Summary

The First step for successful treatment is to diagnose skin problems; dark spots, red spots, scars, wrinkles, or skin folds. Improving the skin’s condition is done chiefly with resurfacing procedures, laser and light therapy, daily skincare, and ultraviolet (UV) protection. Type two rejuvenation is more profound and targets decreased collagen, disorganized glycosaminoglycans, and elastin, manifested by superficial rhytides, and is best treated with non-ablative mid-infrared lasers and intense pulsed light (IPL). Rejuvenation type three is most in-depth and targets deep dermal collagen disorders and skin laxity; here comes the role of fractional lasers, radiofrequency, infra-red light, and ultrasound. Loss and redistribution of sub-¬dermal fat in aging is with Liquid facelift (Botox, fillers, and fat). Correction of soft tissue ptosis is usually surgically treated with a brow lift or non-surgically by energy-based technologies such as radiofrequency. Clinical experience shows that combining multiple aesthetic therapies targeting numerous aspects of the aging process provides optimal results, with greater overall efficacy and a higher level of patient satisfaction.

Who Need Eyebrows and Forehead Rejuvenation? 

Facial aging results from the complex interplay between the body skeleton, facial retaining ligaments, soft tissue envelope, facial fat compartments, and the overlying skin elasticity due to the many anatomic components involved in facial aging, genetic and extrinsic factors. The genetic factors are fixed. Gravity is responsible for a lifetime of downward pull upon facial tissues and, coupled with a loss of ligaments support and localized fat collection, results in skin redundancy and loss of smooth facial contours.

Extrinsic factors can be altered, including excess sun damage, smoking, a healthy diet, and exercise. Rejuvenation of the face should be tailored to the individual. For smokers, the single most effective method of improving their health (including the skin) is to stop smoking. For “sun lovers,” it is old news: excessive sun exposure damages (burns and dries out).

The periorbital complex consists of the upper brow, upper eyelid, lateral canthus, lower eyelid, and under eyes rim begins to show signs of aging in the mid to late 30s. Younger people have smooth foreheads. Skin aging due to the sun (photodamage) results in skin changes, tissue sagging, skeletal change, and gravity contributing to brow and forehead changes. Although some people, even in youth, never have elevated or arched brows, many do. Most youthful females have brows that arch at the junction of the central and lateral brow. The young male brow lies above the superior orbital rim due to aging and atrophic changes in the brow fat and upper periorbital complex. Aging manifests as lateral hooding and or generalized sagging, which gives the appearance of smaller eyes. In severe cases, the eyebrow sits on the lashes. An eyebrow descend associated with the upper eye changes produces a sad and tired appearance. Due to this, many females go through their waking hours subconsciously raising their eyebrows, which further compounds the problem.

The treatment for brow and forehead descend an endoscopic or open brow technique—unfortunately, many patients who are candidates for a brow-lift end up with blepharoplasty. Blepharoplasty can worsen the aging sign by further pulling down the brow. The correct diagnosis of eyebrow and forehead ptosis is paramount in aesthetic rejuvenation. The upper face presents with aging changes before the lower face, and it is common for younger patients to give a cosmetic consultation for their “tired look.”

The brow and forehead complex is very intriguing in that it not only conveys the aesthetics of youth and aging but is also essential in communication. The mimetic upper facial muscles and around the eyes region convey diverse nonverbal communication. We frequently “talk” with our brows and forehead. The traditional reason for performing aesthetic surgery in the forehead and brow area has been to correct brow ptosis. Changing the brow and forehead complex with surgery or botox can either enhance aesthetics or make a person look unnatural. I believe that fewer brow-lifts are being performed today because of the over-corrected “deer in the headlights” look seen with so many celebrities. A subtle brow and forehead lift can make a patient look younger and refreshed, while an overdone brow lift can look hideous. Patients are aware of this, and many are reticent to undergo brow-lift, as an over-corrected brow is one of the worst cosmetic deformities.

My Approach to Eyebrow and Forehead Rejuvenation

Clinical experience shows that combining multiple aesthetic therapies targeting numerous aspects of the aging process provides optimal results, with greater overall efficacy and a higher level of patient satisfaction. The 3-dimensional approach ensures a more robust understanding of the complicated, multilayered process over time, with bony remodeling, atrophy of soft tissues, and deterioration in the skin’s condition and appearance. Prof. Moawad is a true believer in a combination approach to face and neck rejuvenation. A combination approach often produces the most optimal outcome for the patient. His experience in clinical practice is that I can join many rejuvenation techniques safely.

