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Histologic Evidence of New Collagen Formulation Using Platelet Rich Plasma in Skin Rejuvenation: A Prospective Controlled Clinical Study

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주제분류피부과학

초록

Background: Platelet-rich plasma (PRP) is an autologous concentration of human platelets contained in a small volume of plasma and has recently been shown to accelerate rejuvenate aging skin by various growth factors and cell adhesion molecules. Objective: This study was conducted to evaluate the efficacy and safety of intradermal injection of PRP in the human facial rejuvenation. Methods: This study was a prospective, single-center, single-dose, open-label, non-randomized controlled clinical study. PRP injected to the upper site of this right infra-auricular area and all face. Saline was injected to the left infra-auricular area. Histopathological examinations were performed before PRP treatment, 28 days after the PRP, and saline (control) treatments. Results: Twenty women ranging in age from 40 to 49 years (mean age, 43.65±2.43 years) were enrolled in the study. The mean optical densities (MODs) of collagen in the pre-treatment, control, and PRP-treated area were measured. They were 539±93.2, 787±134.15, 1,019±178, respectively. In the MOD of PRP, 89.05 percent improvement was found when MOD of PRP was compared with MOD of pre-treatment. The mean MOD of collagen fibers was clearly highest on the PRP side (p<0.001). The PRP-to-saline improvement ratio (89.05% to 46.01%) was 1.93:1. No serious side effects were detected. Conclusion: PRP increases dermal collagen levels not only by growth factors, but also by skin needling (the mesotherapy technique ‘point by point’). PRP application could be considered as an effective (even a single application) and safety procedure for facial skin rejuvenation.

Abstract

Background: Platelet-rich plasma (PRP) is an autologous concentration of human platelets contained in a small volume of plasma and has recently been shown to accelerate rejuvenate aging skin by various growth factors and cell adhesion molecules. Objective: This study was conducted to evaluate the efficacy and safety of intradermal injection of PRP in the human facial rejuvenation. Methods: This study was a prospective, single-center, single-dose, open-label, non-randomized controlled clinical study. PRP injected to the upper site of this right infra-auricular area and all face. Saline was injected to the left infra-auricular area. Histopathological examinations were performed before PRP treatment, 28 days after the PRP, and saline (control) treatments. Results: Twenty women ranging in age from 40 to 49 years (mean age, 43.65±2.43 years) were enrolled in the study. The mean optical densities (MODs) of collagen in the pre-treatment, control, and PRP-treated area were measured. They were 539±93.2, 787±134.15, 1,019±178, respectively. In the MOD of PRP, 89.05 percent improvement was found when MOD of PRP was compared with MOD of pre-treatment. The mean MOD of collagen fibers was clearly highest on the PRP side (p<0.001). The PRP-to-saline improvement ratio (89.05% to 46.01%) was 1.93:1. No serious side effects were detected. Conclusion: PRP increases dermal collagen levels not only by growth factors, but also by skin needling (the mesotherapy technique ‘point by point’). PRP application could be considered as an effective (even a single application) and safety procedure for facial skin rejuvenation.

참고문헌 (13)

  1. Redaelli A., "Face and neck revitalization with platelet-rich plasma(PRP) : clinical outcome in a series of 23 consecutively treated patients", J Drugs Dermatol, 9, pp.466~472 (2010)
  2. Banihashemi M., "An introduction to application of platelet rich plasma(PRP)in skin rejuvenation", Rev Clin Med, 1, pp.38~43 (2014)
  3. Kakudo N., "Proliferation-promoting effect of platelet-rich plasma on human adipose-derived stem cells and human dermal fibroblasts", Plast Reconstr Surg, 122, pp.1352~1360 (2008)
  4. Dae Hun Kim, "Can Platelet-rich Plasma Be Used for Skin Rejuvenation? Evaluation of Effects of Platelet-rich Plasma on Human Dermal Fibroblast", Annals of Dermatology, 23(4), pp.424~431 (2011), 대한피부과학회
  5. Cho JW., "Platelet-rich plasma induces increased expression of G1 cell cycle regulators, type I collagen, and matrix metalloproteinase-1 in human skin fibroblasts", Int J Mol Med, 29, pp.32~36 (2012)
  6. Anitua E., "Fibroblastic response to treatment with different preparations rich in growth factors", Cell Prolif, 42, pp.162~170 (2009)
  7. Karabudak O., "Histologic evidence of new collagen formation using a Q-switched Nd : YAG laser in periorbital rhytids", J Dermatolog Treat, 19, pp.300~304 (2008)
  8. Mutlu Çayırlı, "Regression of Melasma with Platelet-Rich Plasma Treatment", Annals of Dermatology, 26(3), pp.401~402 (2014), 대한피부과학회
  9. Kakudo N., "Platelet-rich plasma promotes epithelialization and angiogenesis in a splitthickness skin graft donor site", Med Mol Morphol, 44, pp.233~236 (2011)
  10. Shin MK., "Platelet-rich plasma combined with fractional laser therapy for skin rejuvenation", Dermatol Surg, 38, pp.623~630 (2012)
  11. Yuksel EP., "Evaluation of effects of platelet-rich plasma on human facial skin", J Cosmet Laser Ther, 16, pp.206~208 (2014)
  12. Nofal E., "Platelet-rich plasma versus CROSS technique with 100% trichloroacetic acid versus combined skin needling and platelet rich plasma in the treatment of atrophic acne scars : a comparative study", Dermatol Surg, 40, pp.864~873 (2014)
  13. Lu Y, "Effects of"surrounding needling"on hydroxyproline content and ultrastructures in the dermis of aged rats", Zhongguo Zhen Jiu, 28, pp.61~64 (2008)

관련 논문AI추천

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