Evidence map›Paper›PMID 40847904›Full record

ReviewJournal of cosmetic dermatology2025

Microfocused Ultrasound With Visualization in Skin Quality: A Narrative Review.

Tatjana Pavicic, Jeremy B Green, Je-Young Park, Gabriela Casabona, Vasanop Vachiramon, Julieta Spada, Jennifer Levine, Mariana Muniz, John Akers, Alec McCarthy and 1 more

Abstract readReview
In one paragraph

Review in Journal of cosmetic dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Tatjana PavicicPrivate Practice for Dermatology and Aesthetics Dr. Tatjana Pavicic, Munich, Germany.ORCID https://orcid.org/0009-0006-4511-8661
Jeremy B GreenSkin Research Institute and Skin Associates of South Florida, Coral Gables, Florida, USA.ORCID https://orcid.org/0000-0001-6205-0319
Je-Young ParkApkoo-Jung Oracle Dermatology Center, Seoul, Korea.
Gabriela CasabonaOcean Clinic Marbella, Málaga, Spain.ORCID https://orcid.org/0000-0002-3183-0432
Vasanop VachiramonDivision of Dermatology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.ORCID https://orcid.org/0000-0002-7328-939X
Julieta SpadaJulieta Spada Dermatology and Aesthetics, Buenos Aires, Argentina.ORCID https://orcid.org/0009-0004-7285-3501
Jennifer LevineLenox Hill Hospital and Manhattan Eye, Ear, and Throat Hospital, New York, New York, USA.
Mariana MunizDermatology Private Office, São Paulo, Brazil.
John AkersGlobal Medical Affairs, Merz Aesthetics, Raleigh, North Carolina, USA.
Alec McCarthyGlobal Medical Affairs, Merz Aesthetics, Raleigh, North Carolina, USA.ORCID https://orcid.org/0000-0002-5063-5413
Matthew J JacksonGlobal Medical Affairs, Merz Aesthetics, Raleigh, North Carolina, USA.ORCID https://orcid.org/0000-0001-5392-845X

Funding

Merz Aesthetics Global Medical Affairs (Raleigh, NC)
6 · The paper itself

Abstract

backgroundSkin quality is a multidimensional concept encompassing four emergent perceptual categories (EPCs): firmness, surface evenness, tone evenness, and glow. Microfocused Ultrasound with Visualization (MFU-V; Ulthera System) is a non-invasive device FDA-cleared for lifting and tightening of the skin in specific areas. Through the generation of thermal coagulation points at defined depths, MFU-V initiates neocollagenesis and elastin remodeling, which may support improvements in features related to overall skin quality.

aimsTo evaluate clinical and preclinical evidence for the impact of MFU-V across the four EPCs of skin quality, including firmness, surface evenness, tone evenness, and glow. PATIENTS/

methodsA structured narrative review was conducted across PubMed, Google Scholar, and Cochrane databases. Of 703 unique records screened, 67 studies met inclusion criteria. Eligible studies evaluated MFU-V, alone or in combination, reporting outcomes mapped to one or more EPCs of skin quality.

resultsMFU-V demonstrated consistent improvements in firmness (n = 52 studies), including elasticity and tautness, with sustained effects beyond 6 months. Improvements in surface evenness (n = 35) included wrinkle reduction, pore refinement, and scar remodeling. Effects on tone evenness (n = 4) were observed in melasma and erythema models, with good tolerance in Fitzpatrick skin types III-VI. Glow (n = 4) was indirectly supported by improved texture and structure. Combination protocols involving MFU-V and fillers or neuromodulators reported positive outcomes. Adverse events were rare and transient.

conclusionsMFU-V provides a safe and versatile platform for enhancing multiple aspects of skin quality. Its effects are well supported in firmness and texture, with emerging evidence for tone and glow. The integration of EPC-based outcomes may inform individualized treatment planning and future research.

Indexed as

Cosmetic TechniquesSkin AgingUltrasonic TherapyElasticityHumansRejuvenationSkinTreatment Outcomeemergent perceptual categoriesenergy‐based devicesMFU‐Vmicrofocused ultrasound with visualizationskin qualityUltherapy

Identifiers

PMID40847904
PMCPMC12374570

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.