The explosion in recent years of non-surgical rejuvenate techniques is patient-driven. The modern patient desires quick, safe, and predictable non-surgical procedures that will confer facial rejuvenation with a minimum of downtime. By that is meant a modicum of bruising and swelling for 2–3 days (i.e., over a weekend) and not the 2–4 weeks of downtime and scars that often accompany open surgical techniques. Non-surgical methods are not a substitute for traditional rejuvenate surgery. However, combination therapy has become a powerful adjunct to or a temporizing alternative to open surgery. These aesthetic procedures consist of:

• Dermatologists Only Skincare products
• Microinjections Skin Rejuvenation
• Botox Injections
• Filler Skin injections
• Nanofat Skin Injections
• Platelets-rich plasma (PRP)
• Vampire Skin Rejuvenation
• Laser Skin Peel
• Chemical peels
• Radiofrequency
• Fractional Radiofrequency (FRF) Skin Rejuvenation
• Photorejuvenation

With new advancements in cosmetic medicine, non-surgical and minimally invasive procedures have become first-line treatment options. Treatments include topical therapies, mechanical and chemical skin resurfacing techniques, the use of lasers and radiofrequency devices, fillers, and BOTOX. Each treatment option supplies specific benefits and different side effect profiles and can be combined to maximize results. A youthful appearance, treatment must address the fatty changes. Lifting procedures or the removal of excess skin alone do not restore a youthful, rejuvenated appearance. Instead, these procedures may artificially elevate the brows or eyelid creases to higher heights than their positions were during the patient’s youth. The goal of any esthetic surgery is to “restore” the patient’s youthful attributes rather than making the patient look “lifted” or “pulled.” In an appropriate treatment plan, it is essential to have a thorough understanding of both around the eyes (periorbital) anatomy and perceived signs of aging or fatigue

Skincare is crucial in the overall rejuvenation and to help keep results with other Procedures. The use of Retin Eye Lift cream having tretinoin and whitening agents for at least six months leads to a marked improvement in skin texture, fine lines, and pigmentation of the forehead and around the eyes area. Many makeup lines will have UVB protection but usually lack adequate UVA protection. Topical bimatoprost 0.03% was FDA-approved in 2008 for the enhancement of eyelashes. Its use results in darkening, increased eyelash length, and density (thickening). Besides, patients can apply the product to the eyebrows. It uses a resurfacing cleanser to the whole face and uses Retin Eyelift nightly, morning moisturizer, and sunblocks at least one month before any resurfacing procedure. Using skincare products significantly affects the Treatment outcomes from lasers, chemical peels, and even surgical procedures. For this reason, it is essential to give patients explicit pre-procedure and post-procedure instructions as to what they should and should not use on their skin.

Electroporation or (no-needle mesotherapy) device seeks to do the same as injection mesotherapy such as skin rejuvenation, whitening, acne, hair re-growth, localized fat reduction, and cellulite treatment. It uses a pulsed low-frequency current, whose intensity is adjusted by the operator. It delivers a particular waveform that ionizes the molecules in the active ingredients used in the treatment and creates tiny channels in the skin for the elements to travel down. Ingredients in water-soluble molecules permeate the skin’s natural lipid barrier and then cascade through the tissue beneath via minute channels to penetrate the surface up to 9 -10cms and introduce 90% of the active ingredients being administered. This pain-free option is said to offer a practical mesotherapy alternative for needle-phobic.

The basis of microneedling (MN) relies on physical injury. It has been proposed that the trauma generated by needle penetration in the skin induces dermis regeneration. This results in the deposition of collagen by fibroblasts. The technique of microneedling has been well-exploited to increase the penetration of drugs across the skin barrier, including macromolecular biopharmaceuticals and drugs such as minoxidil, tretinoin, and L-ascorbic acid, vitamins and hyaluronic acid (Mesolift), platelets rich plasma (PRP), and nanofat (vampire facelift) and even botulinum toxin microinjection (mesobotox) into the deep layer of skin and subcutaneous tissue.

