Abstract

Background: The interest in maintaining a young and attractive appearance in an era with increasingly hectic rhythms has generated a pressing demand for effective aesthetic procedures with the shortest possible recovery period, stimulating the search for non-invasive, yet successful, solutions. The aim of this study was to evaluate the effectiveness of the combined soft peeling and MN technique on the various imperfections typical of facial aging. Methods: This multicentric uncontrolled experimental study recruited a population of healthy subjects of both sexes with advanced signs of photo- and chrono-aging. These subjects were provided with a single session of microneedling and peeling at the same time. Recruited subjects were re-evaluated 30 (±4) and 60 (±4) days after treatment by photographic comparison before and after treatment. The physicians evaluated the improvement of facial wrinkles according to the Wrinkle Assessment Scale of Lemperle. Forty-nine subjects completed the study and showed a significant improvement in wrinkles in all areas of the face. Results: There were no significant differences in the different subpopulations compared: males–females, Glogau 3–Glogau 4, smokers–non-smokers, phototypes 1–4, and check up at 30 days–control at 60 days. The adverse events manifested were localized edema in four cases (8.2%) lasting an average of 3–4 days, very fine crustiness in four cases (8.2%), transient post inflammatory dyschromia in two cases (4.1%) lasting 2–3 weeks, and herpetic reactivation in one case (2.0%). Conclusions: The study demonstrates the therapeutic efficacy of the combined needling-peeling treatment in different types of wrinkles.

Highlights

  • 38 women and 11 men completed the study and were evaluated at 30 and 60 days after treatment, while 4 subjects who did not perform the check within the pre-established timing and 3 subjects who experienced the onset of an acute inflammatory pathology that led to the intake of medication, were not considered suitable for evaluation

  • There were no significant differences in the different subpopulations compared: males

  • The concept of controlled deep damage limited to an area surrounded by uninjured healthy tissue has already been used by other technologies, such as CO2 laser resurfacing and voltaic arc dermabrasion, to improve results and reduce recovery time; this study shows that the same concept can be successfully applied to the combined MN-soft peeling technique

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Summary

Introduction

The interest in maintaining a young and attractive appearance in an era with increasingly hectic rhythms has generated a pressing demand for effective aesthetic procedures associated with the shortest possible recovery period, stimulating the search for non-invasive, yet successful, solutions. The interest in maintaining a young and attractive appearance in an era with increasingly hectic rhythms has generated a pressing demand for effective aesthetic procedures with the shortest possible recovery period, stimulating the search for non-invasive, yet successful, solutions. Methods: This multicentric uncontrolled experimental study recruited a population of healthy subjects of both sexes with advanced signs of photo- and chrono-aging. These subjects were provided with a single session of microneedling and peeling at the same time. The physicians evaluated the improvement of facial wrinkles according to the Wrinkle Assessment Scale of Lemperle

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Conclusion

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