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Radio Peel-Synergism Between Nano-fractional Radiofrequency and 20% Trichloroacetic Acid Chemical Peeling.
Artzi, Ofir; Cohen, Sarit; Verner, Ines; Mehrabi, Joseph N; Naveh, Hadas Prag; Shoshani, Hadas; Nachlieli, Tal.
Afiliación
  • Artzi O; Department of Dermatology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
  • Cohen S; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
  • Verner I; Dr. Artzi and Associates, Laser & Cosmetic Dermatology Clinical Research Center, Tel Aviv, Israel.
  • Mehrabi JN; Department of Plastic and Reconstructive Surgery, Assaf Harofeh Medical Center, Zeriffin, Israel.
  • Naveh HP; Exellence Clinic, Kiriat Bialik, Israel.
  • Shoshani H; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
  • Nachlieli T; Department of Dermatology and Venereology, University of Rome "G. Marconi," Rome, Italy.
Dermatol Surg ; 45(5): 711-717, 2019 05.
Article en En | MEDLINE | ID: mdl-30908361
BACKGROUND: Microneedling fractional radiofrequency (FRF) and chemical peels are widely used for skin rejuvenation. OBJECTIVE: The authors aimed at evaluating the efficacy and safety of FRF and trichloroacetic acid 20% (TCA20%) peel in different combinations for determining the optimal treatment protocol. METHODS: In this prospective clinical comparison of 4 protocols (FRF alone, TCA20% alone, TCA20% before FRF [TCA→FRF], and TCA20% following FRF [FRF→TCA]), the patients underwent 3.8 ± 1.2 successive treatments of one protocol at 4- to 6-week intervals. The patients and 2 dermatologists evaluated improvement of pigmentation and dyschromia, erythema and blood vessels, laxity and wrinkling, and skin imperfections using a global aesthetic improvement scale (GAIS) and a 1 to 5 scoring system. The patients rated their satisfaction and reported adverse effects and reduced activity. Skin impedance and histological changes following the different protocols were also evaluated on 3 additional volunteers. RESULTS: Sixty-seven patients (age range 22-80 years) were studied. TCA→FRF caused skin impedance to decrease, yielding a more superficial and less-efficient penetration of FRF energy. FRF→TCA produced more significant improvement in overall facial skin appearance (GAIS) and most evaluated skin parameters. Adverse effects and satisfaction rates were similar for all approaches. CONCLUSION: FRF→TCA had the best synergistic effect on skin rejuvenation compared with FRF or TCA20% alone and TCA→FRF.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Rejuvenecimiento / Ácido Tricloroacético / Envejecimiento de la Piel / Quimioexfoliación / Técnicas Cosméticas / Terapia por Radiofrecuencia Tipo de estudio: Guideline / Observational_studies Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Dermatol Surg Asunto de la revista: DERMATOLOGIA Año: 2019 Tipo del documento: Article País de afiliación: Israel Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Rejuvenecimiento / Ácido Tricloroacético / Envejecimiento de la Piel / Quimioexfoliación / Técnicas Cosméticas / Terapia por Radiofrecuencia Tipo de estudio: Guideline / Observational_studies Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Dermatol Surg Asunto de la revista: DERMATOLOGIA Año: 2019 Tipo del documento: Article País de afiliación: Israel Pais de publicación: Estados Unidos