Farrukh Aslam Khalid, Ahmad Sania, Mehrose Muhammad Younas, Saleem Muhammd, Yousaf Muhammad Amin, Mujahid Abdul Malik, Rehman Saif Ur, Tarar Moazzam Nazeer
Jinnah Burn and Reconstructive Surgery Center, Allama Iqbal Medical College, Lahore, Pakistan.
J Ayub Med Coll Abbottabad. 2019 Jul-Sep;31(3):336-339.
Acne effects 80-90% of teenage population all around the world. Resulting scars can lead to facial disfigurement and psychological issues in affected population. To counter this problem many treatment options have been tried including resurfacing lasers, dermabrasion, peeling, fillers, platelet rich plasma therapy etc. All have shown variable results. Among these modalities, micro needling is showing promising results in treatment of acne scars due to collagen induction. This study was conducted to assess efficacy and safety of micro-needling on acne scars.
In this cross-sectional study a total of 50 patients (female 35, male 15) underwent treatment for post acne scarring, 4 sessions of micro-needling were done under local anaesthesia 3 weeks apart over the span of 2 months. Initial and follow up qualitative assessment was done. Photographs were taken of each patient on their subsequent visit, they were analysed and compared for final results. Grading was done by using Goodman Baron scale.
70% (35) were females and 30% (15) were males with mean age of 27.31±4.41 ranging from 19-35 years. After the treatment of scars, 73% (08) of Grade 4 scars have showed improvement by 2 grades, remaining 27% (03) showed improvement to Grade 3. In 20 patients with Grade 3 scars, 30% (06) showed improvement by 1 grade. Remaining 70% (14) improved by 2 grades. All patients with Grade 2 scar downgraded to grade 1 after treatment. Chi-square test was used to assess pre-treatment and post treatment grading improvement among subjects and was statistically significant. (X2=30.010 p=000)..
Micro needling is an effective tool for aesthetic improvement of post acne scarring.
痤疮影响着全球80%-90%的青少年人群。痤疮产生的疤痕会导致患者面部毁容并引发心理问题。为解决这一问题,人们尝试了多种治疗方法,包括激光换肤、磨皮、化学剥脱、填充剂、富血小板血浆疗法等。所有这些方法的效果都不尽相同。在这些治疗方式中,微针疗法由于能够诱导胶原蛋白生成,在痤疮疤痕治疗中显示出了有前景的效果。本研究旨在评估微针疗法治疗痤疮疤痕的疗效和安全性。
在这项横断面研究中,共有50例患者(女性35例,男性15例)接受了痤疮后疤痕治疗,在2个月的时间内,于局部麻醉下每隔3周进行4次微针治疗。进行了初始和随访定性评估。在每次患者复诊时拍照,对照片进行分析并比较最终结果。使用古德曼-巴伦量表进行分级。
70%(35例)为女性,30%(15例)为男性,平均年龄为27.31±4.41岁,年龄范围在19至35岁之间。疤痕治疗后,4级疤痕中有73%(8例)改善了2级,其余27%(3例)改善为3级。在20例3级疤痕患者中,30%(6例)改善了1级。其余70%(14例)改善了2级。所有2级疤痕患者治疗后均降级为1级。使用卡方检验评估受试者治疗前和治疗后的分级改善情况,差异具有统计学意义(X2=30.010,p=0.000)。
微针疗法是改善痤疮后疤痕外观的有效工具。