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Li D, Li Y, Yang Z, Chen J, Yang D, Wang J, Xiong H. Efficacy of fractional radiofrequency in the treatment of erythematous capillary rosacea: A split-face study. J Cosmet Dermatol 2024. [PMID: 38943266 DOI: 10.1111/jocd.16354] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2024] [Accepted: 04/02/2024] [Indexed: 07/01/2024]
Abstract
OBJECTIVE To assess the effectiveness and safety of treating erythematotelangiectatic rosacea using fractional radiofrequency (FRF). METHODS Twenty patients with a confirmed diagnosis of erythema capillaris rosacea were selected, and one side of each patient's face was randomly assigned to receive FRF treatments for three to six times, with an interval of 2 weeks between each treatment. VISIA, dermoscopy, and the Clinician's Erythema Evaluation Scale (CEA) were applied to evaluate the efficacy of the treatment before and after the treatment, to record the VAS scores and adverse reactions, and to conduct a patient satisfaction survey. RESULTS The characteristic counts and scores of red zone and porphyrin as assessed by VISIA test were significantly decreased, and the difference between the treated side and the pretreatment side was statistically significant (p < 0.05), and the efficacy of the treatment was statistically insignificant compared with the control side, except for the red zone and porphyrin which were statistically significant before and after the treatment (p > 0.05). By CEA score, the difference between the treated side after treatment and the control side was statistically significant (p < 0.05), and the difference between the treated side before and after treatment was statistically significant (p < 0.05); the difference between the control side before and after treatment was not statistically significant (p > 0.05). Dermatoscopic observation showed reduction in pore size, reduction of yellowish-white and black horn plugs within the pores, lightening of the red background and thinning and blurring of the capillary structure on the treated side of the skin compared to the control side, and the skin on the treated side showed the above mentioned changes before and after the treatment as well. The mean pain score of the subjects was obtained by VAS score 3.67 ± 0.90. Adverse effects included mild edema, erythema, and microscopic crusting; no long-term adverse effects were seen in all patients. The efficacy of FRF treatment was evaluated 1 month after the final treatment, and 85% of the subjects rated it as satisfactory, very satisfactory, and very satisfactory. CONCLUSION FRF for the treatment of erythematous capillary dilatation rosacea is effective, safe, and suitable for clinical promotion.
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Affiliation(s)
- Dongqing Li
- Department of Dermatology, Qujing Hospital, Kunming Medical University, Qujing, Yunnan, China
| | - Yujing Li
- Department of Dermatology, The First Affiliated Hospital, Kunming Medical University, Kunming, Yunnan, China
| | - Zhi Yang
- Department of Dermatology, The First Affiliated Hospital, Kunming Medical University, Kunming, Yunnan, China
| | - Jiaoyu Chen
- Department of Dermatology, The First Affiliated Hospital, Kunming Medical University, Kunming, Yunnan, China
| | - Dengrong Yang
- Department of Dermatology, The First Affiliated Hospital, Kunming Medical University, Kunming, Yunnan, China
| | - Jinlai Wang
- Department of Dermatology, The First Affiliated Hospital, Kunming Medical University, Kunming, Yunnan, China
| | - Haojun Xiong
- Department of Dermatology, The First Affiliated Hospital, Kunming Medical University, Kunming, Yunnan, China
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Duncan D, Bernardy J, Hodkovicova N, Masek J, Prochazkova M, Jarosova R. The Superior Effect of Radiofrequency With Targeted Ultrasound for Facial Rejuvenation by Inducing Hyaluronic Acid Synthesis: A Pilot Preclinical Study. Aesthet Surg J Open Forum 2024; 6:ojae005. [PMID: 38371657 PMCID: PMC10873486 DOI: 10.1093/asjof/ojae005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/20/2024] Open
Abstract
