羟基磷灰石钙-羧甲基纤维素联合微聚焦超声与可视化治疗生物刺激反应年龄相关趋势的探索性分析。

Aesthetic surgery journal. Open forum Pub Date : 2025-04-16 eCollection Date: 2025-01-01 DOI:10.1093/asjof/ojaf023
Amanda Doyle, Iris Looi, Paul Chu, Keith A Martinez, Alec D McCarthy
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引用次数: 0

摘要

背景:生物刺激器和基于能量的设备越来越多地结合使用,以解决可见的衰老迹象。先前的研究表明,将微聚焦超声与可视化(MFU-V)和超稀释的羟基磷灰石-羧甲基纤维素钙(CaHA-CMC)配对,可提高皮肤弹性蛋白的合成,并改善治疗后120天的美容效果。然而,患者年龄对这些治疗的组织学反应的影响尚不清楚。目的:探讨年龄是否影响39 ~ 62岁健康成人对超稀释CaHA-CMC和MFU-V联合治疗的生物刺激反应。方法:这项二级分析利用了一项12例患者的临床研究数据,该研究获得了irb批准,患者接受了两种联合治疗方案:a组(MFU-V随后超稀释CaHA-CMC)和B组(超稀释CaHA-CMC随后MFU-V)。治疗结束前和治疗结束后120天的活检组织进行弹性蛋白染色并定量评估。线性回归分析评估了年龄与弹性蛋白染色强度和面积覆盖变化之间的相关性。结果:患者年龄与皮肤弹性蛋白强度及面积变化无明显相关性。在亚组分析中,两种方案都显示出弹性蛋白强度的显着年龄依赖性差异。虽然1个亚组(B组)显示年龄和弹性蛋白面积之间存在边际相关性,但汇总的数据并不支持年龄作为生物刺激反应的重要预测因子。结论:本探索性分析表明,在研究的年龄范围内,患者年龄可能不会显著影响CaHA-CMC和MFU-V联合治疗的组织学反应。需要更大规模的统计研究来验证这些发现,并进一步调查与年龄相关的影响。证据等级为5,具有治疗作用:
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploratory Analysis of Age-Related Trends in Biostimulatory Response to Combined Calcium Hydroxylapatite-Carboxymethylcellulose and Microfocused Ultrasound With Visualization Treatments.

Background: Biostimulators and energy-based devices are increasingly used in combination to address visible signs of aging. Previous research demonstrated that pairing microfocused ultrasound with visualization (MFU-V) and hyperdiluted calcium hydroxylapatite-carboxymethylcellulose (CaHA-CMC) enhances dermal elastin synthesis and improves aesthetic outcomes up to 120 days posttreatment. However, the impact of patient age on the histological response to these treatments remains unclear.

Objectives: To explore whether age influences the biostimulatory response to combined hyperdiluted CaHA-CMC and MFU-V treatments in healthy adults aged 39 to 62 years.

Methods: This secondary analysis leveraged data from a 12-patient, IRB-approved clinical study in which patients received 2 combination treatment protocols: Group A (MFU-V followed by hyperdiluted CaHA-CMC) and Group B (hyperdiluted CaHA-CMC followed by MFU-V). Biopsies obtained before and 120 days after completion of treatments were stained for elastin and quantitatively assessed. Linear regression analyses assessed correlations between age and changes in elastin staining intensity and area coverage.

Results: No significant correlation was found between patient age and changes in dermal elastin intensity or area. In subgroup analyses, neither protocol showed a significant age-dependent difference in elastin intensity. Although 1 subgroup (Group B) revealed a marginal correlation between age and elastin area, the pooled data did not support age as a significant predictor of biostimulatory response.

Conclusions: This exploratory analysis suggests that within the studied age range, patient age may not significantly influence the histological response to combined CaHA-CMC and MFU-V treatments. Larger, statistically powered studies are needed to validate these findings and further investigate age-related effects.

Level of evidence 5 therapeutic:

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