{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T03:14:59Z","timestamp":1785726899297,"version":"3.56.0"},"reference-count":23,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T00:00:00Z","timestamp":1758758400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Microfocused ultrasound with visualization (MFU\u2010V) is well established for noninvasive lifting of the face, neck, and d\u00e9collet\u00e9. 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This consensus aims to provide evidence\u2010based and practice\u2010informed recommendations supporting safe, effective, and reproducible MFU\u2010V treatments for the additional body indications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An international, multidisciplinary panel of aesthetic experts developed consensus recommendations for MFU\u2010V treatment of additional body areas based on clinical evidence, expert experience, and structured virtual discussions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>This global expert consensus affirms MFU\u2010V 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\u2010time 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Safe and effective MFU\u2010V outcomes rely on real\u2010time ultrasound visualization, thoughtful patient selection, expectation management, and anatomically guided treatment. Continued research is needed to refine protocols and guide emerging body applications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocd.70449","type":"journal-article","created":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T10:30:57Z","timestamp":1758796257000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Microfocused Ultrasound With Visualization for Body Indications: A Global Expert Consensus on Best Practices for Treatment of the Abdomen and Arms"],"prefix":"10.1111","volume":"24","author":[{"given":"Frank","family":"Lin","sequence":"first","affiliation":[{"name":"Monash University  Clayton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasanop","family":"Vachiramon","sequence":"additional","affiliation":[{"name":"Division of Dermatology Faculty of Medicine Ramathibodi Hospital, Mahidol University  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriela","family":"Casabona","sequence":"additional","affiliation":[{"name":"Ocean Clinic Marbella  M\u00e1laga Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessie","family":"Cheung","sequence":"additional","affiliation":[{"name":"Cheung Aesthetics &amp; Wellness  Willowbrook Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana L\u00facia Gonzaga","family":"da Cunha","sequence":"additional","affiliation":[{"name":"Albert Einstein Teaching and Research Center  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4511-8661","authenticated-orcid":false,"given":"Tatjana","family":"Pavicic","sequence":"additional","affiliation":[{"name":"Private Practice for Dermatology &amp; Aesthetics Dr. Tatjana Pavicic  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julieta","family":"Spada","sequence":"additional","affiliation":[{"name":"Spada Dermatology &amp; Aesthetics  Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabrina","family":"Fabi","sequence":"additional","affiliation":[{"name":"University of California  San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,25]]},"reference":[{"issue":"5","key":"e_1_2_10_2_1","first-page":"426","article-title":"Optimizing Patient Outcomes by Customizing Treatment With Microfocused Ultrasound With Visualization: Gold Standard Consensus Guidelines From an Expert Panel","volume":"18","author":"Fabi S. G.","year":"2019","journal-title":"Journal of Drugs in Dermatology"},{"issue":"5","key":"e_1_2_10_3_1","first-page":"E70","article-title":"Customized Treatment Using Microfocused Ultrasound With Visualization for Optimized Patient Outcomes: A Review of Skin\u2010Tightening Energy Technologies and a Pan\u2010Asian Adaptation of the Expert Panel's Gold Standard Consensus","volume":"14","author":"Park J. 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