Effectiveness of combined methods of treatment of atrophic scars of skin
https://doi.org/10.33667/2078-5631-2023-5-56-59
Abstract
Atrophic post-acne scars are severe manifestations of the post-acne symptom complex, which occur as a result of inflammation due to the loss of collagen fibers and subcutaneous fat during the healing of inflammatory acne elements. The incidence of post-acne scars has been little studied, but according to some authors, about 90 % of patients with severe and moderate acne suffer from them. The aim of the study was to study the effect of the combined use of IPL- and PRP-therapy, fractional microneedle radiofrequency therapy and PRP-therapy, as well as microneedling of autologous plasma with cells on the clinical symptoms of atrophic skin scars, taking into account the duration of the pathological process, based on the dynamics of the indicators of the Manchester Assessment Scale of Scar Deformations. Complex methods showed higher efficiency than the use of hardware techniques in relation to all clinical signs of atrophic scars.
About the Authors
S. Yu. Dolgikh
Central State Medical Academy
Russian Federation
Russian Federation
Dolgikh Svetlana Yu. - dermatovenereologist, applicant for Dept of Dermatovenereology and Cosmetology.
Moscow
N. V. Gryazeva
Central State Medical Academy
Russian Federation
Russian Federation
Gryazeva Natalya V. - PhD Med, dermatovenereologist, associate professor at Dept of Dermatovenereology and Cosmetology.
Moscow
References
1. Manturova N. E., Kruglova L. S., Stenko A. G. Skin scars. GEOTAR-Media. 2021. 202 p.
2. Stenko A. G., Kruglova L. S., Shmatova A. A. Pathological cicatricial deformities – tactics of patient management. Attending Doctor. 2013. No. 4. P. 32–39.
3. Smulevich A. B., Ivanov O. L., Lvov A. N., Dorozhenok I. Yu. Psychodermatology: The current state of the problem. Journal of Neurology and Psychiatry n. a. S. S. Korsakov. 2004; 10: 4–13.
4. Shakurov I. G., Glubokova I. B., Tabashnikova A. I. Psychoemotional status and personality-characterological features of patients with cicatricial skin changes. Bulletin of Dermatology and Venereology. 2009. No. 3. P. 50–60.
5. Manturova N. E., Talybova A. M., Kruglova L. S., Stenko A. G. Prevention and treatment of atrophic post-acne scars. Clinical dermatology and venereology. 2018. 17 (5). P. 85–100.
6. Bragina I. Yu., Altukhova T. N. Physiotherapy of scars: A review of modern technologies. Experimental and clinical dermatocosmetology. 2009. No. 5. P. 30–38.
7. Kruglova L. S., Kolcheva P. A., Korchazhkina N. B. Review of modern methods of correction of post-acne scars. Bulletin of new medical technologies. 2018. V. 25, No. 4. P. 155–164.
8. Talybova A. P., Stenko A. G., Korchazhkina N. B. Innovative physiotherapeutic technologies in the treatment of combined scarring of the skin. Physiotherapist. 2017. No. 1. P. 47–54.
9. Layton AM. Optimal management of acne to prevent scarring and psychological sequelae. Am J Clin Dermatol. 2001; 2: 135–141.
10. Cotterill JA, Cunliffe WJ. Suicide in dermatological patients. Br J Dermatol. 1997; 137 (02): 246–250.
11. Thomas DR. Psychosocial effects of acne. J Cutan Med Surg. 2004; 8 (Suppl 4): 3–5.
12. Jacob CI, Dover JS, Kaminer MS. Acne scarring: A classification system and review of treatment options. J Am Acad Dermatol. 2001; 45 (01): 109–117.
13. Goodman GJ, Baron JA. Postacne scarring – a quantitative global scarring grading system. J Cosmet Dermatol. 2006; 5 (01): 48–52.
14. Stenko A. G., Talybova A. M., Kruglova L. S., Korchazhkina N. B. The use of conjugated hyaluronidase for the prevention and treatment of cicatricial deformities. Kremlin Medicine. Clinical Bulletin. 2018. No. 1. P. 114–119.
Review
For citations:
Dolgikh S.Yu., Gryazeva N.V. Effectiveness of combined methods of treatment of atrophic scars of skin. Medical alphabet. 2023;(5):56-59. (In Russ.) https://doi.org/10.33667/2078-5631-2023-5-56-59
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