Background The level of dermal hyaluronic acid (HA) can be depleted by 75% at age 70. HA provides dermal hydration, volume, and thickness, making it a major component of the extracellular matrix. Restoration of dermal and epidermal HA can be achieved by combining radiofrequency (RF) energy and targeted ultrasound (TUS). The monopolar RF generates heat, with the TUS stimulating HA production. The heat induces a regenerative response in the skin, increasing the fibroblast activity and producing various extracellular matrix compounds, including HA. Objectives To investigate the effect of the simultaneous application of RF + TUS or RF + US on the stimulation of HA production. Methods Twelve animals underwent 4 treatments. Six were treated with transcutaneous RF + TUS and 6 with the combination RF + US. The opposite untreated side served as a control. Punch biopsies of the skin were taken at baseline, immediately posttreatment, 1 month, and 2 months posttreatment. The tissue was evaluated with real-time quantitative polymerase chain reaction (RT-qPCR), matrix-assisted laser desorption (MALDI) and time of flight (TOF), and confocal microscopy. Results The RT-qPCR focused on assessing the production of has1 and has2, enzymes responsible for HA synthesis. RT-qPCR results of the RF + TUS group revealed a +98% and +45% increase in hyaluronic synthetase (HAS) 1 and HAS2 production after the treatments, respectively. The MALDI-TOF revealed a +224% increase in measured HA 2 months after the treatments. The changes were also visible in the confocal microscopy. The control group showed no significant (P > .05) results in either of the evaluation methods. Conclusions Concurrent application of RF and TUS significantly enhances the natural regenerative processes in skin tissue. Level of Evidence 5
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Affiliation(s)
- Diane Duncan
- Corresponding Author: Dr Diane Duncan, 1701 East Prospect Road, Fort Collins, CO 80525, USA. E-mail: ; Instagram: @drdianeduncan
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Choi S, Kim J, Lee YI, Lee SG, Jung I, Suk J, Lee JH. Efficacy and safety of a home-use handheld multi-energy-based device for skin rejuvenation: clinical, ex vivo, and histological studies. Lasers Med Sci 2024; 39:38. [PMID: 38236440 DOI: 10.1007/s10103-024-03982-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Accepted: 01/07/2024] [Indexed: 01/19/2024]
Abstract
Alongside increases in the average lifespan and a growing interest in anti-aging remedies, the demand for at-home skincare devices is rapidly expanding in the cosmetic market. This study aimed to assess the safety and efficacy of a novel home-use handheld multi-energy-based device for skin rejuvenation that simultaneously emits low level light, low-dose radiofrequency, low-energy microcurrent, and low-intensity ultrasonic wave. This prospective, randomized, split-face clinical trial enrolled 36 healthy Korean women. After 8 weeks of device use, parameters associated with skin aging were assessed. Additionally, a preliminary ex vivo study and skin biopsy following device use were performed to confirm safety and efficiency of the device. Parameters associated with skin aging including skin hydration, elasticity, roughness, skin pore size, and eye wrinkle volume showed significant improvements after 8 weeks of the device use, relative to baseline measurements and the control side. No adverse effects were observed during the follow-up period. Results of ex vivo and in vivo skin tissue studies correlated with clinical findings, which showed an increase in the expression of type 1 collagen and a decrease in the expression of matrix metalloproteinase-1, which is related to the skin aging phenotype. The expression of loricrin and involucrin, major components of the epidermal skin barrier, also increased after the use of the device. Multi-energy-based device is effective for skin rejuvenation and tolerable, without any considerable adverse effects.
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Affiliation(s)
- Sooyeon Choi
- Department of Dermatology & Cutaneous Biology Research Institute, Yonsei University College of Medicine, 50-1 Yonsei Ro, Seodaemun-Gu, Seoul, 03722, Korea
| | - Jemin Kim
- Department of Dermatology & Cutaneous Biology Research Institute, Yonsei University College of Medicine, 50-1 Yonsei Ro, Seodaemun-Gu, Seoul, 03722, Korea
- Scar Laser and Plastic Surgery Center, Yonsei Cancer Hospital, Yonsei University College of Medicine, Seoul, Korea
| | - Young In Lee
- Department of Dermatology & Cutaneous Biology Research Institute, Yonsei University College of Medicine, 50-1 Yonsei Ro, Seodaemun-Gu, Seoul, 03722, Korea
- Scar Laser and Plastic Surgery Center, Yonsei Cancer Hospital, Yonsei University College of Medicine, Seoul, Korea
| | - Sang Gyu Lee
- Department of Dermatology & Cutaneous Biology Research Institute, Yonsei University College of Medicine, 50-1 Yonsei Ro, Seodaemun-Gu, Seoul, 03722, Korea
| | - Inhee Jung
- Global Medical Research Center, Seoul, Korea
| | - Jangmi Suk
- Global Medical Research Center, Seoul, Korea
| | - Ju Hee Lee
- Department of Dermatology & Cutaneous Biology Research Institute, Yonsei University College of Medicine, 50-1 Yonsei Ro, Seodaemun-Gu, Seoul, 03722, Korea.
