Hassan Haidar, Quinlan Daniel J, Ghanem Ali
Academic Plastic Surgery, Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
J Cosmet Dermatol. 2020 Dec;19(12):3213-3221. doi: 10.1111/jocd.13692. Epub 2020 Sep 23.
Autologous platelet-derived preparations have been used in many surgical fields to improve healing outcomes, with benefits reported in several aesthetic indications.
This single-center, prospective, uncontrolled study evaluated the efficacy of injectable platelet-rich fibrin (i-PRF) for facial skin rejuvenation using an objective skin analysis system and validated patient-reported outcome measures.
PATIENTS/METHODS: PRF PROCESS system technology was used to prepare i-PRP. Eleven healthy female individuals were included in the study and over 3-months received monthly intradermal injections of i-PRF in 3 facial regions: malar areas (1 mL each side), nasolabial fold (0.5 mL each side), and upper lip skin above the vermilion border (1 mL). The efficacy of the procedures was assessed by objective skin analysis (VISIA ) and a subjective patient-reported outcome (FACE-Q) assessment at baseline and after 3 months.
A significant improvement in skin surface spots (P = .01) and pores (P = .03) was seen at 3-months follow-up. Other variables, such as skin texture, wrinkles, ultraviolet spots, and porphyrins, showed a numerical improvement. FACE-Q scales that measure satisfaction with appearance all showed a significant improvement from baseline, including satisfaction with skin (P = .002), satisfaction with facial appearance (P = .025), satisfaction with cheeks (P = .001), satisfaction with lower face and jawline (P = .002), and satisfaction with lips (P = .04). No major adverse effects were reported.
A series of three i-PRF injections resulted in significant rejuvenation of the face skin at 3-month follow-up, as shown by improved skin analysis parameters and patient self-assessment scores.
自体血小板衍生制剂已在许多外科领域用于改善愈合效果,在一些美容适应症中也有疗效报道。
这项单中心、前瞻性、非对照研究使用客观皮肤分析系统和经过验证的患者报告结局指标,评估了注射用富血小板纤维蛋白(i-PRF)对面部皮肤年轻化的疗效。
患者/方法:采用PRF PROCESS系统技术制备i-PRP。11名健康女性个体纳入研究,在3个月内每月在3个面部区域进行皮内注射i-PRF:颧部区域(每侧1 mL)、鼻唇沟(每侧0.5 mL)和唇红缘上方的上唇皮肤(1 mL)。在基线和3个月后,通过客观皮肤分析(VISIA)和主观患者报告结局(FACE-Q)评估程序的疗效。
在3个月随访时,皮肤表面斑点(P = .01)和毛孔(P = .03)有显著改善。其他变量,如皮肤质地、皱纹、紫外线斑点和卟啉,有数值上的改善。测量外观满意度的FACE-Q量表均显示从基线有显著改善,包括对皮肤的满意度(P = .002)、对面部外观的满意度(P = .025)、对脸颊的满意度(P = .001)、对下半脸和下颌轮廓的满意度(P = .002)以及对嘴唇的满意度(P = .04)。未报告重大不良反应。
如皮肤分析参数和患者自我评估分数改善所示,一系列三次i-PRF注射在3个月随访时导致面部皮肤显著年轻化。