ORIGINAL PAPER
Monopolar radiofrequency versus pulsed dye laser for treatment of acne scars: a randomized clinical trial
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1
Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt
2
Physical Therapy and Rehabilitation Department, College of Applied Medical Sciences, Jouf University, Sakaka, Saudi Arabia
3
Department of Physical Therapy for Musculoskeletal Disorder and Its Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt
Submission date: 2021-01-12
Acceptance date: 2021-04-08
Publication date: 2022-03-29
Physiother Quart. 2022;30(1):73-77
KEYWORDS
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ABSTRACT
Introduction:
The main aim of the current study was to compare the effect of monopolar radiofrequency (MRF) and pulsed dye laser (PDL) in reducing acne scars and improving the cosmetic appearance.
Methods:
Overall, 30 patients suffering from mild or severe acne scars evaluated with the échelle d’évaluation clinique des cicatrices d’acné (ECCA) grading scale were randomly distributed into 2 groups. Group A (MRF group) was subjected to 1 session (8 minutes for each cheek) per month of MRF for 4 months. Group B (PDL group) received 1 session (5 minutes for each cheek) per month of PDL for 4 months. Pre- and post-treatment acne scar severity was assessed by using the ECCA grading scale and the self-assessment of clinical acne-related scars (SCARS) scale. Quality of life and the emotional impact of acne scars were evaluated by the facial acne scar quality of life (FASQoL) scale.
Results:
Both groups presented a significant decrease in ECCA scale, SCARS scale, and FASQoL scale after the treatment compared with the pre-treatment status (p < 0.001). There was a significant reduction in scores of ECCA scale, SCARS scale, and FASQoL scale in group B compared with group A after the treatment (p < 0.001).
Conclusions:
PDL is highly more effective than MRF in patients with acne scars.
REFERENCES (26)
2.
Layton AM. Disorders of the sebaceous glands. In: Burns T, Breathnach S, Cox N, Griffiths C (eds.), Rook’s textbook of dermatology, 8th ed. Oxford: Blackwell Science; 2010; 1–89.
3.
Holland DB, Jeremy AHT, Roberts SG, Seukeran DC, Layton AM, Cunliffe WJ. Inflammation in acne scarring: a comparison of the responses in lesions from patients prone and not prone to scar. Br J Dermatol. 2004;150(1):72–81; doi: 10.1111/j.1365-2133.2004.05749.x.
4.
Jacob CI, Dover JS, Kaminer MS. Acne scarring: a classification system and review of treatment options. J Am Acad Dermatol. 2001;45(1):109–117; doi: 10.1067/mjd.2001.113451.
5.
Goodman GJ. Postacne scarring: a review of its pathophysiology and treatment. Dermatol Surg. 2000;26(9):857–871; doi: 10.1046/j.1524-4725.2000.99232.x.
6.
Alster TS, Lupton JR. Nonablative cutaneous remodeling using radiofrequency devices. Clin Dermatol. 2007;25(5):487–491; doi: 10.1016/j.clindermatol.2007.05.005.
7.
Sadick NS, Makino Y. Selective electro-thermolysis in aesthetic medicine: a review. Lasers Surg Med. 2004;34(2):91–97; doi: 10.1002/lsm.20013.
8.
Fisher GH, Jacobson LG, Bernstein LJ, Kim KH, Geronemus RG. Nonablative radiofrequency treatment of facial laxity. Dermatol Surg. 2005;31(9 Pt 2):1237–1241; doi: 10.1111/j.1524-4725.2005.31932.
9.
Braun M. Combination of a new radiofrequency device and blue light for the treatment of acne vulgaris. J Drugs Dermatol. 2007;6(8):838–840.
10.
Bjerring P, Clement M, Heickendorff L, Egevist H, Kiernan M. Selective non-ablative wrinkle reduction by laser. J Cutan Laser Ther. 2000;2(1):9–15; doi: 10.1080/14628830050516542.
11.
Cunliffe WJ, Goulden V. Phototherapy and acne vulgaris. Br J Dermatol. 2000;142(5):855–856; doi: 10.1046/j.1365-2133.2000.03528.x.
