Efficacy and Tolerability of a Facial Serum Before and After Ablative Fractional Carbon Dioxide Laser: A Randomized Controlled Trial on Chinese Women.

IF 4.2 3区 医学 Q1 DERMATOLOGY
Jing Li, Xingzuo Liu, Zhiming Zhang, Hequn Wang, Jingbo Ma, Yanwen Jiang, Le Sheng, Shumei Li, Ji Zhang, Xinrong Lin, Kungchi Hsu, Yidong Tu, Andrew Steel, Yan Wu, Frederic Flament
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引用次数: 0

Abstract

Introduction: Ablative fractional CO2 laser treatment (AFCO2) can cause immediate erythema, pain, and complications such as prolonged erythema and post-inflammatory hyperpigmentation. This study investigated whether the use of a serum before and after AFCO2 could accelerate skin recovery and relieve complications.

Methods: This randomized controlled trial included 72 healthy Chinese women with acne scars who intended to undergo AFCO2; 64 (32 in each group) completed the study and were included in the analysis. The participants in the serum group applied the study serum for 2 weeks in the preoperative (D0 and D14) and post-treatment stages (D32 and D39), with additional product usage of standard products, including standard cleanser, moisturizer, and sunscreen, for all participants (both groups). Transepidermal water loss (TEWL), skin hydration, and skin qualities were evaluated throughout the entire study. Clinical assessment was conducted at D0 (baseline and time immediately after product application); D14; D15 (directly after procedure treatment); D16, D18, D22, and D25 (1 day, 3 days, 7 and 10 days after CO2 laser treatment); and during the post-treatment period at D32 and D39 (1 and 2 weeks after self-recovery).

Results: TEWL improvement was significantly better in the serum group than in the control group throughout the study (p < 0.001), including pre-treatment (p = 0.043), self-recovery (D15-D31) (p < 0.001), and post-treatment (p = 0.027) stages. In the post-treatment stage, the improvement in skin hydration with the serum was significantly better than in the control group (p < 0.001). The serum group showed significantly better improvements in smoothness (p = 0.001), brightness (p = 0.016), and overall healthy appearance (p = 0.001) compared with controls.

Conclusion: Peri-AFCO2 application of the serum can facilitate faster postoperative recovery and can help reduce postoperative erythema and discomfort with satisfying tolerance. The use of the serum can enhance effectiveness and satisfaction with AFCO2 treatment.

Trial registration: This trial was retrospectively registered on 30 June 2025: ISRCTN identifier ISRCTN60519611.

消融二氧化碳激光前后面部血清的疗效和耐受性:中国妇女的随机对照试验。
简介:消融CO2激光治疗(AFCO2)可引起立即红斑、疼痛和并发症,如延长红斑和炎症后色素沉着。本研究探讨AFCO2前后使用血清是否能加速皮肤恢复和缓解并发症。方法:本随机对照试验纳入72名有痤疮疤痕的健康中国女性,她们打算接受AFCO2;64例(每组32例)完成研究并纳入分析。血清组的参与者在术前(D0和D14)和治疗后阶段(D32和D39)使用研究血清2周,并对所有参与者(两组)使用标准产品,包括标准洗面奶、保湿霜和防晒霜。在整个研究过程中评估经皮失水(TEWL)、皮肤水合作用和皮肤质量。在D0(基线和产品应用后立即)进行临床评估;D14;D15(直接经过程序处理);D16、D18、D22、D25 (CO2激光治疗后1天、3天、7天、10天);治疗后第32和39天(自我恢复后1周和2周)。结果:在整个研究过程中,血清组的TEWL改善明显优于对照组(p)。结论:afco2周围应用血清可促进术后更快恢复,减轻术后红斑和不适,耐受性满意。使用该血清可提高AFCO2治疗的有效性和满意度。试验注册:该试验于2025年6月30日回顾性注册:ISRCTN标识符ISRCTN60519611。
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
Dermatology and Therapy
Dermatology and Therapy Medicine-Dermatology
CiteScore
6.00
自引率
8.80%
发文量
187
审稿时长
6 weeks
期刊介绍: Dermatology and Therapy is an international, open access, peer-reviewed, rapid publication journal (peer review in 2 weeks, published 3–4 weeks from acceptance). The journal is dedicated to the publication of high-quality clinical (all phases), observational, real-world, and health outcomes research around the discovery, development, and use of dermatological therapies. Studies relating to diagnosis, pharmacoeconomics, public health and epidemiology, quality of life, and patient care, management, and education are also encouraged. Areas of focus include, but are not limited to all clinical aspects of dermatology, such as skin pharmacology; skin development and aging; prevention, diagnosis, and management of skin disorders and melanomas; research into dermal structures and pathology; and all areas of aesthetic dermatology, including skin maintenance, dermatological surgery, and lasers. The journal is of interest to a broad audience of pharmaceutical and healthcare professionals and publishes original research, reviews, case reports/case series, trial protocols, and short communications. Dermatology and Therapy will consider all scientifically sound research be it positive, confirmatory or negative data. Submissions are welcomed whether they relate to an International and/or a country-specific audience, something that is crucially important when researchers are trying to target more specific patient populations. This inclusive approach allows the journal to assist in the dissemination of quality research, which may be considered of insufficient interest by other journals. The journal appeals to a global audience and receives submissions from all over the world.
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