TY - BOOK AU - Kakar, Rohit TI - Pain in naive and non-naive subjects undergoing nonablative skin tightening dermatologic procedures: a nested randomized control trial SN - 1076-0512 KW - *Cosmetic Techniques/ae [Adverse Effects] KW - *Pain/et [Etiology] KW - Abdomen KW - Cross-Sectional Studies KW - Face KW - Female KW - Humans KW - Intraoperative Complications KW - Lasers, Dye/ae [Adverse Effects] KW - Pain Measurement KW - Phototherapy/ae [Adverse Effects] KW - Radio Waves/ae [Adverse Effects] KW - Retreatment/ae [Adverse Effects] KW - Ultrasonic Therapy/ae [Adverse Effects] KW - MedStar Washington Hospital Center KW - Dermatology KW - Comparative Study KW - Journal Article KW - Randomized Controlled Trial N1 - Available online from MWHC library: 1999 - present, Available in print through MWHC library: 1999 - 2006 N2 - BACKGROUND: Pain is expected during noninvasive skin tightening and can be anxiety provoking, especially for those who have not had prior treatments; CONCLUSIONS: There was no significant difference in pain between naive and non-naive subjects undergoing cutaneous energy treatments. Individual devices may elicit more pain at specific anatomic locations. 2014 by the American Society for Dermatologic Surgery, Inc. Published by Wiley Periodicals, Inc; METHODS AND MATERIALS: The non-naive group at least three nonablative laser procedures or one nonablative skin tightening procedure, and the naive group no previous treatments. Four sites at each of two anatomic locations (periorbital and midface or cheek) were treated in each subject with needle prick, pulsed dye laser, radiofrequency, and ultrasound with the order of the interventions randomized. All interventions except ultrasound were also applied to three abdominal sites. The difference in mean pain scores between naive and nonnaive subjects were averaged over the anatomic sites; OBJECTIVE: To compare pain reported by patients naive to nonablative skin tightening energy devices with those who were not naive; RESULTS: Ten naive and 10 non-naive subjects completed study procedures. Mean pain scores ranged from 1.3 to 4.9. The mean for all naive conditions was 2.3 + 1.0, vs 2.2 + 1.4 for non-naive conditions. There was no overall difference according to group, device, or anatomic area UR - http://dx.doi.org/10.1111/dsu.12440 ER -