Combination treatment in aesthetics consists of multiple treatment approaches for improving aesthetic appearance for consumer. It involves both minimally invasive and virtually noninvasive treatment approaches. Combination treatment in aesthetics works on the principle that single modality of treatment cannot offer different advantage each treatment has whereas combination treatment offers best of different treatment. Various treatment approaches under combination aesthetics include, neuromodulators, derma fillers, topical therapies, intense pulsed light photo rejuvenation, laser therapies, radiofrequency based-therapies and ultra-radiofrequency-based therapies. Combination treatment in aesthetics offers couple of advantages such as reduced number of dermatology clinic visits and improved clinical outcome of treatment, as two different cosmetic procedures contributes its own benefits thereby providing synergic effect. Furthermore, multiple modalities of non-invasive therapies are used in combination treatment in aesthetics.

Combination treatment in aesthetics offers unique approach to treat variety of aesthetic problems such as skin resurfacing, hair removal, hyperpigmentation, scar removal, tattoo removal and other treatments. Increasing awareness about various modalities of aesthetic treatment, preference to improve visual / aesthetic appearance, and decreasing device cost is resulting into wide adoption of the combination therapies from both physician end and consumer end.

The global combination treatment in aesthetics market size was valued at US$ 2334 million in 2017, and is expected to witness a CAGR of 9.1% over the forecast period (2018 – 2026).

Increasing incidences of the facial problems (wrinkles, acne, scar, sun damaged skin, stretch marks, and hyperpigmentation) is resulting in to wide utilization of non-invasive as well as minimally invasive cosmetic procedures, which in turn is expected to drive growth of the combination therapies in aesthetics market. Dermatologist are applying the combination of treatment to improve the final outcome with rapid penetration of these procedures. According to the report by International Society of Aesthetic Plastic Surgery titled Global Aesthetic Survey Results published in 2015, around 20 million cosmetic procedures were conducted worldwide, in 2014. This includes 9,645,395 surgical procedures and 10,591,506 non-surgical procedures. According the same source, over 55% of these cosmetic procedures were carried out in 10 countries such as the U.S., Brazil, Japan, Italy, Mexico, Russia, India, Turkey, Germany, and France.

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According to Plastic Surgery Statistics Report, 2017, by American Society for Plastic Surgeons, in 2017, 4% increase was observed in patient’s base, which underwent multiple therapies for same cosmetic treatment. Moreover, over 14 million minimally invasive cosmetic procedures were performed that include, botulinum toxin type- A, soft tissue fillers, laser hair removal, laser skin resurfacing, microdermabrasion, and others. Preference for combination treatment is expected to improve with enormous adoption of minimally invasive therapies, which in turn is expected to boost the combination treatment in aesthetics market growth. However, lack of reimbursement for cosmetic procedures by insurance companies is expected to limit the utilization of the procedure, in turn restraining growth of the market. According to the American Society of Plastic Surgeons (ASPS) in 2017, each session of the non-ablative laser treatments cost around US$ 1,031 per session, while ablative treatments cost around US$ 2,330 per session. Furthermore, no standard guidelines are available for implementing combination treatment in aesthetic, which may lead to slower adoption of this approach.

Various manufacturers are launching derma fillers-based, neuromodulators-based and device- based new products thereby helping in high adoption of multiple platforms for aesthetics treatment especially in skin health sector. This in turn is expected to propel growth of the combination treatments in aesthetics market. For instance, in January 2018, Korea-based Lutronic launched a new laser device— Lase MD— for skin rejuvenation. It is 1,927 nm Thulium laser, which is designed to provide customized skin resurfacing to patients of all ages and skin-type, through fractionated treatments with minimal downtime. The laser with device creates micro-channels with minimal disruption to the outermost layer of the skin, stratum cornium, and leaves the tissues untouched for better permeability and fast healing.

In April 2018, Merz GmbH launched its hyaluronic acid-based dermal filler product— Belotero Lips— for lip enhancement and treatment of perioral lines.

Key players operating in the combination treatments in aesthetics market include, Syneron Medical Ltd., Allegern, Inc., Hologic, Inc., Cynosure, Inc., Merz GmbH and KGaA, Bausch Health Companies, Galderma S.A., Cutera Inc., Alma Lasers, Ltd., Lutronic Corporation, Lumenis Ltd., Cutera, Inc., Strata Skin Sciences, Inc., BISON MEDICAL, Solta Medical Inc., Lynton Lasers Ltd. and Sciton, Inc.

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