- Scar Laser and Plastic Surgery Center, Yonsei Cancer Hospital, Yonsei University College of Medicine, Seoul, Korea.
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Płatkowska A, Korzekwa S, Łukasik B, Zerbinati N. Combined Bipolar Radiofrequency and Non-Crosslinked Hyaluronic Acid Mesotherapy Protocol to Improve Skin Appearance and Epidermal Barrier Function: A Pilot Study. Pharmaceuticals (Basel) 2023; 16:1145. [PMID: 37631060 PMCID: PMC10459519 DOI: 10.3390/ph16081145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2023] [Revised: 08/08/2023] [Accepted: 08/09/2023] [Indexed: 08/27/2023] Open
Abstract
BACKGROUND Age-associated changes in epidermal hydration, pigmentation, thickness and cell renewal influence skin appearance and can lead to laxity, dryness and poor skin tone. The aim of this pilot study was to assess the synergistic effects of a new bipolar radiofrequency plus non-crosslinked hyaluronic acid (HA) mesotherapy protocol compared with radiofrequency alone on skin appearance and markers of epidermal function. METHODS This prospective, single-center, split-face pilot study recruited women aged 25-65 years with dryness and laxity of the facial skin defined by a trans-epidermal water loss (TEWL) value of ≥26 g/m2/h. Subjects were treated with a bipolar radiofrequency device on both sides of the face. This was immediately followed by needle hyaluronic acid (HA) treatment on one side of the face with 2.5 mL of a non-crosslinked HA. Photographic documentation, analysis of epidermal barrier function parameters, and high frequency (HF) ultrasound analysis were performed prior to treatment and at 28 days. RESULTS Twenty female subjects with a mean age of 46 (range 29 to 54) years and dry and lax facial skin were included. TEWL was reduced and skin hydration improved to a greater extent with the combined radiofrequency plus mesotherapy protocol compared with radiofrequency alone (-5.8% vs. +3.9% and +23.1% vs. +1.0%, respectively). The combined protocol was also associated with greater improvements in melanin (-7.5% vs. -1.5%) and erythema values (-7.2% vs. +3.0%), respectively. Ultrasound measures of epidermal thickness and epidermal density were greater after the combined protocol compared with radiofrequency alone (12.0% vs. 5.6% and 57.7% vs. 7.1%, respectively). Both treatments were well-tolerated. CONCLUSIONS The combined bipolar radiofrequency and HA mesotherapy protocol provided greater improvements in skin hydration, firmness and tone compared with radiofrequency alone. The combination treatment was also associated with greater epidermal thickness and density and increased keratinocyte differentiation suggesting a synergistic effect of both treatments on epidermal homeostasis and barrier function. Both treatments were well-tolerated and led to improvements in facial appearance.
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Abstract
Perioral rhytides are a common reason for presentation to the cosmetic dermatologist. Various treatment options exist, and it can be challenging to determine the optimal technique to use in a given patient encounter. We have reviewed various treatment options in the correction of perioral rhytides, focusing on the roles of neurotoxin, filler, microneedling (with and without radiofrequency), fractional resurfacing (non-ablative and ablative), and fully ablative lasers, with a brief mention of deep chemical peels. For each modality, we have discussed the evidence behind the specific technique, its advantages and disadvantages, post-procedural effects, expected downtime, and the onset and duration of desired effects. Despite longstanding debate regarding the "best" modality to use, we instead have proposed that the best approach is a combination that considers the patient's treatment goals while staying consistent with the expected amount of downtime.
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Affiliation(s)
- Sungat Kaur Grewal
- Department of Dermatology, University of California School of Medicine, San Francisco, CA
| | - Arisa Ortiz
- Department of Dermatology, University of California School of Medicine, La Jolla, CA.
