Tratamento da cicatriz de acne: revisão sistemática da literatura

Conteúdo do artigo principal

Fabiana Cardoso Martins
Gustavo José Vasco Pereira

Resumo

Revisão sistemática da literatura médica sobre os tratamentos  da cicatriz atrófica de acne. A cicatrizes de acne podem ser classificadas de acordo com a profundidade e a forma da perda de colágeno em três tipos principais: Icepick, boxcar e rolling scar. Cicatrizes severas tem sido reportado em 30% dos pacientes, embora cicatriz leve e moderada tem sido reportada em até 95% desses pacientes e são prejudiciais ao bem-estar físico e psicológico onde vários tratamentos têm sido aplicados para cicatriz de acne e há relatos de eficácia utilizando esse tratamentos isoladamente ou associados. Fornecemos revisão abrangente do tratamento de cicatrizes atróficas de acne, incluindo terapias comumente utilizadas, bem como opções de tratamento mais inovadoras.


 

Detalhes do artigo

Como Citar
Cardoso Martins, F., & Vasco Pereira, G. J. (2024). Tratamento da cicatriz de acne: revisão sistemática da literatura. Revista Brasileira De Ciências Biomédicas, 5(1), E0832024 – 1. https://doi.org/10.46675/rbcbm.v5i1.83
Seção
Artigos em fluxo contínuo
Biografia do Autor

Fabiana Cardoso Martins, Universiade Anhembi Morumbi – São Paulo – Brasil.

Discente do curso de Biomedicina da Universiade Anhembi Morumbi – São Paulo – Brasil.

Gustavo José Vasco Pereira, Universiade Anhembi Morumbi – São Paulo – Brasil.

Docente do curso de Bimedicina da Universiade Anhembi Morumbi – São Paulo – Brasil.

 

 

Referências

Layton AM, Henderson CA, Cunliffe WJ. A clinical evaluation of acne scarring and its incidence. Clin Exp Dermatol. 1994;19:303-8.

Zhang, Xin; Zhou, Meng; Liu, Yuzhen; Zeng, Rong. Recent advances in the treatment of acne using radiofrequency techniques - Lasers Med Sci;39(1): 92, 2024 Mar 19. NOTA: REVISÃO SBD DOI: https://doi.org/10.1007/s10103-024-04039-6

Rivera AE, Spencer JM. Clinical aspects of full-thickness wound healing. Clin Dermatol. 2007;25:39-48.

Weschler WP, Few JW, Jacob CI, Joseph JH, Spencer JM, Taub AF. Advancing the care of post-acne scarring: expert insights into new treatment options. J Drugs Dermatol. 2016;15:518-25.

Shekelle PG, Woolf SH, Eccles M, Grimshaw J. Developing clinical guidelines. West J Med. 1999;170:348-51.

Layton AM, Henderson CA, Cunliffe WJ. A clinical evaluation of acne scarring and its incidence. Clin Exp Dermatol. 1994;19:303-8. DOI: https://doi.org/10.1111/j.1365-2230.1994.tb01200.x

Goodman GJ, Baron JA. Post acne scarring-a qualitative global scarring grading system. J Cosmet Dermatol. 2006;5:48-52. DOI: https://doi.org/10.1111/j.1473-2165.2006.00222.x

Goodman GJ. Treating scars: addressing surface, volume, and movement to expedite optimal results. Part 2: more-severe grades of scarring. Dermatol Surg. 2012;38:1310-21.

Bhalla M, Thami GP. Microdermabrasion: reappraisal and brief review of literature. Dermatol Surg. 2006;32:809-14. DOI: https://doi.org/10.1111/j.1524-4725.2006.32165.x

Connolly D, Vu HL, Mariwalla K, Saedi N. Acne scarring–pathogenesis, evaluation, and treatment options. J Clin Aesthet Dermatol. 2017;10:12-3.

