Evidence map›Paper›PMID 40167815›Full record

SynthesisLasers in medical science2025

Systematic review and meta-analysis - microfocused ultrasound treatment for sagging skin.

Débora Aparecida Oliveira Modena, Ana Paula Ferro, Flávia Belavenuto Rangon, Elaine Caldeira Oliveira Guirro

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Lasers in medical science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Observational
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Débora Aparecida Oliveira ModenaUSP FMRP: Universidade de São Paulo Faculdade de Medicina de Ribeirão Preto, Av. Bandeirantes, 3900 - Campus da Usp, Ribeirão Preto, São Paulo, 14049-900, Brazil. de_modena@yahoo.com.br.ORCID http://orcid.org/0000-0002-2800-3620
Ana Paula FerroUSP FMRP: Universidade de São Paulo Faculdade de Medicina de Ribeirão Preto, Av. Bandeirantes, 3900 - Campus da Usp, Ribeirão Preto, São Paulo, 14049-900, Brazil.
Flávia Belavenuto RangonUSP FMRP: Universidade de São Paulo Faculdade de Medicina de Ribeirão Preto, Av. Bandeirantes, 3900 - Campus da Usp, Ribeirão Preto, São Paulo, 14049-900, Brazil.
Elaine Caldeira Oliveira GuirroUSP FMRP: Universidade de São Paulo Faculdade de Medicina de Ribeirão Preto, Av. Bandeirantes, 3900 - Campus da Usp, Ribeirão Preto, São Paulo, 14049-900, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High-Intensity Microfocused Ultrasound (HIFU) applies the high energy of focused ultrasound (US) to penetrate deeply into skin tissue. Despite significant investments in this technology and positive reports from clinical practitioners, scientific discussions reveal substantial controversy regarding its effects. This study aimed to perform a systematic review with meta-analysis to evaluate the evidence on HIFU's effectiveness in improving skin sagging across short, medium, and long-term outcomes, along with its potential adverse effects. A systematic search was conducted across PubMed, Medline, Embase, CINAHL, and the Cochrane Central Library. Out of One hundred and eighteen articles identified after duplicate removal, 99 studies underwent eligibility evaluation, resulting in the selection of 12 articles, including three randomized and nine non-randomized studies. Two randomized studies qualified for inclusion in the meta-analysis. The review indicates that high-intensity microfocused ultrasound shows promising results in improving skin sagging, with a total of 475 participants evaluated (333 women and 142 men). The meta-analysis of two studies on neck skin sagging improvement showed no significant difference between HIFU and RF groups across short-, medium-, and long-term outcomes (CI: 0.19 [-0.84, 0.45]; -0.5 [-0.65, 0.55]; -0.45 [-0.99, 0.09]). Although HIFU therapy appears beneficial for skin sagging, further high-quality, standardized studies are required to confirm these findings and reduce methodological biases.

Indexed as

High-Intensity Focused Ultrasound AblationSkin AgingUltrasonic TherapyFemaleHumansMaleHIFUHigh-intensity microfocused ultrasoundMicrofocused ultrasoundSystematic review and meta-analysis

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.