Efficacy and Safety of Autologous Platelets Concentrate in the Treatment of Crow's Feet Photo Aging

I. Trujillo, Yetter Cruz León, Mariana Sarao Pineda, Nora Rosales Hernández, Yaquelin Luciana Morales Novo, Jesus Lazaro Diego De la Campa, Ángela Rosa Gutiérrez Rojas, J. L. López Silva, Daymi Serpa Almaguer
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Abstract

Introduction: Platelet rich plasma (PRP) is an autologous serum that contains high concentrations of platelets and growth factors. It is currently a versatile therapy in dermatology; however, few studies objectively evaluate its efficacy. Objective: To evaluate the efficacy and safety of intradermal microinjection of autologous platelet concentrate (APC) in the treatment of crow's feet rejuvenation. Method: An observational, analytical and longitudinal study was carried out in 60 patients from the Hospital Clínico Quirúrgico: “Hermanos Ameijeiras”, in the period between March 1, 2017 and March 31, 2020. The treatment was applied monthly. for 1 year. The final evaluation was carried out 3 months after the end of the treatment. Results: 60 women with an average age of 45 ± 4.3 years were treated. After treatment, there were significant changes in the Glogau Photo Damage Scale (P = 0.0022), in the Photonumeric Scale to assess the severity of crow's feet (P = 0.0111) and in the Global Aesthetic Improvement Scale. (P = 0.0033). The adverse events found were pain, inflammation and ecchymosis. The degree of satisfaction reported by the patients was good (16.6%) and very good (83.3%) (P = 0.0021). Conclusions: The autologous platelet concentrate proved to be effective and safe in reducing the signs of cutaneous aging of crow's feet, associated with a high degree of patient satisfaction.
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自体浓缩血小板治疗鱼尾纹光老化的疗效和安全性
富血小板血浆(PRP)是一种含有高浓度血小板和生长因子的自体血清。它目前是皮肤科的一种通用疗法;然而,很少有研究客观地评价其疗效。目的:评价皮内显微注射自体浓缩血小板(APC)治疗鱼尾纹年轻化的疗效和安全性。方法:在2017年3月1日至2020年3月31日期间,对Clínico Quirúrgico:“Hermanos Ameijeiras”医院的60名患者进行了观察性、分析性和纵向研究。治疗按月进行。1年。最终评估在治疗结束后3个月进行。结果:患者60例,平均年龄45±4.3岁。治疗后,Glogau光损伤量表(P = 0.0022)、用于评估鱼尾纹严重程度的Photonumeric量表(P = 0.0111)和Global Aesthetic Improvement Scale均有显著变化。(p = 0.0033)。发现的不良事件有疼痛、炎症和瘀斑。患者满意度为良好(16.6%)和非常好(83.3%)(P = 0.0021)。结论:自体浓缩血小板在减少鱼尾纹皮肤老化方面是有效和安全的,患者满意度高。
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