Dual-Plane Treatment With Highly Concentrated Hybrid Cooperative Complexes of Hyaluronans for Facial Atrophic Acne Scars.

IF 2.5 3区 医学 Q2 DERMATOLOGY
Adele Sparavigna, Franco Grimolizzi, Clara Cigni, Roberto Lualdi, Gilberto Bellia
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引用次数: 0

Abstract

Background: Managing patients with acne scars remains an important challenge, as scarring negatively affects psychosocial wellbeing. Hyaluronic acid (HA) cross-linked fillers have demonstrated good efficacy and tolerability for the correction of acne scars but are limited by their reduced biological activity and low concentrations.

Objective: This study investigated the efficacy and safety on scars of a high-concentration (4.5%) HA-based filler with hybrid cooperative complexes (HCC) of high-molecular-weight and low-molecular-weight HA.

Methods: Participants received treatment twice; the first was provided at baseline (T0) and the second after 4 weeks (T1). Data were collected at T1 and after 4 months (T2) by photographs and instrumental evaluation of the skin.

Results: The study population included 28 patients. Improvements in the mean Goodman and Baron grade were significant across time points T0 and T1 (12% improvement; p = .0002) and T0 and T2 (31% improvement; p < .0001). Instrumental evaluation of the skin surface demonstrated a 20% reduction in the average deepness of acne scars after 4 months (p < .0001). No serious adverse events were reported during the study procedure.

Conclusion: Highly concentrated (4.5%) HCC appears to be an effective option for the correction of facial acne scars.

用高浓度混合合作复合物透明质酸治疗面部萎缩性痤疮疤痕。
背景:管理痤疮疤痕患者仍是一项重要挑战,因为疤痕会对社会心理健康产生负面影响。透明质酸(HA)交联填充剂在矫正痤疮疤痕方面具有良好的疗效和耐受性,但因其生物活性降低和浓度低而受到限制:本研究调查了高浓度(4.5%)HA填充剂与高分子量和低分子量HA混合协同复合物(HCC)对疤痕的疗效和安全性:参与者接受两次治疗;第一次在基线(T0)时,第二次在 4 周后(T1)。在 T1 和 4 个月后(T2)通过照片和皮肤仪器评估收集数据:研究对象包括 28 名患者。在 T0 和 T1(改善 12%;p = 0.0002)以及 T0 和 T2(改善 31%;p < 0.0001)这两个时间点上,古德曼和巴隆等级的平均值均有显著改善。皮肤表面的仪器评估显示,4 个月后,痤疮疤痕的平均深度减少了 20%(p < .0001)。研究过程中未出现严重不良反应:高浓度(4.5%)HCC 似乎是矫正面部痤疮疤痕的有效选择。
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来源期刊
Dermatologic Surgery
Dermatologic Surgery 医学-皮肤病学
CiteScore
3.10
自引率
16.70%
发文量
547
期刊介绍: Exclusively devoted to dermatologic surgery, the Dermatologic Surgery journal publishes the most clinically comprehensive and up-to-date information in its field. This unique monthly journal provides today’s most expansive and in-depth coverage of cosmetic and reconstructive skin surgery and skin cancer through peer-reviewed original articles, extensive illustrations, case reports, ongoing features, literature reviews and correspondence. The journal provides information on the latest scientific information for all types of dermatologic surgery including: -Ambulatory phlebectomy- Blepharoplasty- Body contouring- Chemical peels- Cryosurgery- Curettage and desiccation- Dermabrasion- Excision and closure- Flap Surgery- Grafting- Hair restoration surgery- Injectable neuromodulators- Laser surgery- Liposuction- Microdermabrasion- Microlipoinjection- Micropigmentation- Mohs micrographic surgery- Nail surgery- Phlebology- Sclerotherapy- Skin cancer surgery- Skin resurfacing- Soft-tissue fillers. Dermatologists, dermatologic surgeons, plastic surgeons, oculoplastic surgeons and facial plastic surgeons consider this a must-read publication for anyone in the field.
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