Advanced Dermatology, Lincolnshire and Glencoe, IL, USA.
Northwestern University Medical School, Chicago, USA.
Am J Clin Dermatol. 2019 Oct;20(5):683-690. doi: 10.1007/s40257-019-00451-9.
Over the past 30 years, the treatment of acne scars has undergone changes that have been significantly influenced by the concurrent development of new devices. The advent of fractional resurfacing lasers was a watershed moment for acne scarring therapy. The author recounts a career history of considerations of acne scarring treatments as well as the literature supporting the experiences causing changes in practice. Fractional ablative and nonablative lasers, sublative radiofrequency, picosecond lasers, microneedling with and without radiofrequency and fillers are the bulk of the treatments covered, along with a discussion of combination therapy. A practical algorithm for acne scarring for selection of treatment modalities is presented.
在过去的 30 年中，痤疮疤痕的治疗发生了变化，这些变化受到了新型设备的同步发展的显著影响。分束嫩肤激光的出现是痤疮疤痕治疗的一个分水岭。作者讲述了他对痤疮疤痕治疗的考虑以及支持实践变革的文献的职业生涯历史。主要涵盖了分束消融和非消融激光、亚热射频、皮秒激光、有和没有射频的微针以及填充物，同时还讨论了联合治疗。提出了一种用于选择治疗方式的痤疮疤痕实用算法。
