Comparing the Efficacy and Patient Satisfaction in Treatment of Facial Static Wrinkles Using CO2 Fraxel Laser Alone or with Radiofrequency

Document Type : Original Article (s)

Authors

1 Associate Professor, Skin and Stem Cell Research Center, Tehran University of Medical Sciences, Tehran AND Skin Diseases and Leishmaniasis Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

2 Assistant Professor, Skin Diseases and Leishmaniasis Research Center, AND Department of Dermatology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

3 General Practitioner, Skin Diseases and Leishmaniasis Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Lasers and light-based treatments are currently the standard and useful methods for treating various stages of aging. Several studies have shown that the most successful results in treating wrinkles are achieved via combination of different treatment protocols. In this study, we compared the efficacy and patient satisfaction in treatment of facial static wrinkles using CO2 fraxel laser alone or with radiofrequency.Methods: In this clinical trial study, 50 patients with the inclusion criteria were randomly selected from Novin Laser Clinic, Isfahan, Iran, and divided into two groups. Group I were treated with CO2 fraxel laser and group II were treated with CO2 fraxel laser and radiofrequency. 3 and 6 months after the treatment, clinical improvement and patient satisfaction were evaluated and compared between the groups.Findings: 3 and 6 months after the treatment, patient satisfaction and clinical improvement were not significantly different between the two studied groups treated with CO2 fraxel laser alone or with radiofrequency.Conclusions: According to our findings, adding radiofrequency to the treatment of facial static wrinkles with CO2 fraxel laser does not any effect on patient satisfaction and clinical improvement. More studies on patients with different skin types could be useful.

Keywords

References

  1. Ehrlich M, Rao J, Pabby A, Goldman MP. Improvement in the appearance of wrinkles with topical transforming growth factor beta(1) and l-ascorbic acid. Dermatol Surg 2006; 32(5): 618-25.
  2. Gold MH, Goldman MP, Rao J, Carcamo AS, Ehrlich M. Treatment of wrinkles and elastosis using vacuum-assisted bipolar radiofrequency heating of the dermis. Dermatol Surg 2007; 33(3): 300-9.
  3. Beylot C. Skin aging: clinicopathological features and mechanisms]. Ann Dermatol Venereol 2008; 135(Suppl 3): S157-S161. [In French].
  4. Singh M, Griffiths CE. The use of retinoids in the treatment of photoaging. Dermatol Ther 2006; 19(5): 297-305.
  5. Ramon Y, Fodor A, Ullmann Y. Deep phenol peeling and fat injection: treatment option for perioral wrinkles in a scleroderma patient. Dermatol Surg 2005; 31(7 Pt 1): 777-9.
  6. Thornfeldt CR. Chronic inflammation is etiology of extrinsic aging. J Cosmet Dermatol 2008; 7(1): 78-82.
  7. Morita A. Tobacco smoke causes premature skin aging. J Dermatol Sci 2007; 48(3): 169-75.
  8. Helfrich YR, Yu L, Ofori A, Hamilton TA, Lambert J, King A, et al. Effect of smoking on aging of photoprotected skin: evidence gathered using a new photonumeric scale. Arch Dermatol 2007; 143(3): 397-402.
  9. Chung JH, Eun HC. Angiogenesis in skin aging and photoaging. J Dermatol 2007; 34(9): 593-600.
  10. Landau M. Exogenous factors in skin aging. Curr Probl Dermatol 2007; 35: 1-13.
  11. Makrantonaki E, Zouboulis CC. Molecular mechanisms of skin aging: state of the art. Ann N Y Acad Sci 2007; 1119: 40-50.
  12. Stoebner PE, Meunier L. Photoaging of face. Ann Dermatol Venereol 2008; 135(1 Pt 2): 1S21-6. [In French].
  13. Cosgrove MC, Franco OH, Granger SP, Murray PG, Mayes AE. Dietary nutrient intakes and skin-aging appearance among middle-aged American women. Am J Clin Nutr 2007; 86(4): 1225-31.
  14. Alster TS, Lupton JR. Nonablative cutaneous remodeling using radiofrequency devices. Clin Dermatol 2007; 25(5): 487-91.
  15. Rinaldi F. Laser: a review. Clin Dermatol 2008; 26(6): 590-601.
  16. Weinstein GD, Nigra TP, Pochi PE, Savin RC, Allan A, Benik K, et al. Topical tretinoin for treatment of photodamaged skin. A multicenter study. Arch Dermatol 1991; 127(5): 659-65.
  17. Weiss JS, Ellis CN, Headington JT, Tincoff T, Hamilton TA, Voorhees JJ. Topical tretinoin improves photoaged skin. A double-blind vehicle-controlled study. JAMA 1988; 259(4): 527-32.
  18. Bitter P, Jr., Stephen MR. Report of a new technique for enhanced non-invasive skin rejuvenation using a dual mode pulsed light and radio-frequency energy source: selective radio-thermolysis. J Cosmet Dermatol 2002; 1(3): 142-3.
  19. Doshi SN, Alster TS. Combination radiofrequency and diode laser for treatment of facial rhytides and skin laxity. J Cosmet Laser Ther 2005; 7(1): 11-5.
  20. Friedman DJ, Gilead LT. The use of hybrid radiofrequency device for the treatment of rhytides and lax skin. Dermatol Surg 2007; 33(5): 543-51.
  21. Sadick NS, Trelles MA. Nonablative wrinkle treatment of the face and neck using a combined diode laser and radiofrequency technology. Dermatol Surg 2005; 31(12): 1695-9.
  22. Finzi E, Spangler A. Multipass vector (mpave) technique with nonablative radiofrequency to treat facial and neck laxity. Dermatol Surg 2005; 31(8 Pt 1): 916-22.
  23. Cohen SR, Henssler C, Horton K, Broder KW, Moise-Broder PA. Clinical experience with the Fraxel SR laser: 202 treatments in 59 consecutive patients. Plast Reconstr Surg 2008; 121(5): 297e-304e.
  24. Kono T, Chan HH, Groff WF, Manstein D, Sakurai H, Takeuchi M, et al. Prospective direct comparison study of fractional resurfacing using different fluences and densities for skin rejuvenation in Asians. Lasers Surg Med 2007; 39(4): 311-4.
  25. Wanner M, Tanzi EL, Alster TS. Fractional photothermolysis: treatment of facial and nonfacial cutaneous photodamage with a 1,550-nm erbium-doped fiber laser. Dermatol Surg 2007; 33(1): 23-8.
  26. Jih MH, Goldberg LH, Kimyai-Asadi A. Fractional photothermolysis for photoaging of hands. Dermatol Surg 2008; 34(1): 73-8.
  27. Graber EM, Tanzi EL, Alster TS. Side effects and complications of fractional laser photothermolysis: experience with 961 treatments. Dermatol Surg 2008; 34(3): 301-5.
Journal of Isfahan Medical School
Volume 31, Issue 269 - Serial Number 269
November and December 2014
Pages 2336-2345

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History

  • Receive Date: 25 December 2012
  • Revise Date: 01 November 2024
  • Accept Date: 06 April 2022

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