Volume 28, Issue 9 pp. 1219-1225
Original Article

The efficacy in treatment of facial atrophic acne scars in Asians with a fractional radiofrequency microneedle system

V. Vejjabhinanta

V. Vejjabhinanta

Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand

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R. Wanitphakdeedecha

Corresponding Author

R. Wanitphakdeedecha

Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand

Correspondence: R. Wanitphakdeedecha. E-mail: [email protected]Search for more papers by this author
P. Limtanyakul

P. Limtanyakul

Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand

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W. Manuskiatti

W. Manuskiatti

Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand

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First published: 24 September 2013
Citations: 54

Conflict of interest

None declared.

Funding sources

None declared.

Abstract

Background

Treatment of acne scars remains a challenge to dermatologists. Multiple modalities have been employed with variable results and adverse effects.

Objective

To determine the efficacy and adverse effects of a fractional radiofrequency microneedle system (FRMS) on acne scars in Asians at 1-, 3- and 6-month follow-up visits after treatment.

Methods

Thirty subjects with atrophic acne scars for more than 6 months were enrolled in the study. All volunteers were treated with a FRMS on affected areas. The subjects were treated for a total number of three treatment sessions at 1-month intervals. Subjective assessments were obtained at baseline, 1, 3 and 6 months after the last treatment session by self-evaluation and two blinded dermatologists. Objective evaluation using an ultraviolet A-light video camera was also performed. In addition, pain scores, immediate reactions, healing times and other adverse effects were evaluated.

Results

Twenty-six subjects with skin phototypes III–V completed treatment protocol. The average mean scar age was 7 years (range: 0.5–15 years). At 6-month follow-up visit, the majority of the subjects (42.3%) reported a 26–50% improvement on their acne scars. Percent reduction in scar volume corresponded to clinical evaluation. Adverse reactions of the treatment included pain, immediate oedema/erythema, minimal scabbing and transient pigmentary alteration on treated areas. The average pain score was 5.6 of 10. Worsening of skin texture or new scar formation was not observed in any subjects.

Conclusion

Fractional radiofrequency microneedle system is a safe and effective device for treating acne scars in Asians with minimal risk of downtime and adverse effects.

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