Dermal Microcoring for Skin Laxity, Rhytides, and Scars.

IF 2.5 3区 医学 Q2 DERMATOLOGY Dermatologic Surgery Pub Date : 2024-11-01 DOI:10.1097/DSS.0000000000004432
David A Hashemi, Joy Tao, Jordan V Wang, Girish Munavalli, Roy G Geronemus
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Abstract

Background: Dermal microcoring extracts cores of skin that are small enough to allow healing in a scarless fashion. Its use has been reported in the treatment of skin laxity, rhytides, and textural abnormalities.

Objective: To report the authors' clinical experience using dermal microcoring in a variety of cases.

Materials and methods: A retrospective chart review was performed looking at dermal microcoring cases for any indication between August 2022 and March 2024.

Results: Thirty-eight patients were treated. Overall, 32 (84.2%) patients were women, with median age of 67 years (R: 20-80 years). Fitzpatrick skin types I to V were represented. Among patients with adequate photographs for review, improvements of grade 3 and 4 (good and excellent) were seen in 85.7% (n = 18/21) treated for skin laxity and rhytides, 50.0% (n = 3/6) treated for acne scars, 66.7% (n = 2/3) treated for traumatic or surgical scars, and 100.0% (n = 3/3) treated for foreign material. Six (15.4%) patients experienced erythema or hyperpigmentation lasting more than 4 weeks, and 2 (5.1%) patients experienced temporary focal scarring, which improved with intralesional therapy and laser treatment. No patients experienced permanent dyspigmentation, prolonged edema, or infection.

Conclusion: Dermal microcoring has been demonstrated to safely and effectively treat skin laxity, rhytides, scars, and foreign material.

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针对皮肤松弛、褶皱和疤痕的皮肤微切术
背景:真皮微切口提取的皮肤核心足够小,可以在无疤痕的情况下愈合。据报道,它可用于治疗皮肤松弛、褶皱和纹理异常:报告作者在各种病例中使用真皮微切口的临床经验:对 2022 年 8 月至 2024 年 3 月期间任何适应症的真皮微切病例进行回顾性病历审查:结果:共有 38 名患者接受了治疗。总体而言,32 名(84.2%)患者为女性,中位年龄为 67 岁(R:20-80 岁)。菲茨帕特里克皮肤类型为 I 至 V。在有足够照片供复查的患者中,85.7%(18/21)的皮肤松弛和褶皱患者、50.0%(3/6)的痤疮疤痕患者、66.7%(2/3)的外伤或手术疤痕患者以及100.0%(3/3)的异物疤痕患者的治疗效果达到了3级和4级(良好和极佳)。有 6 名患者(15.4%)出现了持续 4 周以上的红斑或色素沉着,2 名患者(5.1%)出现了暂时性局灶性疤痕,但经过点内治疗和激光治疗后情况有所改善。没有患者出现永久性色素沉着、长期水肿或感染:结论:皮肤微切口已被证明能安全有效地治疗皮肤松弛、皱褶、疤痕和异物。
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来源期刊
Dermatologic Surgery
Dermatologic Surgery 医学-皮肤病学
CiteScore
3.10
自引率
16.70%
发文量
547
期刊介绍: Exclusively devoted to dermatologic surgery, the Dermatologic Surgery journal publishes the most clinically comprehensive and up-to-date information in its field. This unique monthly journal provides today’s most expansive and in-depth coverage of cosmetic and reconstructive skin surgery and skin cancer through peer-reviewed original articles, extensive illustrations, case reports, ongoing features, literature reviews and correspondence. The journal provides information on the latest scientific information for all types of dermatologic surgery including: -Ambulatory phlebectomy- Blepharoplasty- Body contouring- Chemical peels- Cryosurgery- Curettage and desiccation- Dermabrasion- Excision and closure- Flap Surgery- Grafting- Hair restoration surgery- Injectable neuromodulators- Laser surgery- Liposuction- Microdermabrasion- Microlipoinjection- Micropigmentation- Mohs micrographic surgery- Nail surgery- Phlebology- Sclerotherapy- Skin cancer surgery- Skin resurfacing- Soft-tissue fillers. Dermatologists, dermatologic surgeons, plastic surgeons, oculoplastic surgeons and facial plastic surgeons consider this a must-read publication for anyone in the field.
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