Microfocused Ultrasound With Visualization for Body Indications: A Global Expert Consensus on Best Practices for Treatment of the Abdomen and Arms
3
Issued Date
2025-10-01
Resource Type
ISSN
14732130
eISSN
14732165
Scopus ID
2-s2.0-105016909463
Pubmed ID
40995829
Journal Title
Journal of Cosmetic Dermatology
Volume
24
Issue
10
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Cosmetic Dermatology Vol.24 No.10 (2025)
Suggested Citation
Lin F., Vachiramon V., Casabona G., Cheung J., da Cunha A.L.G., Pavicic T., Spada J., Fabi S. Microfocused Ultrasound With Visualization for Body Indications: A Global Expert Consensus on Best Practices for Treatment of the Abdomen and Arms. Journal of Cosmetic Dermatology Vol.24 No.10 (2025). doi:10.1111/jocd.70449 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/112387
Title
Microfocused Ultrasound With Visualization for Body Indications: A Global Expert Consensus on Best Practices for Treatment of the Abdomen and Arms
Author's Affiliation
University of California, San Diego
Monash University
Faculty of Medicine Ramathibodi Hospital, Mahidol University
Private Practice for Dermatology & Aesthetics Dr. Tatjana Pavicic
Ocean Clinic Marbella
Albert Einstein Teaching and Research Center
Julieta Spada Dermatology and Aesthetics
Cheung Aesthetics & Wellness
Monash University
Faculty of Medicine Ramathibodi Hospital, Mahidol University
Private Practice for Dermatology & Aesthetics Dr. Tatjana Pavicic
Ocean Clinic Marbella
Albert Einstein Teaching and Research Center
Julieta Spada Dermatology and Aesthetics
Cheung Aesthetics & Wellness
Corresponding Author(s)
Other Contributor(s)
Abstract
Background: Microfocused ultrasound with visualization (MFU-V) is well established for noninvasive lifting of the face, neck, and décolleté. U.S. FDA clearance was recently granted for treatment of the abdomen and upper arms, supported by favorable safety data and emerging evidence of efficacy of its use to address skin and soft tissue laxity in body regions. Guidance on best practices for these additional indications is desirable. Aims: This consensus aims to provide evidence-based and practice-informed recommendations supporting safe, effective, and reproducible MFU-V treatments for the additional body indications. Methods: An international, multidisciplinary panel of aesthetic experts developed consensus recommendations for MFU-V treatment of additional body areas based on clinical evidence, expert experience, and structured virtual discussions. Results: This global expert consensus affirms MFU-V as a safe and effective noninvasive modality for treating mild to moderate skin and soft tissue laxity in the abdomen and upper arms. Three key domains were identified as critical to optimizing outcomes: patient selection, treatment planning, and expectation management. Ideal candidates are those with mild to moderate laxity and target tissues located at treatable depths. Real-time ultrasound imaging was emphasized for accurate targeting, anatomical safety, and treatment precision. The panel developed practical treatment protocols for the abdomen and upper arms, including recommended treatment zones, line densities, and transducer depths tailored to tissue characteristics. Conclusion: Safe and effective MFU-V outcomes rely on real-time ultrasound visualization, thoughtful patient selection, expectation management, and anatomically guided treatment. Continued research is needed to refine protocols and guide emerging body applications.