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Dou W, Yang Q, Yin Y, Fan X, Qiu L, Yang Z, Jian Z, Song W, Ma X. A randomized, split-face controlled trial on the safety and effects of microneedle fractional radiofrequency and fractional erbium-doped glass 1,565-nm laser therapies for baggy lower eyelids. J COSMET LASER THER 2021; 23:105-112. [PMID: 34812096 DOI: 10.1080/14764172.2021.2001532] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
The non-ablative fractional erbium-doped glass 1,565-nm laser (NAFL) and the microneedle fractional radiofrequency (MFR) procedures are effective treatments that enable periorbital skin rejuvenation. To compare the clinical effectiveness and side effects of MFR and the NAFL for baggy lower eyelids (BLEs) in the Chinese population. Fifteen Chinese subjects with BLEs received three split-face treatments on a monthly basis randomly. Objective and subjective assessments were performed at baseline, as well as 1 month and 3 months after the third treatment. The results were evaluated using Antera-3D and CineScan systems. Blinded investigator assessments were performed by two plastic surgeons using a 0 to 4 score in six anatomic categories of BLEs. The patients also reported their level of satisfaction based on a four-point score. Most of the patients reported a greater than 47% satisfaction rate with both treatments. The cumulative contribution scores of prolapse of orbital fat, hollow tear trough, and skin laxity for each category variable declined with time. Using Antera 3D, the volume of elevation (mm3) decreased from 0.6 ± 0.4 to 0.4 ± 0.3 and from 0.6 ± 0.3 to 0.3 ± 0.3, the elevation area (mm2) decreased from 17.0 ± 8.4 to 13.0 ± 7.1 and from 17.0 ± 7.8 to 10.0 ± 5.6, and the maximum peak height (mm) also decreased from 0.10 ± 0.04 to 0.06 ± 0.04 and from 0.10 ± 0.03 to 0.06 ± 0.02 in the MFR and NAFL groups, respectively. Using CineScan, the depth of middle orbital fat (mm) decreased significantly from 10.2 ± 2.2 to 8.0 ± 0.7 and from 9.8 ± 1.1 to 8.0 ± 0.9 and the length of orbital fat significantly decreased from 9.2 ± 1.2 to 7.7 ± 0.7 and from 9.7 ± 1.4 to 7.8 ± 0.6 in the MFR and NAFL groups, respectively. MFR and NAFL therapies were effective for the treatment of BLEs, especially in BLE patients with skin elasticity in addition to tear trough deformity and orbital fat prolapse. Trial registration number: NCT04237324. Trial register: ClinicalTrials.gov. Level of Evidence: Level I, therapeutic study.
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Affiliation(s)
- Wenjie Dou
- Department of Plastic and Reconstructive Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, SN, China
| | - Qing Yang
- Department of Plastic and Reconstructive Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, SN, China
| | - Yue Yin
- Department of Plastic and Reconstructive Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, SN, China
| | - Xing Fan
- Department of Plastic and Reconstructive Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, SN, China
| | - Lihong Qiu
- Department of Plastic and Reconstructive Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, SN, China
| | - Zhe Yang
- Department of Health Statistics, Military Preventive Medicine, Fourth Military Medical University, Xi'an, SN, China
| | - Zhe Jian
- Department of Dermatology, Xijing Hospital, Fourth Military Medical University, Xi'an, SN, China
| | - Wenting Song
- Department of Dermatology, Xijing Hospital, Fourth Military Medical University, Xi'an, SN, China
| | - Xianjie Ma
- Department of Plastic and Reconstructive Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, SN, China
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7
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Kauvar ANB, Gershonowitz A. Clinical and histologic evaluation of a fractional radiofrequency treatment of wrinkles and skin texture with novel 1-mm long ultra-thin electrode pins. Lasers Surg Med 2021; 54:54-61. [PMID: 34287975 PMCID: PMC9290934 DOI: 10.1002/lsm.23452] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/23/2021] [Indexed: 12/02/2022]
Abstract
Background Fractional radiofrequency (RF) microneedling technologies have shown effectiveness in treating skin laxity and wrinkles. We report the first experience using a novel device with 1‐mm long ultrathin electrodes that utilizes a smooth RF‐assisted ablation mode. Objective To evaluate the safety and effectiveness of treatment with a fractional RF device using 1.0‐mm long × 0.15‐mm diameter ultrathin electrode tips for improvement of facial skin texture and wrinkles. Methods and Materials This was a prospective, open‐label, intraindividual‐controlled trial. Nine participants (mean age: 47.6, Fitzpatrick skin type II–IV, Fitzpatrick Elastosis Wrinkle Scale [FEWS] score: 3–6) underwent six treatment sessions with a fractional RF technology utilizing an array of 6 × 6 1‐mm long ultrathin electrodes. Treatment effectiveness was assessed by FEWS and the Global Aesthetic Improvement Scale (GAIS). Safety and tolerance were evaluated. Results Three months after the sixth treatment session, blinded, investigator‐assessed FEWS decreased from baseline 4.33 ± 0.67–3.33 ± 0.67 (p < 0.005); 88.9% of participants showed overall skin improvement using the physician‐assessed GAIS, and all of the participants reported improvement in skin texture and wrinkles. Treatment was well tolerated, with no adverse events and no downtime. Histological analysis in a porcine model showed a fractional pattern of epidermal ablation and dermal coagulation with intervening zones of normal healthy tissue. These changes were followed by progressive epithelialization over a period of 13 days. Conclusion The fractional RF technology with the novel 1.0 long × 0.15 mm ultrathin electrodes tips was effective in improving skin texture and wrinkles without impacting the participants' daily activities.
