Objective To explore the effects of dermabrasion combined with ReCell on large superficial facial scars caused by burn, trauma and acnes. Methods Nineteen patients with large superficial facial scars were treated b...Objective To explore the effects of dermabrasion combined with ReCell on large superficial facial scars caused by burn, trauma and acnes. Methods Nineteen patients with large superficial facial scars were treated by the same surgeon with dermabrasion combined with ReCell？. According to the etiology, patients were classified into post-burning group （n=5）, post-traumatic group （n=7） and post-acne group （n=7）. Fifteen patients completed the follow-ups, 5 patients in each group. Healing time, complication rate, the preoperative and 18-month-post-operative assessments using Patient Satisfaction Score （PSS）, Vancouver Scar Scale （VSS）, and Patient and Observer Scar Assessment Scale （POSAS） of each group were analyzed to compare the effect of the combined therapy on outcomes.Results The healing time of post-burning group （19.6±4.0 days）, post-traumatic group （15.8±2.6 days）, and post-acne group （11.4±3.1 days） varied remarkably （F=7.701, P=0.007）. The complication rates were 60%, 20%, and 0 respectively. The post-operative POSAS improved significantly in all groups （P〈0.05）, where the most significant improvement was shown in the post-acne group （P〈0.05）. The post-operative PSS and VSS improved only in the post-traumatic group and post-acne group （all P〈0.05）, where the more significant improvement was also shown in the post-acne group （P〈0.05）. Conclusions The combined treatment of dermabrasion and ReCell has remarkable effect on acne scars, moderate effect on traumatic scars and is not suggested for burn scars. POSAS should be applied to assess the therapeutic effects of treatments for large irregular scars.展开更多
To oberserve the changes in histopathology and clinical effect after the treatment of superficial scars in human faces and exposed parts of human extremities with crystallitic dermabrasion.Methods The machine made in ...To oberserve the changes in histopathology and clinical effect after the treatment of superficial scars in human faces and exposed parts of human extremities with crystallitic dermabrasion.Methods The machine made in Italy can produce the high speed crystallite to the surface of the scar,resulting in the alveolate wounds.At the same time the crystolitic drill make the accidented scar smooth.Results Two thousands and five hundreds and thirty eight suffers were treated for 2～10 times.The appearance of the scars was improved.Six patients complicated with milium,Eleven got hypopigmentation,eight got hypomelanotation.Eighty percent patients of this groups got pigmentation after the treatment.This signs disappeared or improved after 2～6 months.Histopathology demonstrated the scar area became small,the fibroblasts increased remarkably and the collagenous fiber arranged regularly.The cells in the stratum spinosum proliferated actively.Conclusion Crystallitic dermabrasion is a simple and safe method for the treatment of skin superficial scars.5 refs,4 figs.展开更多
Objective:Many facial plastic surgery procedures can be performed in an office-based setting,ranging from simple chemical peels to reconstructive surgeries to assist with scar revision.The aim of this review is to sum...Objective:Many facial plastic surgery procedures can be performed in an office-based setting,ranging from simple chemical peels to reconstructive surgeries to assist with scar revision.The aim of this review is to summarize the current state of facial plastics in-office surgical procedures,including scar revision,dermabrasion,lasers,and chemical peels.Methods:A literature review was conducted with the PubMed search engine with the following keywords:facial plastics,scar revision,dermabrasion,lasers,chemical peels,face,office,and outpatient.The literature was surveyed for relevance,with a focus on realistically which procedures were performed in a facial plastics surgery outpatient clinic.These were then used to compile a review of the current state of this field.Results and Conclusions:There are various scar revision procedures that can be performed in the office setting,including z-plasty,w-plasty,and geometric broken line closure techniques,as well as various nonmedical treatment options to improve the appearance of a scar.Dermabrasion can also be performed to assist with elevated scars.Various lasers are available to enhance cell turnover in the field of facial rejuvenation,scarring,and sun damage.Chemical peels are also available to assist with facial rejuvenation.With the appropriate counseling of the patient and medical staff,these can be safely performed in the office.展开更多
基金Supported by National Natural Science Foundation of China(81372063)
文摘Objective To explore the effects of dermabrasion combined with ReCell on large superficial facial scars caused by burn, trauma and acnes. Methods Nineteen patients with large superficial facial scars were treated by the same surgeon with dermabrasion combined with ReCell？. According to the etiology, patients were classified into post-burning group （n=5）, post-traumatic group （n=7） and post-acne group （n=7）. Fifteen patients completed the follow-ups, 5 patients in each group. Healing time, complication rate, the preoperative and 18-month-post-operative assessments using Patient Satisfaction Score （PSS）, Vancouver Scar Scale （VSS）, and Patient and Observer Scar Assessment Scale （POSAS） of each group were analyzed to compare the effect of the combined therapy on outcomes.Results The healing time of post-burning group （19.6±4.0 days）, post-traumatic group （15.8±2.6 days）, and post-acne group （11.4±3.1 days） varied remarkably （F=7.701, P=0.007）. The complication rates were 60%, 20%, and 0 respectively. The post-operative POSAS improved significantly in all groups （P〈0.05）, where the most significant improvement was shown in the post-acne group （P〈0.05）. The post-operative PSS and VSS improved only in the post-traumatic group and post-acne group （all P〈0.05）, where the more significant improvement was also shown in the post-acne group （P〈0.05）. Conclusions The combined treatment of dermabrasion and ReCell has remarkable effect on acne scars, moderate effect on traumatic scars and is not suggested for burn scars. POSAS should be applied to assess the therapeutic effects of treatments for large irregular scars.
文摘To oberserve the changes in histopathology and clinical effect after the treatment of superficial scars in human faces and exposed parts of human extremities with crystallitic dermabrasion.Methods The machine made in Italy can produce the high speed crystallite to the surface of the scar,resulting in the alveolate wounds.At the same time the crystolitic drill make the accidented scar smooth.Results Two thousands and five hundreds and thirty eight suffers were treated for 2～10 times.The appearance of the scars was improved.Six patients complicated with milium,Eleven got hypopigmentation,eight got hypomelanotation.Eighty percent patients of this groups got pigmentation after the treatment.This signs disappeared or improved after 2～6 months.Histopathology demonstrated the scar area became small,the fibroblasts increased remarkably and the collagenous fiber arranged regularly.The cells in the stratum spinosum proliferated actively.Conclusion Crystallitic dermabrasion is a simple and safe method for the treatment of skin superficial scars.5 refs,4 figs.
文摘Objective:Many facial plastic surgery procedures can be performed in an office-based setting,ranging from simple chemical peels to reconstructive surgeries to assist with scar revision.The aim of this review is to summarize the current state of facial plastics in-office surgical procedures,including scar revision,dermabrasion,lasers,and chemical peels.Methods:A literature review was conducted with the PubMed search engine with the following keywords:facial plastics,scar revision,dermabrasion,lasers,chemical peels,face,office,and outpatient.The literature was surveyed for relevance,with a focus on realistically which procedures were performed in a facial plastics surgery outpatient clinic.These were then used to compile a review of the current state of this field.Results and Conclusions:There are various scar revision procedures that can be performed in the office setting,including z-plasty,w-plasty,and geometric broken line closure techniques,as well as various nonmedical treatment options to improve the appearance of a scar.Dermabrasion can also be performed to assist with elevated scars.Various lasers are available to enhance cell turnover in the field of facial rejuvenation,scarring,and sun damage.Chemical peels are also available to assist with facial rejuvenation.With the appropriate counseling of the patient and medical staff,these can be safely performed in the office.