Connolly D, Vu HL, Mariwalla K, Saedi N. Acne scarring–pathogenesis, evaluation, and treatment options. J Clin Aesthet Dermatol. 2017;10:12-3.

Sharquie KE, Noaimi AA, Al-Janabi EA. Treatment of active acne vulgaris by chemical peeling using TCA 35%. J Cosm Dermal Scien Applicat. 2013;3:32-5. DOI: https://doi.org/10.4236/jcdsa.2013.33A2008

Park JH, Choi YD, Kim SW, Kim YC, Park SW. Effectiveness of modified phenol peel (Exoderm) on facial wrinkles, acne scars and other skin problems of Asian patients. J Dermatol. 2007;34:17-24. DOI: https://doi.org/10.1111/j.1346-8138.2007.00210.x

Lee JB, Chung WG, Kwahck H, Lee KH. Focal treatment of acne scars with trichloroacetic acid: chemical reconstruction of skin scars method. Dermatol Surg. 2002;28:1017-21. DOI: https://doi.org/10.1046/j.1524-4725.2002.02095.x

Agrawal N, Gupta LK, Khare AK, Kuldeep CM, Mittal A. Therapeutic response of 70% trichloroacetic acid CROSS in atrophic acne scars. Dermatol Surg. 2015;41:597-604. DOI: https://doi.org/10.1097/DSS.0000000000000355

Fabbrocini G, Fardella N, Monfrecola A, Proietti I, Innocenzi D. Acne scarring treatment using skin needling. Clin Exp Dermatol. 2009;34:874-7. DOI: https://doi.org/10.1111/j.1365-2230.2009.03291.x

Abdel Hay R, Shalaby K, Zaher H, Hafez V, Chi CC, Dimitri S, et al. Interventions for acne scars. Cochrane Database of Systematic Reviews 2016, Issue 4. Art. No.: CD011946. DOI: https://doi.org/10.1002/14651858.CD011946.pub2

Connolly D, Vu HL, Mariwalla K, Saedi N. Acne scarring–pathogenesis, evaluation, and treatment options. J Clin Aesthet Dermatol. 2017;10:12-3.

Hu S, Gold MH. Treatment of facial acne scars in Asian skin with the single-spot, 2940-nm Er:YAG dual-mode laser. J Drugs Dermatol. 2010;9:1341-4.

Tanzi EL, Alster TS. Single-pass carbon dioxide versus multiple-pass Er:YAG laser skin resurfacing: a comparison of postoperative wound healing and side-effect rates. Dermatol Surg. 2003;29:80-4. DOI: https://doi.org/10.1046/j.1524-4725.2003.29012.x

Shashank Bhargava 1, Paulo R Cunha 2, Jennifer Lee 3, George Kroumpouzos. Acne Scarring Management: Systematic Review and Evaluation of the Evidence - Am J Clin Dermatol. 2018 Aug;19(4):459-477. DOI: https://doi.org/10.1007/s40257-018-0358-5

Kim JE, Lee HW, Kim JK, Moon SH, Ko JW, Lee MW, et al. Objective evaluation of the clinical efficacy of fractional radiofrequency treatment for acne scars and enlarged pores in Asian skin. Dermatol Surg. 2014;40:988-95. DOI: https://doi.org/10.1097/01.DSS.0000452625.01889.c3

Cameli N, Mariano M, Serio M, Ardigo M. Preliminary comparison of fractional laser with fractional laser plus radiofrequency for the treatment of acne scars and photoaging. Dermatol Surg. 2014;40:553-61. DOI: https://doi.org/10.1111/dsu.12470

Kaminaka C, Uede M, Matsunaka H, Furukawa F. Clinical studies of the treatment of facial atrophic acne scars and acne with a bipolar fractional radiofrequency system. J Dermatol. 2015;42:580-7. DOI: https://doi.org/10.1111/1346-8138.12864

