Scar Remodeling with the Association of Monopolar Capacitive Radiofrequency, Electric Stimulation, and Negative Pressure

Nicoletti, G.; Perugini, Paola; Bellino, Sara; Capra, P; Malovini, Alberto; Jaber, Omar; Tresoldi, Marco Mario; Faga, Angela

doi:10.1089/pho.2016.4180

Cited by 13 publications

(20 citation statements)

References 37 publications

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“…In the literature there are not many analyses relating to this technique for the treatment of scars, given that it was recently introduced. In the two works that describe it [ 46 , 74 ], for ethical reasons, no invasive analyzes (e.g., biopsy analysis) were performed to evaluate the effectiveness of the method. The outcomes of the various treatments were evaluated by non-invasive measurements and were considered satisfactory in both studies.…”

Section: Discussionmentioning

confidence: 99%

Vacuum and Electromagnetic Fields Treatment to Regenerate a Diffuse Mature Facial Scar Caused by Sulfuric Acid Assault

Veronese

Brunetti²,

Minichino³

et al. 2022

Bioengineering

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Acid attacks are on the rise, and they cause extensive and deep burns, especially on the face. The treatments used to improve the aesthetic, functional and social impact of non-acid scars do not always prove useful for acid scars. This article reports the case of a woman with an extended, mature, acid facial scar, caused by sulfuric acid assault, treated with a recent new procedure that combines the application of vacuum and electromagnetic fields. Before and after the treatment, the aesthetic appearance, and motor function of the face and neck were evaluated, as well as the level of hydration, the amount of sebum, the elasticity, and the pH of the skin. The improvements highlighted after the treatment of the aesthetic and functional characteristics of the face and neck, and of the physical parameters of the skin seemed to indicate that this particular treatment induces tissue regeneration, even in the nerve component. However, it is evident that the rehabilitation pathways of facial wounds and scars must be personalized, and must include continuous psychological support for the patient.

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Section: Discussionmentioning

confidence: 99%

Vacuum and Electromagnetic Fields Treatment to Regenerate a Diffuse Mature Facial Scar Caused by Sulfuric Acid Assault

Veronese

Brunetti²,

Minichino³

et al. 2022

Bioengineering

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“…The vacuotherapy or vacuum massage applied to the skin leads to mechanical stress on the biological structures that make them up 22 . It is thought that the combination of interventions with vacuum massage can produce an impact on the collagen found in scar tissue and elastic fiber remodeling 23 . However, different from other studies, in this study, with only one application of the intervention, no significant increase was noted for distensibility of both the normal and skin graft for either combination therapy, TUV and TPV 8,9 .…”

Section: Discussionmentioning

confidence: 99%

Effects of therapeutic ultrasound and paraffin with or without vacuum massage on biomechanical properties of grafted skin after burn: a randomized controlled trial

Gonçalves

Guirro

Rossi

et al. 2022

Rev. Assoc. Med. Bras.

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OBJECTIVE: This study aimed to compare the effects of therapeutic ultrasound and paraffin with or without vacuum massage on the biomechanical properties of grafted skin after a burn. METHODS: A total of 44 patients with deep second-and third-degree burns, with a mean age of 35.89 (±11.53) years, who visited the Hospital Burn Unity, were included in the study. The therapeutic interventions were randomly defined by drawing lots, with a crossover design (crossover), and a minimum interval of 7 days (washout) between interventions. Skin biomechanical parameters such as distensibility (R0) and viscoelasticity (R6) were noninvasively evaluated by Cutometer before and after 0, 10, 20, and 30 min of intervention with therapeutic ultrasound and paraffin alone, as well as associated with negative pressure therapy of the skin (vacuum therapy). In this study, all groups showed increased distensibility (R0) in the period immediately after the application of the resources and a progressive reduction in the effects in the consecutive tests. Participants with skin grafts showed a decrease in viscoelasticity (R6) in all groups, except therapeutic paraffin and therapeutic ultrasound and vacuum massage. CONCLUSION: The biomechanical properties of grafted skin after a burn are altered after therapeutic intervention with ultrasound alone or associated with vacuum massage, such as intervention with paraffin associated with vacuum massage, for both parameters evaluated, skin distensibility (R0) and skin viscoelasticity (R6). However, the same did not occur for the intervention with isolated paraffin. There was no significant difference between the interventions therapeutic ultrasound and therapeutic paraffin.

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“…Several authors believe that the lipoaspirate provides a kind of scaffold around the ulcer that can behave as a biological matrix for cell migration 1,18‐21 …”

Section: Discussionmentioning

confidence: 99%

“…At the same time, this set of cells and growth factors up‐regulate the ki‐67 pathway in the wound, in order to promote the cellular proliferation 33,35,36 . These evidences suggested that injection of filtered fat graft improves wound healing, but the correlation with pain reduction is less clear 18,19,37‐39 …”

Section: Discussionmentioning

confidence: 99%

Fat graft for reducing pain in chronic wounds

Cuomo

Giardino

Nisi

et al. 2020

Wound Repair Regeneration

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Background Chronic wounds are one of the most important challenge for regenerative surgery. Plastic surgeon can use fat graft to increase wound healing because its growth factors can enhance tissue regeneration. In a recent study, the authors evaluated a reduction of pain in a cohort of patients submitted to breast reconstruction with breast implant and lipofilling, putting into evidence that growth factors in fat graft can reduce post‐surgical pain. The aim of this work is to evaluate ultra‐filtered fat graft potential in reducing pain in chronic wounds. Patients and Methods Fifty new patients with chronic wounds of different etiology were recruited for this study and divided into two groups: A, treatment and B, control. Twenty‐five patients per group. Negative pressure therapy dressing was applied after surgical debridement. Three days later patients in group A received ultrafiltered fat graft. Pain was evaluated with preoperative Visual Analogic Scale, repeated twice a day for 14 days and finally 21 days from procedures. Results In group A (treated patients), pain was lower. These data were confirmed even after 7 days. The overall statistical analysis of the average of all values (SD 1.72) confirmed that the differences were significant at the 95% with the Chi‐square test and analysis of variance (P value < .05). Conclusions The ultra‐filtered fat graft placed on the wound bed and edges was effective in reducing pain in chronic wounds. The reduction of pain was statistically significant.

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Scar Remodeling with the Association of Monopolar Capacitive Radiofrequency, Electric Stimulation, and Negative Pressure

Cited by 13 publications

References 37 publications

Vacuum and Electromagnetic Fields Treatment to Regenerate a Diffuse Mature Facial Scar Caused by Sulfuric Acid Assault

Vacuum and Electromagnetic Fields Treatment to Regenerate a Diffuse Mature Facial Scar Caused by Sulfuric Acid Assault

Effects of therapeutic ultrasound and paraffin with or without vacuum massage on biomechanical properties of grafted skin after burn: a randomized controlled trial

Fat graft for reducing pain in chronic wounds

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