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Efficacy of Punch Elevation Combined with Fractional Carbon Dioxide Laser Resurfacing in Facial Atrophic Acne Scarring: A Randomized Split-face Clinical Study.
Indian J Dermatol. 2015 Sep-Oct; 60(5):473-8.IJ

Abstract

BACKGROUND

A number of treatments for reducing the appearance of acne scars are available, but general guidelines for optimizing acne scar treatment do not exist. The aim of this study was to compare the clinical effectiveness and side effects of fractional carbon dioxide (CO2) laser resurfacing combined with punch elevation with fractional CO2 laser resurfacing alone in the treatment of atrophic acne scars.

MATERIALS AND METHODS

Forty-two Iranian subjects (age range 18-55) with Fitzpatrick skin types III to IV and moderate to severe atrophic acne scars on both cheeks received randomized split-face treatments: One side received fractional CO2 laser treatment and the other received one session of punch elevation combined with two sessions of laser fractional CO2 laser treatment, separated by an interval of 1 month. Two dermatologists independently evaluated improvement in acne scars 4 and 16 weeks after the last treatment. Side effects were also recorded after each treatment.

RESULTS

The mean ± SD age of patients was 23.4 ± 2.6 years. Clinical improvement of facial acne scarring was assessed by two dermatologists blinded to treatment conditions. No significant difference in evaluation was observed 1 month after treatment (P = 0.56). Their evaluation found that fractional CO2 laser treatment combined with punch elevation had greater efficacy than that with fractional CO2 laser treatment alone, assessed 4 months after treatment (P = 0.02). Among all side effects, coagulated crust formation and pruritus at day 3 after fractional CO2 laser treatment was significant on both treatment sides (P < 0.05).

CONCLUSION

Concurrent use of fractional laser skin resurfacing with punch elevation offers a safe and effective approach for the treatment of acne scarring.

Authors+Show Affiliations

Skin Diseases and Leishmaniasis Research Center, Department of Dermatology, Isfahan University of Medical Sciences, Isfahan, Iran.Skin Diseases and Leishmaniasis Research Center, Department of Dermatology, Isfahan University of Medical Sciences, Isfahan, Iran.Skin Diseases and Leishmaniasis Research Center, Department of Dermatology, Isfahan University of Medical Sciences, Isfahan, Iran.Skin Diseases and Leishmaniasis Research Center, Department of Dermatology, Isfahan University of Medical Sciences, Isfahan, Iran.Skin Diseases and Leishmaniasis Research Center, Department of Dermatology, Isfahan University of Medical Sciences, Isfahan, Iran.Department of Dermatology, AJA University of Medical Sciences, Tehran, Iran.Skin and Stem Cell Research Center, Tehran University of Medical Sciences, Tehran, Iran.Department of Biostatistics and Epidemiology, School of Public Health, Isfahan University of Medical Sciences, Isfahan, Iran.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26538695

Citation

Faghihi, Gita, et al. "Efficacy of Punch Elevation Combined With Fractional Carbon Dioxide Laser Resurfacing in Facial Atrophic Acne Scarring: a Randomized Split-face Clinical Study." Indian Journal of Dermatology, vol. 60, no. 5, 2015, pp. 473-8.
Faghihi G, Nouraei S, Asilian A, et al. Efficacy of Punch Elevation Combined with Fractional Carbon Dioxide Laser Resurfacing in Facial Atrophic Acne Scarring: A Randomized Split-face Clinical Study. Indian J Dermatol. 2015;60(5):473-8.
Faghihi, G., Nouraei, S., Asilian, A., Keyvan, S., Abtahi-Naeini, B., Rakhshanpour, M., Nilforoushzadeh, M. A., & Hosseini, S. M. (2015). Efficacy of Punch Elevation Combined with Fractional Carbon Dioxide Laser Resurfacing in Facial Atrophic Acne Scarring: A Randomized Split-face Clinical Study. Indian Journal of Dermatology, 60(5), 473-8. https://doi.org/10.4103/0019-5154.159616
Faghihi G, et al. Efficacy of Punch Elevation Combined With Fractional Carbon Dioxide Laser Resurfacing in Facial Atrophic Acne Scarring: a Randomized Split-face Clinical Study. Indian J Dermatol. 2015 Sep-Oct;60(5):473-8. PubMed PMID: 26538695.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Efficacy of Punch Elevation Combined with Fractional Carbon Dioxide Laser Resurfacing in Facial Atrophic Acne Scarring: A Randomized Split-face Clinical Study. AU - Faghihi,Gita, AU - Nouraei,Saeid, AU - Asilian,Ali, AU - Keyvan,Shima, AU - Abtahi-Naeini,Bahareh, AU - Rakhshanpour,Mehrdad, AU - Nilforoushzadeh,Mohammad Ali, AU - Hosseini,Sayed Mohsen, PY - 2015/11/6/entrez PY - 2015/11/6/pubmed PY - 2015/11/6/medline KW - Acne scars KW - fractional carbon dioxide laser KW - punch elevation SP - 473 EP - 8 JF - Indian journal of dermatology JO - Indian J Dermatol VL - 60 IS - 5 N2 - BACKGROUND: A number of treatments for reducing the appearance of acne scars are available, but general guidelines for optimizing acne scar treatment do not exist. The aim of this study was to compare the clinical effectiveness and side effects of fractional carbon dioxide (CO2) laser resurfacing combined with punch elevation with fractional CO2 laser resurfacing alone in the treatment of atrophic acne scars. MATERIALS AND METHODS: Forty-two Iranian subjects (age range 18-55) with Fitzpatrick skin types III to IV and moderate to severe atrophic acne scars on both cheeks received randomized split-face treatments: One side received fractional CO2 laser treatment and the other received one session of punch elevation combined with two sessions of laser fractional CO2 laser treatment, separated by an interval of 1 month. Two dermatologists independently evaluated improvement in acne scars 4 and 16 weeks after the last treatment. Side effects were also recorded after each treatment. RESULTS: The mean ± SD age of patients was 23.4 ± 2.6 years. Clinical improvement of facial acne scarring was assessed by two dermatologists blinded to treatment conditions. No significant difference in evaluation was observed 1 month after treatment (P = 0.56). Their evaluation found that fractional CO2 laser treatment combined with punch elevation had greater efficacy than that with fractional CO2 laser treatment alone, assessed 4 months after treatment (P = 0.02). Among all side effects, coagulated crust formation and pruritus at day 3 after fractional CO2 laser treatment was significant on both treatment sides (P < 0.05). CONCLUSION: Concurrent use of fractional laser skin resurfacing with punch elevation offers a safe and effective approach for the treatment of acne scarring. SN - 1998-3611 UR - https://www.unboundmedicine.com/medline/citation/26538695/Efficacy_of_Punch_Elevation_Combined_with_Fractional_Carbon_Dioxide_Laser_Resurfacing_in_Facial_Atrophic_Acne_Scarring:_A_Randomized_Split_face_Clinical_Study_ L2 - http://www.e-ijd.org/article.asp?issn=0019-5154;year=2015;volume=60;issue=5;spage=473;epage=478;aulast=Faghihi DB - PRIME DP - Unbound Medicine ER -
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