SKIN NEEDLING THERAPY IS AN EFFECTIVE TREATMENT FOR ATROPHIC FACIAL ACNE SCARS
DOI:
https://doi.org/10.17656/jsmc.10065Keywords:
Atrophic facial acne scars, skin needling therapyAbstract
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.
References
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 DOI: https://doi.org/10.1111/j.1365-2230.2009.03291.x
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.
Goodman G. Post acne scarring: a review. J Cosmet Laser Ther. 2003; 5:77–95. DOI: https://doi.org/10.1080/14764170310001258
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. DOI: https://doi.org/10.1111/j.1524-4725.2006.32220.x
Goodman GJ, Baron JA. Postacne scarring: A qualitative global scarring grading system. Dermatol Surge J Am Acad Dermatol. 2006; 45:109–17. DOI: https://doi.org/10.1111/j.1524-4725.2006.32354.x
Alster TS. Cutaneous resurfacing with CO2 and erbium: YAG lasers: Preoperative, intraoperative and postoperative considerations. Plast Reconstr Surg. 1999; 103:619–32. DOI: https://doi.org/10.1097/00006534-199902000-00040
Alster TS, Lupton JR. An overview of cutaneous laser resurfacing. Clin Plast Surg. 2001; 28:37–52. DOI: https://doi.org/10.1016/S0094-1298(20)32338-5
Ang P, Barlow RJ. Nonablative laser resurfacing: A systematic review of the literature. Clin Exp Dermatol. 2002; 27:630–5. DOI: https://doi.org/10.1046/j.1365-2230.2002.01157.x
Shim EK, Barnette D, Hughes K, and Greenway HT. Microdermabrasion: A clinical and histopathologic study. Dermatol Surg. 2001; 27:524–30. DOI: https://doi.org/10.1046/j.1524-4725.2001.01001.x
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.
Camirand A, Doucet J. Needle dermabrasion. Aesthetic Plast Surg. 1997; 21:48–51. DOI: https://doi.org/10.1007/s002669900081
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. DOI: https://doi.org/10.1097/01.prs.0000304612.72899.02
Fernandes D, Signorini M. Combating photoaging with percutaneous collagen induction. Clin Dermatol. 2008; 26:192–9. DOI: https://doi.org/10.1016/j.clindermatol.2007.09.006
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. DOI: https://doi.org/10.1097/PRS.0b013e318188245e
Cohen KI, Diegelmann RF, Lindbland WJ. Wound Healing. Biochemical and Clinical Aspects. Philadelphia, WB Saunders Co; 1992.
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. DOI: https://doi.org/10.1111/j.1524-4725.2003.29388.x
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