Effectiveness of Acupotomy Subcision and Nanofat Grafting in Depressed Scars Treatment.

IF 2 3区 医学 Q2 SURGERY
Mei Qu, Tianqi Zhang, Miao Sun, Shan Zhang, Qiuyue Fu, Gang Chen, Hao Chen
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引用次数: 0

Abstract

Purpose: The purpose of this study was to investigate the effectiveness of the combined treatment of acupotomy subcision and Nanofat grafting in depressed scars.

Methods: A single-center retrospective analysis was performed on 32 patients with moderate to severe depressed facial scars treated between November 2020 and April 2023. The treatment involved acupotomy subcutaneous scrape, followed by Nanofat injection. Clinical assessments included measurement of scar concavity using a 3D camera, the Patient Observer Scar Assessment Scale (POSAS), and a skin analysis system to evaluate collagen and elastin levels.

Results: The study found a significant reduction in scar concavity from a mean of -0.90 ± 0.44 mm pre-treatment to -0.10 ± 0.18mm six months post-treatment. POSAS scores showed substantial improvements in scar esthetics at 6 months post-operation. There was also a significant increase in skin elasticity and a decrease in skin collagen levels following treatment.

Conclusion: The combined application of acupotomy subcision and Nanofat grafting was effective in reducing the depression of depressed scars, leading to significant improvements in scar appearance and patient satisfaction. This approach offers a minimally invasive and effective treatment option for patients with depressed scars.

Level of evidence v: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

针刀切割与纳米脂肪移植治疗凹陷疤痕的疗效观察。
目的:探讨针刀下切联合纳米脂肪移植术治疗凹陷疤痕的疗效。方法:对2020年11月至2023年4月收治的32例中重度凹陷性面部疤痕患者进行单中心回顾性分析。治疗包括针刀皮下刮擦,然后注射纳米脂肪。临床评估包括使用3D相机测量疤痕凹度,患者观察疤痕评估量表(POSAS)和皮肤分析系统评估胶原蛋白和弹性蛋白水平。结果:研究发现,疤痕凹度从治疗前的-0.90±0.44 mm显著减少到治疗后6个月的-0.10±0.18mm。POSAS评分显示术后6个月瘢痕美观有明显改善。治疗后,皮肤弹性显著增加,皮肤胶原蛋白水平显著降低。结论:针刀下切联合纳米脂肪移植术能有效减轻凹陷疤痕的凹陷感,显著改善疤痕外观和患者满意度。这种方法为凹陷性疤痕患者提供了一种微创且有效的治疗选择。证据等级v:本刊要求作者为每篇文章指定证据等级。有关这些循证医学评级的完整描述,请参阅目录或在线作者说明www.springer.com/00266。
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
CiteScore
4.40
自引率
25.00%
发文量
479
审稿时长
3 months
期刊介绍: Aesthetic Plastic Surgery is a publication of the International Society of Aesthetic Plastic Surgery and the official journal of the European Association of Societies of Aesthetic Plastic Surgery (EASAPS), Società Italiana di Chirurgia Plastica Ricostruttiva ed Estetica (SICPRE), Vereinigung der Deutschen Aesthetisch Plastischen Chirurgen (VDAPC), the Romanian Aesthetic Surgery Society (RASS), Asociación Española de Cirugía Estética Plástica (AECEP), La Sociedad Argentina de Cirugía Plástica, Estética y Reparadora (SACPER), the Rhinoplasty Society of Europe (RSE), the Iranian Society of Plastic and Aesthetic Surgeons (ISPAS), the Singapore Association of Plastic Surgeons (SAPS), the Australasian Society of Aesthetic Plastic Surgeons (ASAPS), the Egyptian Society of Plastic and Reconstructive Surgeons (ESPRS), and the Sociedad Chilena de Cirugía Plástica, Reconstructiva y Estética (SCCP). Aesthetic Plastic Surgery provides a forum for original articles advancing the art of aesthetic plastic surgery. Many describe surgical craftsmanship; others deal with complications in surgical procedures and methods by which to treat or avoid them. Coverage includes "second thoughts" on established techniques, which might be abandoned, modified, or improved. Also included are case histories; improvements in surgical instruments, pharmaceuticals, and operating room equipment; and discussions of problems such as the role of psychosocial factors in the doctor-patient and the patient-public interrelationships. Aesthetic Plastic Surgery is covered in Current Contents/Clinical Medicine, SciSearch, Research Alert, Index Medicus-Medline, and Excerpta Medica/Embase.
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