Abstract
Atrophic scars after acne are a widespread condition that can have a negative impact on the patient’s quality of life. Correction methods for acne scars include chemical peeling, dermabrasion, ablative or non-ablative laser resurfacing, filler insertion and surgical techniques. Depending on the type and severity of the scar, an individual approach is required to obtain satisfactory results.Material and methods. Under observation were 61 patients with various manifestations of post-acne. Among them 21 (34.44 %) men and 40 (65.57 %) women. Depending on the therapy, the patients were divided into two groups and two subgroups depending on the type of scar. Efficiency was evaluated using ultrasound scanning.Results. The RF microneedle method and fractional photothermolysis have a positive effect on the epidermo-dermal structure of the skin, which is expressed in the approximation of the acoustic density and thickness of the epidermis and dermis to normal values. The most pronounced positive effect in both methods was noted in the correction of post-acne hypertrophic scars. When analyzing the results of correction of atrophic scars, more pronounced positive dynamics was observed after the use of RF microneedles.
Highlights
a widespread condition that can have a negative impact on the patient's quality of life
the patients were divided into two groups
two subgroups depending on the type of scar
Summary
Методы коррекции рубцов после акне включают химический пилинг, дермабразию, абляционную или неабляционную лазерную шлифовку, введение филлеров и хирургические методы. Наиболее выраженный положительный эффект у обоих методов отмечен при коррекции гипертрофических рубцов постакне. При анализе результатов коррекции атрофических рубцов более выраженная положительная динамика наблюдалась после применения RF-микроигл. The most pronounced positive effect in both methods was noted in the correction of post-acne hypertrophic scars. When analyzing the results of correction of atrophic scars, more pronounced positive dynamics was observed after the use of RF microneedles. Гистологически атрофические рубцы постакне представляют собой атрофию кожи и потерю коллагена, эластина и глубокой жировой клетчатки, что приводит к нисходящему натяжению эпидермиса [7]. Лечение рубцов постакне включает лазерную терапию, дермабразию, пилинг, дермальные филлеры для восполнения потерянного объема для больших очагов, хирургические процедуры.
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