Laser & Skin Surgery Center of New York, New York, New York.
Laser & Skin Surgery Center of Pennsylvania, Devon, Pennsylvania.
Dermatol Surg. 2024 Nov 1;50(11S):S135-S138. doi: 10.1097/DSS.0000000000004432.
Dermal microcoring extracts cores of skin that are small enough to allow healing in a scarless fashion. Its use has been reported in the treatment of skin laxity, rhytides, and textural abnormalities.
To report the authors' clinical experience using dermal microcoring in a variety of cases.
A retrospective chart review was performed looking at dermal microcoring cases for any indication between August 2022 and March 2024.
Thirty-eight patients were treated. Overall, 32 (84.2%) patients were women, with median age of 67 years (R: 20-80 years). Fitzpatrick skin types I to V were represented. Among patients with adequate photographs for review, improvements of grade 3 and 4 (good and excellent) were seen in 85.7% (n = 18/21) treated for skin laxity and rhytides, 50.0% (n = 3/6) treated for acne scars, 66.7% (n = 2/3) treated for traumatic or surgical scars, and 100.0% (n = 3/3) treated for foreign material. Six (15.4%) patients experienced erythema or hyperpigmentation lasting more than 4 weeks, and 2 (5.1%) patients experienced temporary focal scarring, which improved with intralesional therapy and laser treatment. No patients experienced permanent dyspigmentation, prolonged edema, or infection.
Dermal microcoring has been demonstrated to safely and effectively treat skin laxity, rhytides, scars, and foreign material.
皮肤微钻提取的皮肤芯足够小，可以无痕愈合。其已被用于治疗皮肤松弛、皱纹和纹理异常。
报告作者在各种病例中使用皮肤微钻的临床经验。
对 2022 年 8 月至 2024 年 3 月期间任何适应症的皮肤微钻病例进行回顾性图表审查。
共治疗了 38 例患者。总体而言，32 例（84.2%）患者为女性，中位年龄为 67 岁（范围：20-80 岁）。患者的 Fitzpatrick 皮肤类型为 I 至 V 型。在有足够照片可供评估的患者中，32 例（84.2%）治疗皮肤松弛和皱纹的患者中，有 85.7%（n=18/21）改善为 3 级和 4 级（良好和优秀），6 例（15.8%）治疗痤疮疤痕的患者中有 50.0%（n=3/6）改善，3 例（100.0%）治疗外伤性或手术性疤痕的患者中有 66.7%（n=2/3）改善，3 例（100.0%）治疗异物的患者中均改善为 100.0%（n=3/3）。6 例（15.4%）患者出现红斑或色素沉着持续超过 4 周，2 例（5.1%）患者出现暂时性局灶性瘢痕，经皮损内治疗和激光治疗后改善。无患者出现永久性色素减退、长期水肿或感染。
皮肤微钻已被证明可安全有效地治疗皮肤松弛、皱纹、疤痕和异物。
