Evaluation of the Clinical Efficacy of Fractional Radiofrequency Microneedle Treatment in Acne Scars and Large Facial Pores

• Published in: Dermatologic surgery 2012-07, Vol.38 (7pt1), p.1017-1024
• Main Authors: Cho, Soo Ick, Chung, Bo Young, Choi, Min Gyu, Baek, Ji Hwoon, Cho, Hee Jin, Park, Chun Wook, Lee, Cheol Heon, Kim, Hye One
• Format: Article
• Language: English
• Subjects: Acne Vulgaris - complications; Adolescent; Adult; Biological and medical sciences; Cicatrix - etiology; Cicatrix - pathology; Cicatrix - surgery; Dermatologic Surgical Procedures; Dermatology; Face; Female; Follow-Up Studies; Humans; Hyperthermia, Induced - adverse effects; Hyperthermia, Induced - methods; Male; Medical sciences; Middle Aged; Needles; Patient Satisfaction; Radio Waves - adverse effects; Radio Waves - therapeutic use; Sebum - metabolism; Skin - pathology; Skin involvement in other diseases. Miscellaneous. General aspects; Skin plastic surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Treatment Outcome; Water Loss, Insensible; Young Adult
• ISSN: 1076-0512; 1524-4725
• DOI: 10.1111/j.1524-4725.2012.02402.x

Background Fractional technology overcomes the problems of ablative lasers, such as inaccurate depth control and damage to the epidermis. Minimally invasive fractional radiofrequency microneedle devices allow for more‐selective heating of the dermis. Objective To evaluate the clinical efficacy of fractional radiofrequency microneedle (ERM) treatment in acne scars and large facial pores. Materials and Methods Thirty patients with acne scars and large facial pores were enrolled. Bipolar radiofrequency energy was delivered to the skin through the electrodes of the FRM device. Skin lesions were evaluated according to grade of acne scars, Investigator Global Assessment of large pores, skin surface roughness, transepidermal water loss (TEWL), dermal density, microscopic and composite image, sebum measurement, and questionnaires regarding patient satisfaction. Results The grade of acne scars and Investigator Global Assessment of large pores improved in more than 70% of all patients. Skin surface roughness, dermal density, and microscopic and composite images also improved, whereas TEWL and sebum measurement did not change. Conclusion Clinical improvement from FRM treatment appeared to be related to dermal matrix regeneration. FRM treatment may be effective in improving acne scars and facial pores.