Periocular rejuvenation is a complex topic, and addressing only one of many needs may or may not provide a satisfactory result. It is critically important to understand precisely what feature of the periocular region is of the most concern to the patient before making therapeutic recommendations. Some patients complain of “looking tired” when in fact, they are concerned about the loss of skin tone, excessive eyelid skin (dermatochalasis), eyebrow ptosis, dark circles under the eyes, hollowness in the tear trough area (medial lower eyelid below the orbital rim), bulging orbital fat pads, “hypertrophic” pretarsal orbicularis oculi muscle, and/or deep lateral canthal rhytides.

Examination of the patient begins with an evaluation of the patient from across the room. The patient’s facial features are assessed for typical facial stigmata of aging, including lentigines, erythema, fine wrinkling, loss of skin laxity, eyebrow and/or eyelid ptosis (or chronic eyebrow elevation to correct latent brow or lid ptosis), midfacial ptosis, jowling, loss of facial volume, and deep dynamic rhytides in the glabellar, perioral, and periocular regions.

It is essential to view the patient before concentrating on the periocular (or any other individual) region, as any treatment aims to create a harmonious facial appearance. An observer’s eye is drawn to asymmetry more so than rhytides or lines. That is, the creation of a “smooth island in a sea of rhytides” produces a less natural appearance than if the patient were not treated at all.

The patient is then evaluated from a frontal perspective. Particular attention is paid to the presence of rhytides at rest, eyebrow contour and position, horizontal forehead rhytides that may be indicative of chronic brow elevation, the extent of photoaging, presence of dermatochalasis in the upper eyelid, location of the upper eyelid margin relative to the pupil, and lower eyelid position. Add ophthalmic evaluation is warranted if white sclera is visible above the superior limbus or below the inferior corneoscleral limbus.

The presence of horizontal forehead rhytides may either show overactive use of the muscles, facial expression, or a compensatory response to eyebrow ptosis. One must distinguish this, as weakening the frontalis muscle in the following setting will uncover previously latent eyebrow ptosis. That is, patients who have been elevating their eyebrows continuously to prevent impairment of their superior visual field will no longer be able to do so if their frontalis muscle is weakened.

The examiner can find the patient with latent brow ptosis by studying when the frontalis muscle is completely relaxed (instruct the patient to relax their forehead). If the eyebrows assume a lower position when the frontalis muscle relaxes, BTX should not be injected into the forehead.  These patients need eyebrow and/or eyelid surgery to correct their underlying problem.

Next, the patient is asked to gently (not forcibly) close the eyes to ensure complete apposition of the upper and lower lids. Some patients who have had prior surgery, trauma, or thyroid disease may be able to forcibly close their eyes but have an incomplete blink that leaves them highly vulnerable to symptomatic dry eyes if the orbicularis oculi muscle is weakened.

I should keep a careful injection record, and first-time patients are usually followed up two weeks after their injection. At the follow-up visit, the treatment goals should be reviewed and compared to the clinical results. If added doses are needed to achieve the desired goals, these should be administered at the follow-up visit. If the patient has not reached the best possible outcome, I should make careful notes about adjustments that need to be made in dosage, placement, or both.

I should carefully evaluate the benefit of the treatment of frontalis muscle. For some patients, the treatment of the upper part of this muscle is the best choice because the treatment of the entire frontal region causes significant loss of facial expression (masked appearance). Moreover, total paralysis of the frontalis muscle can cause brow ptosis. The frontal region should always be treated in association with the glabellar area for more satisfactory results, avoiding the excessive use of the glabella’s muscles, which are depressors.

The injections are typically given 2.5–5 units per injection site, depending on the extent of the area to be treated, whether totally or partially. Patients with a narrow brow should receive fewer injections (four sites, compared to five) and lower doses than patients with broader brows. Thus, the clinician should be conservative and allow some functional areas to remain intact to enable brow elevation.

In the glabella, treatment aims to reduce the vertical as well as the horizontal lines. Contractions of the corrugators and, to a lesser degree, the medial orbicularis oculus and the depressor supercilii produce vertical lines between the eyebrow. Contraction of the procerus produces horizontal lines over the bridge of the nose. Five injections, with two injections into each corrugator and one into the procerus, have been recommended for the cosmetic outcome. Clinical techniques should consider the variation in location, size, and use of the muscles among individuals.

Injection of botulinum toxin into certain areas of the face that carry a high risk of ptosis (danger zone) needs caution in the application. An example is a lateral forehead, particularly the lower part. Recently, however, injection of BTX-A through the temporal hairline to correct supraciliary wrinkles seems safe and effective.

