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    Microneedling may provide alternative to lasers

     

    Facial rejuvenation

    Few studies look at microneedling for facial rejuvenation. For lines and wrinkles, one study showed that six dermaroller sessions spaced two weeks apart led to increases in collagen (particularly types I, III and VII), total elastin and tropoelastin. Study patients had Fitzpatrick skin types III and IV, and Glogau class II to III wrinkles. Average investigator-assessed improvement in wrinkle appearance and skin texture based on photographs increased from a range of 20 to 25% one month posttreatment to 55 to 65% at three months.9 “This is one of the only studies I found using microneedling for facial rejuvenation in terms of treating fine lines and wrinkles, however; I know controlled trials are currently being conducted and should be published very soon,” she says.

    Many devices now provide fractional radiofrequency microneedling (RFMN). With this technology, insulated needles penetrate the skin to deliver RF energy (and controlled heat) to the deep dermis to stimulate collagen production, Dr. Weinstein Velez says. Fractional RFMN has been shown to be useful for the same indications as microneedling and for additional indications including treatment of excessive sebum secretion, active inflammatory acne and hyperhidrosis.

    Disclosures:  Dr. Weinstein Velez reports no relevant financial interests.

    References

    1. Aust MC, Reimers K, Repenning C, et al. Percutaneous collagen induction: minimally invasive skin rejuvenation without risk of hyperpigmentation-fact or fiction? Plast Reconstr Surg. 2008;122(5):1553-63.
    2. Zeitter S, Sikora Z, Jahn S, et al. Microneedling: matching the results of medical needling and repetitive treatments to maximize potential for skin regeneration. Burns. 2014;40(5):966-73.
    3. Cachafeiro T, Escobar G, Maldonado G, Cestari T, Corleta O. Comparison of nonablative fractional erbium laser 1340 nm and microneedling for the treatment of atrophic acne scars: a randomized clinical trial. Dermatol Surg. 2016;42(2):232-41.
    4. Osman MA, Shokeir HA, Fawzy MM. Fractional erbium doped yttrium aluminum garnet laser versus microneedling in treatment of atrophic acne scars: a randomized split-face clinical study. Dermatol Surg. 2017;43 Suppl 1:S47-S56.
    5. El-Domyati M, Barakat M, Awad S, Medhat W, El-Fakahany H, Farag H. Microneedling therapy for atrophic acne scars: an objective evaluation. J Clin Aesthet Dermatol. 2015;8(7):36-42.
    6. Sahni K, Kassir M. Dermafrac™: an innovative new treatment for periorbital melanosis in a dark-skinned male patient. J Cutan Aesthet Surg. 2013;6(3):158-60.
    7. El-Fakahany H, Medhat W, Abdallah F, Abdel-Raouf H, Abdelhakeem M. Fractional microneedling: a novel method for enhancement of topical anesthesia before skin aesthetic procedures. Dermatol Surg. 2016;42(1):50-5.
    8. Soltani-Arabshahi R, Wong JW, Duffy KL, Powell DL. Facial allergic granulomatous reaction and systemic hypersensitivity associated with microneedle therapy for skin rejuvenation. JAMA Dermatol. 2014;150(1):68-72.
    9. El-Domyati M, Barakat M, Awad S, Medhat W, El-Fakahany H, Farag H. Multiple microneedling sessions for minimally invasive facial rejuvenation: an objective assessment. Int J Dermatol. 2015;54(12):1361-9.
    John Jesitus
    John Jesitus is a medical writer based in Westminster, CO.

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