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Affiliation(s)
- Arielle N B Kauvar
- New York Laser & Skin Care, New York, New York, USA.,Department of Dermatology, New York University Grossman School of Medicine, New York, New York, USA
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8
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Efficacy and safety of non-insulated fractional microneedle radiofrequency for treating difficult-to-treat rosacea: a 48-week, prospective, observational study. Arch Dermatol Res 2021; 314:643-650. [PMID: 34196817 DOI: 10.1007/s00403-021-02259-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2021] [Revised: 06/05/2021] [Accepted: 06/10/2021] [Indexed: 10/21/2022]
Abstract
Rosacea is a common chronic facial inflammatory skin disease. However, treatment for "difficult-to-treat rosacea" cases has not been established. This 48-week, prospective, observational study analyzed patients who underwent three non-insulated fractional microneedle radiofrequency (NFMRF) sessions at 2-month intervals. Therapy efficacy, epidermal barrier function, and side effects were evaluated. 34 subjects completed the trial. NFMRF resulted in CEA score reduction from 2.65 ± 0.59 to 1.56 ± 0.50 (P < 0.001) and mean DLQI reduction from 16.70 ± 3.55 to 10.48 ± 2.92 (P < 0.001). The successes of CEA (44.12 vs. 2.94%), IGA (91.67 vs. 25.00%), and flushing (58.82 vs. 26.47%) were observed. Among 34 patients, 22 reported "excellent" or "good" improvement and 30 were "very" or "relatively" satisfied. Skin barrier results revealed that hemoglobin content significantly decreased from 376.47 ± 71.29 at visit 0 to 161.32 ± 52.86 at visit 3. 2 of 30 patients followed-up at 6 months had a relapse at 18 and 20 weeks, respectively. No serious side effects were observed. NFMRF alone results in visible improvement and has great efficacy for difficult-to-treat rosacea without compromising patient safety or damaging the skin barrier.
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9
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Cao Z, Jin S, Wang P, He Q, Yang Y, Gao Z, Wang X. Microneedle based adipose derived stem cells-derived extracellular vesicles therapy ameliorates UV-induced photoaging in SKH-1 mice. J Biomed Mater Res A 2021; 109:1849-1857. [PMID: 34060700 DOI: 10.1002/jbm.a.37177] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2020] [Revised: 03/17/2021] [Accepted: 03/22/2021] [Indexed: 12/18/2022]
Abstract
Extracellular vesicles from adipose derived stem cells (ADSCs-EVs) have shown immunomodulation and anti-photoaging effects; however, the skin barrier prevents their absorption via skin. Meanwhile, microneedle (MN) is a widely used and minimally invasive tool for dermal delivery of drugs, it also has neocollagenesis effect by creating tiny injuries and initiating wound healing process. To investigate the effect of MN combined with ADSCs-EVs on skin aging, photoaging in SKH-1 mice was induced by chronic exposure to ultraviolet radiation. Then the mice were treated following a split-dorsal scheme, in which one side had MN alone or MN + EVs treatment and the other side was left untreated. For the side treated with MN alone or MN + EVs, the epidermal thickness was decreased and the skin barrier function was enhanced compared with the untreated side. However, MN + EVs group showed the least wrinkles, the highest collagen density and the most organized collagen fibers among the three groups. The level of CD11b + cell infiltration was lower in MN + EVs group than that in the MN group at 3 day after the treatment. These results indicated that MN treatment alone could improve epidermal structure and function of photoaging skin, and a combination with ADSCs-EVs would accelerate the restoration of inflammation caused by MN and improve the content of collagen. In all, this study indicated that a combination of MN and topical applied ADSCs-EVs was a feasible and safe strategy to ameliorate photoaging, providing a new avenue for safe administration of EVs.
