A systematic review of the comparison between needling (RF-needling, meso-needling, and micro-needling) and ablative fractional lasers (CO2, erbium YAG) in the treatment of atrophic and hypertrophic scars

Nobari, Niloufar Najar; Tabavar, Anahita; Sadeghi, Sara; Dehghani, Abbas; Kalantari, Yasamin; Ghassemi, Mohammadreza; Atefi, Najmolsadat; Goodarzi, Azadeh

doi:10.1007/s10103-022-03694-x

Cited by 9 publications

(10 citation statements)

References 26 publications

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“…Microneedle bipolar RF and fractional RF treatments offer the best results for acne scarring, particularly ice-pick and boxcar scars [ 22 ]. Needling and ablative fractional lasers are tolerable and safe procedures with no significant difference in the treatment of skin scars in 60% of previous studies [ 23 ]. The adverse reactions associated with RF include transient pain, erythema, and scabbing that resolve within days [ 7 ].…”

Section: Resultsmentioning

confidence: 99%

Atrophic Postacne Scar Treatment: Narrative Review

Attia

2024

JMIR Dermatol

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Acne scarring is a frequent complication of acne. Scars negatively impact psychosocial and physical well‐being. Optimal treatments significantly improve the appearance, quality of life, and self-esteem of people with scarring. A wide range of interventions have been proposed for acne scars. This narrative review aimed to focus on facial atrophic scarring interventions. The management of acne scarring includes various types of resurfacing (chemical peels, lasers, and dermabrasion); the use of injectable fillers; and surgical methods, such as needling, punch excision, punch elevation, or subcision. Since the scarred tissue has impaired regeneration abilities, the future implementation of stem or progenitor regenerative medical techniques is likely to add considerable value. There are limited randomized controlled trials that aimed to determine which treatment options should be considered the gold standard. Combining interventions would likely produce more benefit compared to the implementation of a single method.

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Section: Resultsmentioning

confidence: 99%

Atrophic Postacne Scar Treatment: Narrative Review

Attia

2024

JMIR Dermatol

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“…Finally, our recommendation would be to compare microneedling with laser as a control group in a cost-effectiveness study, as recent research suggests that microneedling and laser can achieve comparable clinical effects. 22 …”

Section: Discussionmentioning

confidence: 99%

Microneedling in Abdominal Scarring after DIEP-flap Breast Reconstruction to Improve Scar Quality: A Randomized Controlled Split Scar Trial

Everaars,

Meulendijks,

Tjin

et al. 2024

Plastic and Reconstructive Surgery - Global Open

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Background: Deep inferior epigastric perforator (DIEP) flap breast reconstruction leads to large scars in the breast and abdominal region. Common symptoms related to abdominal scarring include changes in color, stiffness, thickness, and irregularity of the skin. The aim of this study was to examine whether microneedling improves the abdominal scar quality after DIEP-flap breast reconstruction. Methods: A prospective randomized controlled within subject comparison design (N = 30) was used to study the effect of microneedling treatments on the abdominal scar, versus no treatment. Three electrically powered microneedling sessions were performed every 4 weeks on one side of the abdominal scar. Abdominal scar assessment was performed at baseline and 3-, 6-, and 9-month follow-up using the Patient and Observer Scar Assessment Scale (POSAS). Treated and untreated sides were compared using a t test or Wilcoxon signed-rank test in case the data were not normally distributed. Results: Twenty-seven women completed the study. Microneedling treatment led to lower POSAS scores compared with the untreated scar side after the 3- and 9-month follow-up. At the 9-month follow-up, the POSAS total score (Mdn = 17, interquartile range = 18.3 versus Mdn = 21.4, interquartile range = 17.5) was statistically lower for the treated side compared with the untreated side, implying a better-appraised scar quality. The observer POSAS total score was statistically lower for the treated side compared with the untreated side. Conclusions: Based on patient and observer ratings, overall abdominal scars after DIEP-flap surgery improve significantly after microneedling treatment. Scar symptoms reduce faster under the influence of microneedling treatment compared with no treatment.

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“…From traditional methods such as dermabrasion to cutting‐edge technologies like laser therapy and microneedling, the landscape of atrophic acne scar treatment is diverse and continually evolving. 7 , 8 , 9 , 10…”

Section: Introductionmentioning

confidence: 99%

Evaluation and comparison of the efficacy and safety of the combination of topical phenytoin and microneedling with microneedling alone in the treatment of atrophic acne scars: A controlled blinded randomized clinical trial

Sadeghzadeh‐Bazargan,

Pashaei,

Ghassemi

et al. 2024

Skin Research and Technology

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IntroductionSevere acne breakouts often lead to atrophic acne scars, which affect millions of people worldwide and can significantly affect a person's self‐confidence and self‐image. Given the difficulty in treating atrophic acne scars, this study aims to investigate the efficacy of topical phenytoin in the treatment of atrophic acne scars.MethodThis split face clinical trial on 25 patients between the ages of 18 and 40 involved the application of microneedling on one side of the face, with three sessions taking place over the course of a month. On the other side, a 1% phenytoin cream was administered three times daily for 1 week following the microneedling procedure. Baseline information was collected for all patients, and follow‐up assessments were conducted during the treatment sessions and 2 months after the last session. The assessments included evaluating the number and area of pores and spots, determining scar severity, assessing patient satisfaction, and recording any potential complications.ResultsAmong patients, 20 individuals (80%) were females, and the average age of the participants was 35.96 ± 9.23. In terms of the fine pore area, despite the fine pore count, both groups showed improvement over time (p: 0.03 vs. 0.06). Also, regarding large pore count and area, and the count and area of spots, both groups showed improvement over time (p: 0.001). However, there were no significant differences between the two groups (p > 0.05). On the other hand, when it comes to acne scar grade and patients' satisfaction, the phenytoin group outperformed the control group in all follow‐up sessions and this difference was found to be significant (p: 0.001). It is worth noting that no complications were observed among any of the patients.ConclusionIt appears that combining phenytoin cream with microneedling has a more effective therapeutic outcome in enhancing atrophic acne scars, when compared to microneedling alone, and this method can be regarded as a viable alternative in treating these types of scars.

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A systematic review of the comparison between needling (RF-needling, meso-needling, and micro-needling) and ablative fractional lasers (CO2, erbium YAG) in the treatment of atrophic and hypertrophic scars

Cited by 9 publications

References 26 publications

Atrophic Postacne Scar Treatment: Narrative Review

Atrophic Postacne Scar Treatment: Narrative Review

Microneedling in Abdominal Scarring after DIEP-flap Breast Reconstruction to Improve Scar Quality: A Randomized Controlled Split Scar Trial

Evaluation and comparison of the efficacy and safety of the combination of topical phenytoin and microneedling with microneedling alone in the treatment of atrophic acne scars: A controlled blinded randomized clinical trial

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