes de envejecimiento facial. La eficacia fue evaluada de forma enmascarada por 2 expertos independientes mediante comparación de fotografías antes del tratamiento y 3 meses después. Las variables analizadas (grado de dolor, laxitud, rejuvenecimiento global y satisfacción) se cuantificaron mediante escalas ordinales cuantitativas o cualitativas. La seguridad se evaluó mediante anotaciones de seguimiento en las historias clínicas.  Resultados. Obtuvimos mejorías significativas en la reducción de la laxitud en los tercios superior, medio e inferior de la cara (p=0.026, p=0.011, p=0.003). En la escala de mejoría estética global, según los evaluadores expertos, 14 participantes (93%) se consideraron &#8220;mejorados&#8221; o &#8220;muy mejorados&#8221;. Todos los pacientes reconocieron algún tipo de mejoría, 9 indicaron estar &#8220;muy satisfechos&#8221;, 3 &#8220;satisfechos&#8221; y 3 &#8220;moderadamente satisfechos&#8221;. El tratamiento fue doloroso, pero suficientemente tolerado por la mayoría de pacientes. No aparecieron efectos adversos inesperados ni complicaciones importantes, con buena recuperación postoperatoria. En general los pacientes se reincorporaron a sus actividades laborales 10 días después del tratamiento.  Conclusiones. El perfil de eficacia/seguridad del método ensayado ha sido muy favorable en la serie investigada.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background and objective. The combination of minimally invasive techniques is very common to treat aging skin. The objective of this trial is to evaluate an intensive treatment protocol for facial rejuvenation, in a single, combined and sequential session, using high intensity focused ultrasound (HIFU), fractional CO2 laser and autologous platelet rich plasma (PRP).  Methods. Pilot trial to evaluate the efficacy and safety of the combined treatment in a selected sample of 15 patients (phototypes III-V) with evident signs of facial aging. Efficacy was assessed blinded by 2 independent experts by comparing photographs before treatment and 3 months later. The variables analyzed (degree of pain, laxity, global rejuvenation and satisfaction) were quantified using ordinal quantitative or qualitative scales. Safety is assessed by follow-up notes in medical records.  Results. Significant improvements in laxity reduction were achieved in the upper, middle, and lower thirds of the face (p=0.026, p=0.011, p=0.003). On the scale of global aesthetic improvement, according to the expert evaluators, 14 participants (93%) consider themselves "improved" or "very improved". All patients recognized some kind of improvement, 9 indicated being "very satisfied", 3 "satisfied" and 3 "moderately satisfied". The treatment was painful, but sufficiently tolerated by the majority of patients. There were no unexpected side effects or major complications, with good postoperative recovery. In general, the patients returned to their work activities 10 days after treatment.  Conclusions. The efficacy/safety profile of the tested method has been very favorable in the series investigated.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Facial Rejuvenation]]></kwd>
<kwd lng="en"><![CDATA[Flaccidity]]></kwd>
<kwd lng="en"><![CDATA[High intensity focused ultrasound]]></kwd>
<kwd lng="en"><![CDATA[HIFU]]></kwd>
<kwd lng="en"><![CDATA[Fractional CO2 laser]]></kwd>
<kwd lng="en"><![CDATA[Platelet-rich plasma]]></kwd>
<kwd lng="en"><![CDATA[PRP]]></kwd>
<kwd lng="es"><![CDATA[Rejuvenecimiento facial]]></kwd>
<kwd lng="es"><![CDATA[Flacidez]]></kwd>
<kwd lng="es"><![CDATA[Ultrasonidos focalizados de alta intensidad]]></kwd>
<kwd lng="es"><![CDATA[HIFU]]></kwd>
<kwd lng="es"><![CDATA[Láser CO2 fraccionado]]></kwd>
<kwd lng="es"><![CDATA[Plasma rico en plaquetas]]></kwd>
<kwd lng="es"><![CDATA[PRP]]></kwd>
</kwd-group>
</article-meta>
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