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Affiliation(s)
- Zhi Cao
- Institute of Photomedicine, Shanghai Skin Disease Hospital, School of Medicine, Tongji University, Shanghai, 200092, China.,Yangzhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), Shanghai, Tongji Univeirsity School of Medicine, Shanghai, China, China
| | - Shengkai Jin
- Institute of Photomedicine, Shanghai Skin Disease Hospital, School of Medicine, Tongji University, Shanghai, 200092, China.,Yangzhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), Shanghai, Tongji Univeirsity School of Medicine, Shanghai, China, China
| | - Peiru Wang
- Institute of Photomedicine, Shanghai Skin Disease Hospital, School of Medicine, Tongji University, Shanghai, 200092, China
| | - Qiumin He
- Institute of Photomedicine, Shanghai Skin Disease Hospital, School of Medicine, Tongji University, Shanghai, 200092, China
| | - Yuling Yang
- Institute of Photomedicine, Shanghai Skin Disease Hospital, School of Medicine, Tongji University, Shanghai, 200092, China
| | - Zhengliang Gao
- Yangzhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), Shanghai, Tongji Univeirsity School of Medicine, Shanghai, China, China.,Institute of Geriatrics (Shanghai University), Affiliated Nantong Hospital of Shanghai University (The Sixth People's Hospital of Nantong), School of Medicine, Shanghai University, Nantong, China.,Shanghai Engineering Research Center of Organ Repair, School of Medicine, Shanghai University, Shanghai, China
| | - Xiuli Wang
- Institute of Photomedicine, Shanghai Skin Disease Hospital, School of Medicine, Tongji University, Shanghai, 200092, China
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10
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Gold MH, Biron J, Wilson A. Improvement of skin texture and wrinkles using radiofrequency ultra‐thin electrode technology. J Cosmet Dermatol 2019; 19:388-392. [DOI: 10.1111/jocd.13239] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2019] [Accepted: 09/09/2019] [Indexed: 11/28/2022]
Affiliation(s)
| | - Julie Biron
- Tennessee Clinical Research Center Nashville TN USA
| | - April Wilson
- Tennessee Clinical Research Center Nashville TN USA
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11
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Kleidona IA, Karypidis D, Lowe N, Myers S, Ghanem A. Fractional radiofrequency in the treatment of skin aging: an evidence-based treatment protocol. J COSMET LASER THER 2019; 22:9-25. [PMID: 31825296 DOI: 10.1080/14764172.2019.1674448] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
Fractional radiofrequency (FRF) has recently emerged for the treatment of scars, cellulite and skin rejuvenation. The aim of this paper was to investigate the evidence behind its use in skin aging and evaluate efficacy, safety, and standardization of protocols. The literature was systematically searched and finally 25 full-text articles were included. Two were randomized controlled trials, 3 were comparative studies, and 20 were case series. Most studies were underpowered with low methodological quality. The participants had skin phototype I-VI with variable baseline severity of signs. Fractional radiofrequency using microneedles or electrode pins was performed on the face, neck, and décolletage. There was heterogeneity in outcomes measurement, but the efficacy of FRF was confirmed in all relevant studies. Mainly, the improvement of rhytides and skin tightening were reported. Mild to moderate pain, transient erythema and edema were the commonest adverse events. Hyperpigmentation was also noted in some cases. There was no consistency in the protocols used and in the description of procedures. A clinical impact score was created to assess the studies and to aid the generation of an evidence-based protocol for minimally invasive radiofrequency procedures. However, there is a need for large scale, well-designed trials to better investigate the efficacy and safety of FRF and to produce clear guidelines.
