Complications of Subcision for Acne Scarring: Experience From Clinical Practice and Review of the Literature.

IF 2.3 4区医学 Q2 DERMATOLOGY

Journal of Cosmetic Dermatology Pub Date : 2024-11-03 DOI:10.1111/jocd.16629

Cong Sun, Davin Lim

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引用次数: 0

Abstract

Background: Subcision is a surgical technique frequently used in the management of atrophic acne scars. The advent of new instruments, which includes sharp, blunt and energy assisted, have increased the efficacy of the procedure. The aim of this article was to review the safety of subcision in view of the new development in technology.

Objective: To review the safety of subcision procedure for acne scarring and to provide clinicians with both evidence-based and practical information regarding the complications that can be associated with this procedure.

Methods: A search through MEDLINE and Google Scholar was conducted for articles from January 2000 to January 2023 that involves subcision as a monotherapy for the treatment of acne scarring.

Results: Ten articles involving subcision monotherapy were identified. The main complications of subcision were pain/tenderness, bruising, infection, formation of subcutaneous lumps, and dyspigmentation. Recommendations on how to minimize the complications from subcision have also been provided based on the clinical experience of the authors.

Conclusion: Subcision is a safe treatment for acne scarring and clinicians need to be aware of the associated complication which occurs more with sharp instrumentation.

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亚切口治疗痤疮瘢痕的并发症：临床实践经验与文献综述。

背景：皮下切口是一种常用于治疗萎缩性痤疮疤痕的手术技术。新器械（包括锐器、钝器和能量辅助器械）的出现提高了该手术的疗效。本文旨在结合新技术的发展，对亚切法的安全性进行回顾：综述亚切术治疗痤疮瘢痕的安全性，并为临床医生提供有关该手术并发症的循证和实用信息：方法：通过MEDLINE和谷歌学术搜索2000年1月至2023年1月期间涉及亚切法作为单一疗法治疗痤疮瘢痕的文章：结果：共发现10篇涉及亚切法单一疗法的文章。亚切割术的主要并发症是疼痛/触痛、瘀伤、感染、皮下肿块的形成和色素沉着。根据作者的临床经验，还就如何最大限度地减少亚切割术的并发症提出了建议：结论：亚切口是治疗痤疮瘢痕的一种安全方法，临床医生需要注意相关并发症，锋利的器械更容易引起并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Cosmetic Dermatology DERMATOLOGY-

CiteScore

4.30

自引率

13.00%

发文量

818

审稿时长

>12 weeks

期刊介绍： The Journal of Cosmetic Dermatology publishes high quality, peer-reviewed articles on all aspects of cosmetic dermatology with the aim to foster the highest standards of patient care in cosmetic dermatology. Published quarterly, the Journal of Cosmetic Dermatology facilitates continuing professional development and provides a forum for the exchange of scientific research and innovative techniques. The scope of coverage includes, but will not be limited to: healthy skin; skin maintenance; ageing skin; photodamage and photoprotection; rejuvenation; biochemistry, endocrinology and neuroimmunology of healthy skin; imaging; skin measurement; quality of life; skin types; sensitive skin; rosacea and acne; sebum; sweat; fat; phlebology; hair conservation, restoration and removal; nails and nail surgery; pigment; psychological and medicolegal issues; retinoids; cosmetic chemistry; dermopharmacy; cosmeceuticals; toiletries; striae; cellulite; cosmetic dermatological surgery; blepharoplasty; liposuction; surgical complications; botulinum; fillers, peels and dermabrasion; local and tumescent anaesthesia; electrosurgery; lasers, including laser physics, laser research and safety, vascular lasers, pigment lasers, hair removal lasers, tattoo removal lasers, resurfacing lasers, dermal remodelling lasers and laser complications.