Injection of BTX-A for glabellar frown lines can cause mild medial brow ptosis, a lateral brow elevation, and a more pleasing contour to the eyebrow. Brow depressors include the glabellar complex, most notably the procerus and depressor supercilii. Clinicians can use the knowledge and understanding of how BTX-A works in the glabellar region to change the appearance of the brows in patients who desire a more aesthetically pleasing look.

The composition of the youthful periorbital complex begins with an upper brow that is full, with an even fat distribution over the entire length of the brow while obscuring the supraorbital rim. An esthetic brow height begins medially at or below the supraorbital edge; as the brow arches laterally, the apex is superior to the supraorbital edge and lateral to the limbus.  Fat atrophy occurs in the upper and lower periorbital region leading to progressive skeletonization of the orbit.

Animation lines in the glabella and lateral canthi and volume loss add to the aged appearance.  The upper brow loses its fullness, appearing deflated, making the supraorbital rim appear more prominent and contributing to the development of dermatochalasis. The loss of volume within the periorbital complex causes the skin to lose its fullness and become redundant. Fat atrophy or selective hypertrophy in the periorbital region can lead to a profile’s concave or wavy facial arcs.

Volume loss is a natural phenomenon of the aging process and can be augmented with fillers. It is also an excellent choice for correcting static rhytides that cannot be treated with BOTOX alone and recontour. Soft-Tissue Fillers Injectable hyaluronic acid (HA) is one of the most popular fillers on the market due to its ease of use, ability to produce natural-looking results with a low incidence of adverse reactions, and the additional benefit of reversibility, in the event of product misplacement or overfilling. Other agents that provide substantial support and are appropriate for deep implantation include two stimulatory fillers that induce neocollagenesis, calcium hydroxylapatite and poly-L-lactic acid, and autologous fat. Understanding structural and functional anatomy and the physicochemical characteristics of fillers –including the flow-related (rheologic) properties of elasticity (G prime) and viscosity that predict their behavior – informs the choice of appropriate filler products and injection techniques to achieve optimal results.

Volume augmentation in the periorbital region can be beneficial for the elevation of the temporal brow and even smoothing fine eyelid wrinkling. The glabella and central brow are anatomically unforgiving areas about both safety and aesthetic considerations. For security, it is necessary to visualize vital structures such as nerves and vessels and take measures to avoid them when injecting fillers or neuromodulators. I must counsel patients that bruising and swelling may be more common after periorbital soft tissue volume injection than after injections elsewhere. Bruising is quite common and can, occasionally, be severe. When medically acceptable, patients are often recommended to avoid anticoagulants for 10 to 14 days before the injection.

Fillers may be injected into the glabella and the central brow via two approaches: deep and superficial. These approaches may be used alone or in combination with a multiplane or ”sandwich technique.

The path of least resistance, or glide plane, in the forehead, including the central brow, is the subgaleal (pre-periosteal) plane, which stands for the plane between the superficial and deep fascia of this facial zone. This glide plane can be bluntly dissected with ease using the filler product with the anterograde flow. The in-depth approach is well suited to corrective contouring for restoring volume to the glabella and central brow and augmentation of the forehead, including the central brow.

Implantation of fillers into superficial tissue planes to the frontalis (high subcutaneous or intradermal) carries no risk of nerve damage at the brow level since the supraorbital, supratrochlear nerves run and ramify within the frontalis. There is also no risk of meeting the vessels associated with these nerves since they follow the same course. I may use the simple approach for contouring to restore or augment volume and for filling rhytides.

Regarding aesthetics, the slightest overfilling or misplacement of a fraction of a milliliter of filler within the glabella and central brow can cause suboptimal results. Therefore, it is recommended that HA fillers be used, as contour correction can be performed if needed by removing them in part or entirely by the injection of hyaluronidase. Dilution of fillers with saline and/or lidocaine suspension makes them easier to spread with post-injection tissue molding to achieve smooth contours. This is because dilution reduces filler viscosity. Dilution is best performed with the aid of a sterile two-way female-to-female adaptor to which the syringe of filler and another syringe holding the diluent can be attached.

