A Comparative Study of Microneedling radiofrequency and Fractional co2 laser in the treatment of atrophic acne scars

Main Article Content

R.G.Sharada
Babbita Sandi
C.R.V.Narasimhalu

Keywords

Acne vulgaris, Acne scars, Fractional CO2, Microneedling Radiofrequency

Abstract

Objective: To compare the efficacy of MNRF and Fractional CO2laser in patients with atrophic acne scars.
Materials and methods: This study is prospective randomized, comparative study done after obtaining the patient’s consent. 40 patients with atrophic acne scars in the age group 18 years to 35 years were included in our study. They are divided into Group A and Group B with 20 patients each. MNRF was done for Group A and Fractional CO2 laser was done for group B. Both groups were treated for 4 sessions at 4 weekly intervals.
Results: In our study, the maximum number of patients were under the age group of 22-25 years. Males (72.5%) were more commonly affected than females (27.5%).45% had scars for a period of 1-3 years. The most common type of acne scar is the mixed/combined type (50%). Majority of the patients in MNRF had Grade 3 acne scars (40%) and fractional co2 had Grade 2 acne scars (60%). The common complications observed in our study was erythema (45%).
Conclusion: Micro-Needling Radiofrequency was found to be safest and more effective modality when compared with fractional co2 laser for the treatment of atrophic acne scar.

Abstract 514 | pdf Downloads 444

References

1. Dréno B, Tan J, Kang S, Rueda M-J, Torres Lozada V, Bettoli V, et al. How People with Facial Acne Scars are Perceived in Society: an Online Survey. Dermatol Ther (Heidelb). 2016 Apr 18;6(2):207–18.
2. Hazarika N, Archana M. The Psychosocial Impact of Acne Vulgaris. Indian J Dermatol. 2016;61(5):515–20.
3. Goodman GJ. Management of Post-Acne Scarring: What are the Options for Treatment? American Journal of Clinical Dermatology. 2000 Jan;1(1):3–17.
4. Juhasz ML, Cohen JL. Microneedling for the Treatment of Scars: An Update for Clinicians. CCID. 2020 Dec;Volume 13:997–1003.
5. Ramsdell W. Fractional Carbon Dioxide Laser Resurfacing. Seminars in Plastic Surgery. 2012 Nov 1;26(03):125–30.
6. Reddy K, Swaroop R, Mallaya R, Ghosh A, Krishn Z. A comparative study of efficacy of fractional carbondioxide laser and microneedling fractonal radiofrequency in the treatment of acne scars. IP Indian Journal of Clinical and Experimental Dermatology. 2021 Feb 28;7:47–53.
7. Rajput CD, Gore SB, Ansari MK, Shah SM. A Prospective, Nonrandomized, Open-label Study, Comparing the Efficacy, Safety, and Tolerability of Fractional CO2 Laser versus Fractional Microneedling Radio Frequency in Acne Scars. J Cutan Aesthet Surg. 2021 Jun;14(2):177–83.
8. Majid I, Imran S. Fractional CO2 Laser Resurfacing as Monotherapy in the Treatment of Atrophic Facial Acne Scars. J Cutan Aesthet Surg. 2014;7(2):87–92.
9. Layton AM, Henderson CA, Cunliffe WJ. A clinical evaluation of acne scarring and its incidence. Clin Exp Dermatol. 1994 Jul;19(4):303–8.