What you need to know about:

Iontophoresis and Phonophoresis

Fast Fact

97%
Worth It Rating
Average Cost:
$38
Recovery Period:
No downtime
Permanence:
Not specified
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Time it takes:
Depends on individual
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Overview of

Iontophoresis and Phonophoresis

in Thailand

Iontophoresis and Phonophoresis have wide clinical applications that include skin cancer treatment, pain-relieving, and anti-inflammatory treatment. Dermatologists introduced these concepts for cosmetic purposes to achieve skin rejuvenation and decrease hyperpigmentation for a clear brighter look.

Iontophoresis is a transdermal drug transport technique that uses a low voltage electric energy to increase the absorption of drugs to deeper skin layers. It is applied through two electrodes (one positively charged while the other negatively charged) to allow the passage of ion-charged particles of the drug. The electrical parameters and drug formulation must be carefully adjusted to optimize the iontophoresis results.

Phonophoresis (sonophoresis) is another way of transdermal drug delivery that uses ultrasonic waves to allow deep absorption of the applied drug.

Skin is the largest human organ as it covers the whole body. The main functions of the skin include regulation of the body temperature and protecting the body from any harm like toxins, microorganisms, ultra-violet rays, etc.

The large surface area of the skin encouraged the introduction of transdermal drug delivery, which provides better results than the oral route as the drug remains intact away from GIT metabolism.

The transdermal pathway faced the limited absorption efficacy of the stratum corneum layer which is the outermost layer of the skin that prevents the passage of large molecules and certain chemical compositions to the deeper layer. This was overcome by using an energy booster (electric and ultrasound energies) for deeper drug penetration.

Goals of

Iontophoresis and Phonophoresis

The main purpose of using iontophoresis and Phonophoresis techniques is to achieve deeper drug or nutrient penetration to the deeper skin layers using electric and ultrasonic energy to overcome the limited absorption property of the skin.

Phonophoresis allow deeper penetration in a shorter time than iontophoresis. Penetration of Phonophoresis can reach up to 5 centimeters in only 10 minutes while iontophoresis can penetrate 1 centimeter in 30 minutes.

Cosmetic applications of iontophoresis and phonophoresis include:

  • Skin rejuvenation for a clear brighter look.
  • Treatment of hyperpigmentation like melasma and freckles.
  • Treatment of hyperpigmentation secondary to an inflammatory condition.
  • Redness following acne.
  • Post-surgical inflammation

Price of

Iontophoresis and Phonophoresis

in Thailand

Average Cost

$38

Price Range

$15 to $60

Pros and cons of

Iontophoresis and Phonophoresis

Pros

  • Enhance drug penetration to the deeper skin layers.
  • Safe painless technique and some patients describe it as relaxing.
  • Effective, with low chances of developing an infection
  • Non-invasive, and considered a better option than injections
  • The medication is delivered directly to the site, without metabolism (as through oral route)
  • Experience glowing skin as it stimulates blood flow and lymphatic drainage
  • Improve post-surgical inflammation, post-inflammatory hyperpigmentation, melasma, freckles, and post-acne redness

Cons

  • Iontophoresis: complex technique as it requires careful selection of the ingredients, their concentration, and pH, long process time which means a long time of skin exposure to electric current.
  • Phonophoresis: there may be a risk of scarring and skin discoloration associated with long-term usage.
  • A rare skin burn may be associated with both techniques because of the heat released.

How it works:

Iontophoresis and Phonophoresis

Iontophoresis:

  1. Your dermatologist will clean your face.
  2. The iontophoresis device contains 2 heads one is positively charged and the other is negatively charged.
  3. The negatively charged head is held on your shoulder or in your hands
  4. Your dermatologist will roll the positively charged head which contains the intended treatment. over your face. This can be replaced by applying the positively charged treatment serum over your face.
  5. A low voltage electric current is passed, which causes attraction between the two opposite charged electrodes which allows the passage of the treatment deeper into your skin.
  6. When the session is over, the electrodes are removed and the dermatologist will inspect your skin. It is common to see redness in the area where the medicated electrode was placed.

Phonophoresis:

  1. Your dermatologist will clean your face.
  2. The medicated gel or serum is applied over the face.
  3. The ultrasonic electrode is moved using a light motion.
  4. The resulted heat from the ultrasonic head will stimulate lymphatic drainage and promote drug absorption.

6-15 sessions are usually required at 2-3 times a week intervals. The results can be seen after 6 sessions. The course should be repeated after 6 months for better results.

Preparation before

Iontophoresis and Phonophoresis

Pre - treatment

A detailed medical history will be collected by your doctor. You should mention any active medication you are following and any previous treatment related to the site of interest.

The dermatologist will examine the problem, and your skin to set the appropriate treatment plan. Then he will discuss the treatment plan, and the treatment expectations to make sure they match your expectations.

Iontophoresis is contraindicated in: patients with heart problems, patients having a pacemaker, epilepsy, diabetes, patients who performed chemical peeling recently, and patients with metal implants.

Phonophoresis is contraindicated in patients having tumors, and facial paralysis.

Both can’t be used on damaged skin and in pregnancy.

Recovery after

Iontophoresis and Phonophoresis

Post - treatment

You may resume your normal daily activities after performing iontophoresis or phonophoresis.

Your doctor may give you instructions to use ice packs to decrease redness accompanied by the iontophoresis

Before and after photos of

Iontophoresis and Phonophoresis

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Patient reviews of

Iontophoresis and Phonophoresis

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BANGKOK-THAILAND - Verified Patients - 9 June 2021

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BANGKOK-THAILAND - Verified Patients - 9 June 2021

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BANGKOK-THAILAND - Verified Patients - 9 June 2021

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Risks & side effects of

Iontophoresis and Phonophoresis

With correct application by an experienced healthcare professional, both procedures are safe with no side effects. Rarely, some patients may experience a tingling sensation, redness, or mild pain that resolves after the end of the treatment.

FAQs:

Iontophoresis and Phonophoresis

What is the difference between iontophoresis and phonophoresis?

Both are transdermal drug delivery techniques that allow deeper penetration of the treatment across the skin layers. As an energy boost, Iontophoresis utilizes electric current energy while phonophoresis uses ultrasonic energy. Phonophoresis allow deeper penetration in a shorter time than iontophoresis.

 

What are the facial applications of iontophoresis and phonophoresis?

These techniques can provide skin rejuvenation for a bright look. Also, they are often used by doctors to treat melasma, freckles, inflammatory hyperpigmentation, post-surgical inflammation, and post-acne redness.

 

Are iontophoresis and phonophoresis suitable for everyone?

If performed by certified healthcare professionals, both procedures are proven to be safe with no side effects and can be used on all skin types. But some patients may experience a tingling sensation, redness, or mild pain that quickly resolves after the end of the treatment.

Some medical conditions contraindicate the use of these techniques including pregnancy, patients with pacemakers, diabetes, epilepsy, patients with metallic implants, and those who have undergone chemical peeling recently.

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M.D
Kamthorn Siriphan
Cosmetic Dermatology
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M.D.
Jedjunya Siripakkaphant
Dermatology
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M.D.
Wanjarus Roongpisuthipong
Dermatology
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M.D.
Sarinee Charoensantitham
Dermatology
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