In later eyebrows, I may administer filler injections into the underlying retro-orbicularis oculi fat (ROOF) pad, which lies above the orbital rim posterior to the brow cilia. For patients with skeletonization of the lateral bony orbital rim, dermal filler is introduced along the lateral orbital edge and lateral sub-brow to restore soft tissue loss and supply a youthful and pleasing cushioning effect to camouflage the visible bony prominence. This approach also supports the lateral brow, which reverses the illusion of brow descent from the shadow it casts due to the lack of sub-brow fullness.

The platelet-rich plasma (PRP) has been applied in androgenic alopecia in both males and females successfully. Although platelets rich plasma (PRP) microinjection is new in aesthetics, PRP has been recognized as an effective treatment in sports injury, diabetic ulcer treatment, and orthopedics, to name a few. Platelets have essential growth factors that, when secreted, handle tissue regeneration and rejuvenation, increase collagen production, recruit other cells to the site of injury, induce cell differentiation, and extracellular matrix formation. It has an anti-inflammatory effect that will speed up healing time and ease recovery time after resurfacing procedure. With PRP therapy, we stimulate long-term collagen growth, eliminating skin wrinkles, rejuvenating the skin, improving the appearance of acne scarring, and hastening the healing process after a facial peel. PRP is injected subcutaneously into the area of alopecia with many growth factors and stem cells. Hair transplantation is no exception, and MSI is at the forefront in developing these applications.

People want to look better with as little as possible downtime. Although a quick fix is not possible for severe wrinkles, newer treatment options such as fractional lasers and fractional radiofrequency are available to slow down the aging aspects that affect the face, neck, décolleté, and the back of the hands. Vampire Facelift is a name for a non-surgical cosmetic procedure involving the injection of platelet-rich plasma (PRP) derived from a patient’s blood back into multiple areas of the skin of their face to treat wrinkles and “rejuvenate” the face. Platelets have essential growth factors that, when secreted, handle tissue regeneration and rejuvenation, increase collagen production, recruit other cells to the injury site, induce cell differentiation and extracellular matrix formation. It has an anti-inflammatory effect that will speed up healing time and ease recovery time after resurfacing procedure. In a new approach, Prof uses fractional ablative lasers to overcome the epidermal barrier and increase topical agents’ penetration as laser-assisted drug delivery (LADD). Prof Moawad offers his patients a full-face fractional CO2 laser or fractional radiofrequency (FRF) to make tiny holes into the skin to overcome the stratum corneum to enhance PRP and /or nanofat. The results are doubles. You will enjoy both the rejuvenating effect of fractional skin resurfacing systems and the regenerative effect of growth factors and stem cells present in PRP and/or nanofat.

In today’s active, outdoor lifestyle, it is not just time that is aging us anymore. Sun exposure damages the skin, breaking down cells, hardening lines, and leaving freckles and blemishes every day. Coupled with dehydration, stress anxiety, and exposure to smoke and pollution, it is no surprise that people are looking for ways to make their skin look younger and more revitalized. The Mesolift is a Mesotherapy approach to treat aging, sun-damaged, and wrinkling of the skin involving the face and neck. This minimally invasive treatment delivers vitamins, minerals, and amino acids directly into the skin to nourish and rejuvenate, promote the production of collagen and elastin, and stimulate your metabolism

Skin Rejuvenation, resurfacing, or a skin peel is a way to go. MSI Skin peel (thigh-tech) is a comprehensive antiaging, anti-acne, scar treatment program that uses state of the art in aesthetic medicine. It is tailored precisely to your skin condition, needs, and expectation. It includes steam, masks, exfoliation, comedones extraction, cosmeceuticals, PRP, chemical peels, LED, IPL, laser, ultrasound, and radiofrequency. In addition, we apply new techniques to enhance skin penetration of cosmeceutical ingredients, such as whitening, vitamins, and anti-acne, antiaging dermal roller, dermapen, no needles mesotherapy (electroporation), microdermabrasion, fractional laser, and radiofrequency. Skin Rejuvenation (high-tech skin peel) can be performed anywhere on the body, but most generally are shown on the face, neck, hands, arms, and legs.