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Affiliation(s)
- Ileana Afroditi Kleidona
- Academic Plastic Surgery, Barts and the London School of Medicine and Dentistry, London, United Kingdom of Great Britain and Northern Ireland
| | - Dimitrios Karypidis
- Academic Plastic Surgery, Barts and the London School of Medicine and Dentistry, London, United Kingdom of Great Britain and Northern Ireland
| | | | - Simon Myers
- Academic Plastic Surgery, Barts and the London School of Medicine and Dentistry, London, United Kingdom of Great Britain and Northern Ireland
| | - Ali Ghanem
- Academic Plastic Surgery, Barts and the London School of Medicine and Dentistry, London, United Kingdom of Great Britain and Northern Ireland.,Cranley Clinic, London, United Kingdom
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12
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Hong JY, Kwon T, Kim JH, Lee BC, Kim BJ. Prospective, preclinical comparison of the performance between radiofrequency microneedling and microneedling alone in reversing photoaged skin. J Cosmet Dermatol 2019; 19:1105-1109. [DOI: 10.1111/jocd.13116] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2019] [Revised: 06/17/2019] [Accepted: 07/31/2019] [Indexed: 11/29/2022]
Affiliation(s)
- Ji Yeon Hong
- Department of Dermatology Chung‐Ang University College of Medicine Seoul Korea
| | - Tae‐Rin Kwon
- Department of Dermatology Chung‐Ang University College of Medicine Seoul Korea
| | - Jong Hwan Kim
- Department of Dermatology Chung‐Ang University College of Medicine Seoul Korea
- Department of Medicine, Graduate School Chung‐Ang University Seoul Korea
| | - Byung Chul Lee
- Department of Dermatology Chung‐Ang University College of Medicine Seoul Korea
- Department of Medicine, Graduate School Chung‐Ang University Seoul Korea
| | - Beom Joon Kim
- Department of Dermatology Chung‐Ang University College of Medicine Seoul Korea
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13
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Serdar ZA, Tatlıparmak A. Comparison of efficacy and safety of fractional radiofrequency and fractional Er:YAG laser in facial and neck wrinkles: Six‐year experience with 333 patients. Dermatol Ther 2019; 32:e13054. [DOI: 10.1111/dth.13054] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2019] [Revised: 07/30/2019] [Accepted: 08/01/2019] [Indexed: 11/25/2022]
Affiliation(s)
- Zehra A. Serdar
- Department of DermatologyBahçeşehir University, Faculty of Medicine Istanbul Turkey
| | - Aslı Tatlıparmak
- Department of DermatologyBahçeşehir University, Faculty of Medicine Istanbul Turkey
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14
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Kim M, Kim SM, Kwon S, Park TJ, Kang HY. Senescent fibroblasts in melasma pathophysiology. Exp Dermatol 2018; 28:719-722. [DOI: 10.1111/exd.13814] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2018] [Accepted: 10/25/2018] [Indexed: 11/28/2022]
Affiliation(s)
- Misun Kim
- Department of DermatologyAjou University School of Medicine Suwon Korea
| | - So Min Kim
- Department of DermatologyAjou University School of Medicine Suwon Korea
| | - Soohyun Kwon
- Department of DermatologyAjou University School of Medicine Suwon Korea
| | - Tae Jun Park
- Department of Biochemistry and Molecular BiologyAjou University School of Medicine Suwon Korea
- Chronic Inflammatory Disease Research CenterAjou University School of Medicine Suwon Korea
- Department of Biomedical ScienceThe Graduate SchoolAjou University Suwon Korea
| | - Hee Young Kang
- Department of DermatologyAjou University School of Medicine Suwon Korea
- Department of Biomedical ScienceThe Graduate SchoolAjou University Suwon Korea
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15
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A Prospective Study of the Safety and Efficacy of a Microneedle Fractional Radiofrequency System for Global Facial Photoaging in Chinese Patients. Dermatol Surg 2018; 44:964-970. [DOI: 10.1097/dss.0000000000001469] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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16
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Marini L. Laser- and RF-based treatments for acne vulgaris: new interesting options a commentary. J Eur Acad Dermatol Venereol 2018; 32:514. [PMID: 29575344 DOI: 10.1111/jdv.14907] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- L Marini
- The Skin Doctor's Center, Trieste, Italy
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17
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Kim DH, Rhyu YS, Ahn HH, Hwang E, Uhm CS. Skin microrelief profiles as a cutaneous aging index. Microscopy (Oxf) 2016; 65:407-414. [DOI: 10.1093/jmicro/dfw019] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2016] [Accepted: 05/18/2016] [Indexed: 11/14/2022] Open
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