Vejjabhinanta V, Wanitphakdeedecha R, Limtanyakul P, Manuskiatti W. The efficacy in treatment of facial atrophic acne scars in Asians with a fractional radiofrequency microneedle system. J Eur Acad Dermatol Venereol. 2014;28:1219-25. DOI: https://doi.org/10.1111/jdv.12267

Orentreich DS, Orentreich N. Subcutaneous incisionless (subcision) surgery for the correction of depressed scars and wrinkles. Dermatol Surg. 1995;21:543-9. DOI: https://doi.org/10.1111/j.1524-4725.1995.tb00259.x

Alam M, Omura N, Kaminer MS. Subcision for acne scarring: technique and outcomes in 40 patients. Dermatol Surg. 2005;31:310-7. DOI: https://doi.org/10.1111/j.1524-4725.2005.31080

Anupama YG, Wahab AJ. Effectiveness of CO2 laser with subcision in patients with acne scars. J Cosmet Laser Ther. 2016;18:367-71.

Chawla S. Split face comparative study of microneedling with PRP versus microneedling with vitamin C in treating atrophic post acne scars. J Cutan Aesthet Surg. 2014;7:209-12.

Asif M, Kanodia S, Singh K. Combined autologous platelet-rich plasma with microneedling versus microneedling with distilled water in the treatment of atrophic acne scars: a concurrent split-face study. J Cosmet Dermatol. 2016;15:434-43.

Tenna S, Cogliandro A, Barone M, Panasiti V, Tirindelli M, Nobile C, et al. Comparative study using autologous fat grafts plus platelet-rich plasma with or without fractional CO2 laser resurfacing in treatment of acne scars: analysis of outcomes and satisfaction with FACE-Q. Aesthetic Plast Surg. 2017;4:661-6. DOI: https://doi.org/10.1007/s00266-017-0777-3

Zhu JT, Xuan M, Zhang YN, Liu HW, Cai JH, Wu YH, et al. The efficacy of autologous platelet-rich plasma combined with erbium fractional laser therapy for facial acne scars or acne. Mol Med Rep. 2013;8:233-7. DOI: https://doi.org/10.3892/mmr.2013.1455

Lee JW, Kim BJ, Kim MN, Mun SK. The efficacy of autologous platelet rich plasma combined with ablative carbon dioxide fractional resurfacing for acne scars: a simultaneous split-face trial. Dermatol Surg. 2011;37:931-8. DOI: https://doi.org/10.1111/j.1524-4725.2011.01999.x

Gawdat HI, Hegazy RA, Fawzy MM, Fathy M. Autologous platelet rich plasma: topical versus intradermal after fractional ablative carbon dioxide laser treatment of atrophic acne scars. Dermatol Surg. 2014;40:152-6.

Jacob CI, Dover JS, Kaminer MS. Acne scarring: a classification system and review of treatment options. J Am Acad Dermatol. 2001;45:109-17. DOI: https://doi.org/10.1067/mjd.2001.113451

Rivera AE, Spencer JM. Clinical aspects of full-thickness wound healing. Clin Dermatol. 2007;25:39-48. DOI: https://doi.org/10.1016/j.clindermatol.2006.10.001

Alam M, Han S, Pongprutthipan M, Disphanurat W, Kakar R, Nodzenski M, et al JAMA DERMATOL 2014; 150:844-9. b DOI: https://doi.org/10.1001/jamadermatol.2013.8687

Karnik J, Baumann L, Bruce S. J Am Acad Dermatol. 2014; 71:77-83. DOI: https://doi.org/10.1016/j.jaad.2014.02.034

Leheta TM, Abdel Hay RM, Garem YF. J Dermatolog Treat. 2014; 25:130–6. DOI: https://doi.org/10.3109/09546634.2012.674192

Tahra Leheta 1, Amira El Tawdy, Rania Abdel Hay, Sally Farid Dermatol Surg 2011 Feb;37(2):207-16. DOI: https://doi.org/10.1111/j.1524-4725.2010.01854.x

Y G Anupama 1, Afthab Jameela Wahab J Cosmet Laser Ther. 2016 Nov;18(7):367-371. DOI: https://doi.org/10.1080/14764172.2016.1188213

Jin Woong Lee, Beom Joon Kim, Myeung Nam Kim, Seog Kyun Mun Dermatol Surg. 2011 Jul;37(7):931-8.