Many ablative skin resurfacing techniques are available at MSI, broadly grouped as mechanical, chemical, and laser abrasion. All ablative techniques result in upper to the mid-dermal wound. Dermabrasion relies on mechanical ‘cold steel’ injury, acid peels result in a ‘caustic’ injury, and lasers result in a thermal injury. All ablative resurfacing treatments work the same way. First, the outer layers of damaged skin are stripped away. Then, as new cells form during the healing process, a smoother, tighter, younger-looking skin surface appears. Superficial or medium resurfacing is limited to the epidermis and papillary dermis. For deeper resurfacing, it can also remove the upper levels of the reticular dermis. Unlike chemical peels and dermabrasion, laser skin resurfacing (LSR) with the CO2 laser generates heat, which results in immediate tightening because of shrinkage of collagen, which forcefully shortens the collagen fibers by 30%. This translates clinically into the smoothing out of superficial irregularities, including wrinkles, acne scars, nevi, epidermal growths, and even tumors, as well as a tightening effect that improves the skin’s overall appearance. The laser continuously stimulates healthy new collagen and elastic fibers in the skin for six months after resurfacing. Therefore, any wrinkles or scars will continue to improve for up to one year. Nonablative or minimal ablative fractional CO2 holds great promise in both treatments of skin textural abnormalities (acne scarring, wrinkles, and skin mottling associated with photoaging) as well as pigmentary variation (melasma, hyperpigmented scars, lentigines, and dyschromia).

Fractional radiofrequency (FRF) deliver energy creates zones of affected skin adjacent to unaffected areas. The treated areas result in thermal damage in the deep dermal collagen, stimulating wound healing, dermal remodeling, and new collagen, elastin, and hyaluronic acid formation. The unaffected areas serve as a reservoir of cells that promote and accelerate wound healing. FRF improves acne scars and large facial pores, wrinkles, and facial laxity reduction. The most common sequence effects are erythema and edema, which are transient (few days). You may use a topical anesthetic cream before the treatment to minimize pain. In a new approach, Prof Moawad offers his patients a full-face FRF to make tiny holes into the skin to overcome the stratum corneum to enhance PRP and /or nanofat. The results are doubles, and you will enjoy both the rejuvenating effect of the FRF resurfacing system and the regenerative effect of growth factors and stem cells present in PRP and/or nanofat

Monopolar radiofrequency is best suited for younger patients who show mild to moderate skin laxity or eyebrow ptosis. In older patients who do not want to have surgery or can’t do surgery and suffer from moderate skin laxity and modest expectations, monopolar radiofrequency skin tightening can be applied. With joint surface skin cooling, monopolar radiofrequency devices deliver a high-frequency electric current (volume heating) to the deep dermis and underlying tissue. The resulting heat leads to immediate collagen contraction and a delayed wound healing response, with new collagen formation up to 4 to 6-month post-treatment. Similarly, micro-focused ultrasound selectively heats the superficial musculoaponeurotic system, stimulating long-term collagen remodeling and producing subsequent tissue tightening and lifting without damaging the epidermal surface. Advantages include the minimal erythema postoperatively that typically resolves within hours and lack of significant risk of side effects. Ideal candidates for this noninvasive treatment either do not want or do not need lifting surgery. It is indicated for those patients suffering from mild or moderate eyebrow laxity, eyelid laxity, and skin laxity( dermatochalasis) but have the right skin tone.

Photo-rejuvenation encompasses many procedures using light or laser-based technology to reverse the effects of photoaging. Non-ablative photo-rejuvenation refers to the controlled use of thermal energy to carry out skin rejuvenation without disturbing the overlying epidermis and with minimal to no downtime. Currently employed non-ablative modalities include primarily intense pulsed light (IPL), visible wavelengths including 585nm pulsed dye laser (PDL), and 532 nm green light (KTP laser). Different infrared wavelengths with water as the target are used for remodeling dermal collagen. The primary mechanism of action is thermal injury either by heating the dermis to stimulate fibroblast proliferation or by heating blood vessels for photocoagulation. The newest way to deliver these wavelengths is by fractionating the dose. The non-thermal mechanism, which represents a fundamental change in thinking, is the theory of photo-modulation. This novel approach to photoaging uses non-thermal light treatments to regulate the activity of cells and not to invoke thermal wound healing mechanisms. The two types of Photo-facial (foto-facial) or Photo-rejuvenation are available are the Intense-Pulsed Light (IPL) and the Light-Emitting Diode (LED) treatments; however, to get the results you hope to do, it’s essential to understand the difference between these facial rejuvenation technologies before you book an appointment. Your best bet for minor skin problems is to schedule an LED (often called a Non-IPL) treatment, and for more severe conditions, you’ll book to IPL.