12.
Patel N, Clement M. Selective nonablative treatment of acne scarring with 585 nm flashlamp pulsed dye laser. Dermatol Surg. 2002;28(10):942–945; doi: 10.1046/j.1524-4725.2002.02062.x.
13.
Dreno B, Khammari A, Orain N, Noray C, Mérial-Kieny C, Méry S, et al. ECCA grading scale: an original validated acne scar grading scale for clinical practice in dermatology. Dermatology. 2007;214(1):46–51; doi: 10.1159/000096912.
14.
Rivera AE. Acne scarring: a review and current treatment modalities. J Am Acad Dermatol. 2008;59(4):659–676; doi: 10.1016/j.jaad.2008.05.029.
15.
Layton A, Dréno B, Finlay AY, Thiboutot D, Kang S, Torres Lozada V, et al. New patient-oriented tools for assessing atrophic acne scarring. Dermatol Ther. 2016;6(2):219–233; doi: 10.1007/s13555-016-0098-5.
16.
Ramesh M, Gopal MG, Kumar S, Talwar A. Novel technology in the treatment of acne scars: the matrix-tunable radiofrequency technology. J Cutan Aesthet Surg. 2010;3(2):97–101; doi: 10.4103/0974-2077.69021.
17.
Elman M, Frank I, Cohen-Froman H, Harth Y. Effective treatment of atrophic and icepick acne scars using deep non-ablative radiofrequency and multisource fractional RF skin resurfacing. J Cosmet Dermatol Sci Appl. 2012;2:267–272; doi: 10.4236/jcdsa.2012.24051.
18.
Alster TS, McMeekin TO. Improvement of facial acne scars by the 585 nm flashlamp-pumped pulsed dye laser. J Am Acad Dermatol. 1996;35(1):79–81; doi: 10.1016/S0190-9622(96)90501-0.
19.
Harper JC. An update on the pathogenesis and management of acne vulgaris. J Am Acad Dermatol. 2004;51(1 Suppl.):S36–S38; doi: 10.1016/j.jaad.2004.01.023.
20.
Ruiz-Esparza J, Gomez JB. The medical face lift: a noninvasive, nonsurgical approach to tissue tightening in facial skin using nonablative radiofrequency. Dermatol Surg. 2003;29(4):325–332; doi: 10.1046/j.1524-4725.2003.29080.x.
21.
Iyer S, Suthamjariya K, Fitzpatrick RE. Using a radiofrequency energy device to treat the lower face: a treatment paradigm for a nonsurgical facelift. Cosmet Dermatol. 2003;16(2):37–40.
22.
Lee DH, Choi YS, Min SU, Yoon MY, Suh DH. Comparison of a 585-nm pulsed dye laser and a 1064-nm Nd:YAG laser for the treatment of acne scars: a randomized split-face clinical study. J Am Acad Dermatol. 2009;60(5):801–807; doi: 10.1016/j.jaad.2008.11.883.
23.
Alster T, Zaulyanov L. Laser scar revision: a review. Dermatol Surg. 2007;33(2):131–140; doi: 10.1111/j.1524-4725.2006.33030.x.
24.
Topol BM, Lewis Jr VL, Benveniste K, Cohen IK, McCoy BJ. The use of antihistamine to retard the growth of fibroblasts derived from human skin, scar, and keloid. Plast Reconstr Surg. 1981;68(2):227–232; doi: 10.1097/00006534-198108000-00018.
25.
Seaton ED, Charakida A, Mouser PE, Grace I, Clement RM, Chu AC. Pulsed-dye laser treatment for inflammatory acne vulgaris: randomised controlled trial. Lancet. 2003;362(9393):1347–1352; doi: 10.1016/s0140-6736(03)14629-6.
26.
Alster TS, Railan D. Laser scar revision. In: Goldman MP (ed.), Cutaneous and cosmetic laser surgery. Philadelphia: Mosby Elsevier; 2006; 271–276.