Heba I Gawdat 1, Rehab A Hegazy, Marwa M Fawzy, Marwa Fathy Dermatol Surg. 2014 Feb;40(2):152-61. DOI: https://doi.org/10.1111/dsu.12392

Gita Faghihi, Saeid Nouraei, Ali Asilian, Shima Keyvan, Bahareh Abtahi-Naeini, Mehrdad Rakhshanpour,1 Mohammad Ali Nilforoushzadeh,2 and Sayed Mohsen Hosseini3 Indian J Dermatol. 2015 Sep-Oct; 60(5): 473–478. DOI: https://doi.org/10.4103/0019-5154.159616

Faghihi G, Poostiyan N, Asilian A, Abtahi-Naeini B, Shahbazi M, Iraji F, et al. J Cosmet Dermatol. 2017;16:223-9. DOI: https://doi.org/10.1111/jocd.12346

Simran Chawla. J Cutan Aesthet Surg. 2014 Oct-Dec;7(4):209-12 DOI: https://doi.org/10.4103/0974-2077.150742

Mohd Asif 1, Sanjay Kanodia 1, Kishor Singh J Cosmet Dermatol. 2016 Dec;15(4):434-443. DOI: https://doi.org/10.1111/jocd.12207

Mohamed Kotb Ibrahim 1, Shady Mahmoud Ibrahim 1, Amany Mohamed Salem J Dermatolog Treat. 2018 May;29(3):281-286.

Goodman GJ. Treating scars: addressing surface, volume, and movement to expedite optimal results. Part 2: more-severe grades of scarring. Dermatol Surg. 2012;38:1310-21. DOI: https://doi.org/10.1111/j.1524-4725.2012.02439.x

Taub AF, Garretson CB. Treatment of acne scars of skin types ii to v by sublative fractional bipolar radiofrequency and bipolar radiofrequency combined with diode laser. J Clin Aesthet Dermatol. 2011;4:18-27.

Li X, Fan H, Wang Y, Sun C, Yang X, Ma X, Jiao J. Fractional carbon dioxide laser combined with subcision for the treatment of three subtypes of atrophic acne scars: a retrospective analysis. Lasers Med Sci. 2023 Aug 28;38(1):195. DOI: https://doi.org/10.1007/s10103-023-03851-w

Aljefri YE, Ghaddaf AA, Alahmadi RA, Alkhamisi TA, Alkhunani TA, Samarkandy SJ, Alamri AM. Ablative fractional carbon dioxide laser combined with autologous platelet-rich plasma in the treatment of atrophic acne scars: A systematic review and meta-analysis. Dermatol Ther. 2022 Dec;35(12):e15888. DOI: https://doi.org/10.1111/dth.15888

Ghazzawi R, Hamadah O. A systematic review of evaluating the efficacy of acne scar treatment by Fractional Laser with or without using adjunctive treatments. J Cosmet Laser Ther. 2021 Aug;23(5-6):97-104. DOI: https://doi.org/10.1080/14764172.2022.2033785

Villani A, Carmela Annunziata M, Antonietta Luciano M, Fabbrocini G. Skin needling for the treatment of acne scarring: A comprehensive review. J Cosmet Dermatol. 2020 Sep;19(9):2174-2181. DOI: https://doi.org/10.1111/jocd.13577

Boen M, Jacob C. A Review and Update of Treatment Options Using the Acne Scar Classification System. Dermatol Surg. 2019 Mar;45(3):411-422. DOI: https://doi.org/10.1097/DSS.0000000000001765