Issues‎ > ‎Vol5n1‎ > ‎

jsmc-10065


SKIN NEEDLING THERAPY IS AN EFFECTIVE TREATMENT FOR ATROPHIC FACIAL ACNE SCARS


Faraedon Kaftan *


Department of Medicine , School of Medicine, Faculty of Medical Sciences, University of Sulaimani.


Submitted: 5/5/2014; Accepted: 17/8/2014; Published 1/6/2015


ABSTRACT


Background

Acne is a common condition seen in up to 80% of people between 11 and 30 years of age. In some patients, the severe inflammatory response results in permanent scars. Atrophic facial scars are always a challenge to treat. Skin needling therapy is a new, simple and an effective treatment for such scars.

Objective

To assess the ef cacy of skin needling in the management of grade 2 and 3 atrophic facial acne scars.

Patients and Methods

Twenty five patients with facial acne scars were enrolled in the study (17 female and 8 male patients; age range 14–42 years). The severity of the lesions in each patient was scored on a 10-point scale (0 = no lesions; 10 = maximum severity) by the researcher involved in the study. Three groups of patients were identified and patients with Grade 2 and 3 atrophic facial acne scars were included. Patients were treated with skin needling procedure. Four photographs were taken for each patient by the researcher; one before, one immediately after the procedure done and another one after one month from the  first session then one month after the second session of the treatment. At every follow-up, the same researcher evaluated the scars, scoring them using the same scale as previously, to assess any clinical improvement in the severity of the lesions. The last follow-up was conducted one month after the second treatment then the photographs were compared with the photographs taken before the first treatment and each patient was given a new severity score.

Results

One month after the  rst session of skin needling; all patients had smoother facial skin and a slight reduction in lesion severity. One month after the second session of skin needling, the improvement in the acne rolling scars was evident as photographic comparison in each group of patients showed that the skin became thicker; and independent of the lesion grading the relative rolling scar depth was significantly reduced

Conclusion

Skin needling therapy is a simple, cheap, office method and an effective treatment for atrophic facial acne scars.

KEYWORDS

Atrophic facial acne scars, skin needling therapy.

References 

1. Fabbrocini G., Fardella N., Monfrecola A., Proietti I. and Innocenzi D. (2009). Acne scarring treatment using skin needling, Clinical and Experimental Dermatology, 34, 874–879

2. Kaftan F. (2005). The frequency of skin diseases among infants and children in Sulaimani City. A thesis submitted to the College of Medicine, University of Sulaimani-Iraq as a partial fulfillment of the requirements for the degree of M. Sc. in Dermatology and Venereology.  

3. Goodman G. Post acne scarring: a review. J Cosmet Laser Ther. 2003; 5:77–95.

4. Yug A, Lane JE, Howard MS, Kent DE. Histologic study of depressed acne scars treated with serial high-concentration (95%) trichloroacetic acid. Dermatol Surg. 2006; 32:985–990. 

5. Goodman GJ, Baron JA. Postacne scarring: A qualitative global scarring grading system. Dermatol Surge J Am Acad Dermatol. 2006; 45:109–17.

6.Alster TS. Cutaneous resurfacing with CO2 and erbium: YAG lasers: Preoperative, intraoperative and postoperative considerations. Plast Reconstr Surg. 1999; 103:619–32.

7. Alster TS, Lupton JR. An overview of cutaneous laser resurfacing. Clin Plast Surg. 2001; 28:37–52. 

8. Ang P, Barlow RJ. Nonablative laser resurfacing: A systematic review of the literature. Clin Exp Dermatol. 2002; 27:630–5.

9. Shim EK, Barnette D, Hughes K, and Greenway HT. Microdermabrasion: A clinical and histopathologic study. Dermatol Surg. 2001; 27:524–30.

10. Aust MC, Fernandes D, Kolokythas P, Kaplan HM, Vogt PM. Percutaneous collagen induction therapy: An alternative treatment for scars, wrinkles and skin laxity. Plast Reconstr Surg.2008; 121:1421–9.

11. Camirand A, Doucet J. Needle dermabrasion.  Aesthetic Plast Surg. 1997; 21:48–51.

12. Aust MC, Fernandes D, Kolokythas P, Kaplan HM, Vogt PM. Percutaneous collagen induction therapy: An alternative treatment for scars, wrinkles and skin laxity. Plast Reconstr Surg.2008; 21:1421–9.

13. Fernandes D, Signorini M. Combating photoaging with percutaneous collagen induction. Clin Dermatol.  2008; 26:192–9.

14. Aust MC, Reimers K, Repenning C, Stahl F, Jahn S, Guggenheim M, et al. Percutaneous collagen induction: Minimally invasive skin rejuvenation without risk of hyperpigmentation-fact or fiction. Plast Reconstr Surg. 2008; 122:1553–63.

15. Cohen KI, Diegelmann RF, Lindbland WJ. Wound Healing. Biochemical and Clinical Aspects. Philadelphia, WB Saunders Co; 1992.

16. Kadunc BV, Trindade De Almeida AR. Surgical treatment of facial acne scars based on morphological classification; A Brazilian experience. Dermatol Surg. 2003; 29:1200–9.