…-channels; and (3) safety and efficacy profiles in patients treated with MN alone or in combination with topical cytokine-growth factors in cosmeceuticals or in platelet-rich plasma (PRP). Three healthy patients in the author’s private practice consented to undergo a superficial muscular aponeurotic-face…
Background
Aesthetic micro-needling (MN) has demonstrated skin permeability to cosmeceutical ingredients and platelet-rich plasma by creating reversible micro-channels in the skin.
Objectives
The purposes of this study were to determine: (1) actual needle depth-penetrations by adjusting needle lengths in a disposable tip of an electric MN device; (2) time-dependent passage of pigment and platelets; and (3) safety and efficacy profiles in patients.
Methods
Excised micro-needled pre-auricular skin was used to determine actual depths of tissue penetration with six needle lengths, and the presence of massaged pigment particles (histological examination) and fluorescein-labeled platelets (confocal laser microscopy) in 1 mm depth micro-channels over an hour. Patients were treated for wrinkles and skin laxity, scars, and alopecia with cosmeceuticals and plasma-rich platelets.
Results
Actual needle penetrations closely matched settings up to 1.0 mm, but were less consistent at settings from 1.5 to 2.5 mm. The optimal time for massaging pigment particles and labeled platelet-rich plasma (PRP) down 1.0 mm micro-channels was between 5 to 30 minutes after MN. Patients treated in the Skin Care Center (cosmeceuticals, 0.25-1 mm depth) and Surgical Center (PRP, 0.25-2.5 mm) demonstrated statistically significant improvements (P ≤ .05) in wrinkle effacement, skin laxity, scar softening, and hair growth by Patient and Observer Satisfaction Scores at 12 months. The average hair count in a 10 mm spot size at baseline (88.3 ± 22.5) increased at the 12 month evaluation period (133.6 ± 13.8). All patients experienced minimal side-effects.
Conclusions
MN alone or in combination therapy resulted in safe and effective treatments from implemented guidelines.
Gordon H. Sasaki, MD, FACS, in Aesthetic Surgery Journal
Aesthetic Surgery Journal, Volume 37, Issue 1, 1 January 2017, Pages 71–83, https://doi.org/10.1093/asj/sjw120
Zdroj: Journal Article
