Jose A Foppiani, James E Fanning, Kassandra Beltran, Otakar Raska, Angelica Hernandez Alvarez, Iulianna Taritsa, Erin Kim, Maria-Jose Escobar, Daniela Lee, Umar Choudry, Samuel J Lin
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Descriptive statistics and a proportion meta-analysis was utilized for patient satisfaction using Stata statistical software.</p><p><strong>Results: </strong>Of 346 studies identified, a total of 21 articles reporting outcomes of 723 patients undergoing MN for facial rejuvenation were included for review and meta-analysis. The patient cohort was majority female (72%), and the average age was 48 years. The most common esthetic study endpoints were wrinkling (71%, 15/21), skin texture (33%, 7/21), photoaging (29%, 6/21), and skin laxity (14%, 3/21). The majority of trials (90%, 19/21) treated patients with multiple MN sessions, and these studies' treatment schedules also varied by number and timing of sessions. Pooled meta-analysis revealed that 83% of patients reported satisfaction with their treatment (95% CI [0.76; 0.88]). 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引用次数: 0
摘要
背景：微针（MN）作为一种非手术治疗面部皮肤老化的方法越来越受欢迎。我们旨在评估患者报告的预后（PROMs）和与MN相关的安全性概况。方法：遵循PRISMA指南进行系统评价。文章通过两个阶段的过程筛选相关性。采用Stata统计软件对患者满意度进行描述性统计和比例荟萃分析。结果：在确定的346项研究中，共有21篇文章报道了723名接受面部年轻化治疗的患者的结果，并纳入了综述和荟萃分析。患者队列以女性为主（72%），平均年龄48岁。最常见的美学研究终点是皱纹（71%,15/21）、皮肤质地（33%,7/21）、光老化（29%,6/21）和皮肤松弛（14%,3/21）。大多数试验（90%,19/21）治疗了多次MN疗程的患者，这些研究的治疗计划也因疗程的数量和时间而异。汇总荟萃分析显示，83%的患者报告对治疗满意(95% CI [0.76；0.88])。最常见的不良反应是短暂性红斑（6.8%）、脱屑（1.7%）、烧灼感（1.5%）和瘙痒（0.4%）。结论：我们的荟萃分析显示，MN与高患者满意度和低不良事件发生率相关。高患者满意度加上低不良事件发生率支持MN作为面部年轻化的可行非手术治疗选择。然而，缺乏审美结果的标准化措施值得继续研究，以更好地确定其在治疗面部衰老迹象方面的功效。证据等级iv：本刊要求作者为每篇文章指定一个证据等级。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。
Microneedling for Facial Rejuvenation: A Systematic Review.
Background: Microneedling (MN) has risen in popularity as a non-surgical treatment option for facial skin aging. We aimed to evaluate patient-reported outcomes (PROMs) and safety profiles associated with MN.
Methods: A systematic review was conducted adhering to PRISMA guidelines. Articles were screened for relevance in a two-stage process. Descriptive statistics and a proportion meta-analysis was utilized for patient satisfaction using Stata statistical software.
Results: Of 346 studies identified, a total of 21 articles reporting outcomes of 723 patients undergoing MN for facial rejuvenation were included for review and meta-analysis. The patient cohort was majority female (72%), and the average age was 48 years. The most common esthetic study endpoints were wrinkling (71%, 15/21), skin texture (33%, 7/21), photoaging (29%, 6/21), and skin laxity (14%, 3/21). The majority of trials (90%, 19/21) treated patients with multiple MN sessions, and these studies' treatment schedules also varied by number and timing of sessions. Pooled meta-analysis revealed that 83% of patients reported satisfaction with their treatment (95% CI [0.76; 0.88]). The most common reported adverse effects were transient erythema (6.8%), scaling (1.7%), burning sensation (1.5%), and pruritus (0.4%).
Conclusion: Our meta-analysis revealed that MN is associated with high patient satisfaction and low rates of adverse events. High patient satisfaction coupled with a low incidence of adverse events supports MN as a viable non-surgical treatment option for facial rejuvenation. However, the lack of standardized measures for esthetic outcomes warrants continued research to better determine its efficacy in treating signs of facial aging.
Level of evidence iv: 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.
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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