Skin and Stem Cell Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Jordan Dermatology and Hair Transplantation Center, Tehran, Iran.
J Cosmet Dermatol. 2021 Aug;20(8):2579-2582. doi: 10.1111/jocd.13876. Epub 2020 Dec 21.
People with acne scar suffer from destruction to the surface of the skin. Treating acne scars is a challenge that might need several methods.
Subsection is a method that has been informed to be a useful method in treating rolling acne scars. While Subcision is a valued procedure, its effect is mild to moderate due to its high reappearance rate, and patients' dissatisfaction with some of the side effects such as inflammation after procedure.
PATIENTS/METHODS: In this pilot study, 9 rolling acne scar patients underwent Subcision with the Endolift (200-nm fiber) and followed up for 3 months. Outcomes were evaluated by 3 dermatologists (Blind). Also, the patients' satisfaction was assessed to compare with dermatologist's opinions.
Our results indicated that Subcision with the Endolift displayed good and very good improvement in about 90% of patient with a good and very good satisfaction in the patients. Photographic data evaluation indicated 100% improvement in scar depth, topography, and total acne scar appearance. The average numbers of lesions before the treatment were 25.5 ± 12.1, and after treatment, it was reduced to 11.4 ± 2.1 (P < .05).
Subcision with the Endolift seems to be a safe and effective method for acne scar treatment. It is done with a single perforation on each side (instead of several perforations), which reduces the pain and scar risk in the patients. Also, Endolift-based Subcision needs fewer surgical sessions and less recovery time with less inflammation and erythema.
痤疮疤痕患者的皮肤表面受到破坏。治疗痤疮疤痕是一个挑战,可能需要多种方法。
皮下分离术(subcision)是一种已被证实对治疗滚动型痤疮疤痕有用的方法。虽然皮下分离术(subcision)是一种有价值的手术,但由于其高复发率,以及患者对术后炎症等一些副作用的不满,其效果是轻度至中度的。
患者/方法:在这项初步研究中,9 例滚动型痤疮疤痕患者接受了 Endolift(200nm 纤维)辅助的皮下分离术(subcision)治疗,并随访 3 个月。由 3 名皮肤科医生(盲法)评估疗效。同时,评估患者满意度以与皮肤科医生的意见进行比较。
我们的结果表明,Endolift 辅助的皮下分离术(subcision)在约 90%的患者中显示出良好和非常好的改善,患者的满意度也很好。照片数据评估显示,疤痕深度、形貌和总痤疮疤痕外观的改善率达到 100%。治疗前平均病变数为 25.5±12.1,治疗后减少至 11.4±2.1(P<.05)。
Endolift 辅助的皮下分离术(subcision)似乎是一种安全有效的痤疮疤痕治疗方法。它在每侧只做一个穿孔(而不是几个穿孔),减少了患者的疼痛和疤痕风险。此外,基于 Endolift 的皮下分离术(subcision)需要的手术次数更少,恢复时间更短,炎症和红斑更少。