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rofessor of uermaLology

uetmotoloqy uolt
nommetsmltb nospltol
looJoo, uk
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1o compare Lhe safeLy and efflcacy of Lhe uermaroller
and uermapen ln LreaLlng aLrophlc acne scarrlng
Speclflcally compare:
Pow well LoleraLed
Pow easy for Lhe operaLor Lo use
Pow long was Lhe downLlme
Pow effecLlve ln lmprovlng scarrlng uslng sub[ecLlve
and ob[ecLlve measures

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uermaroller
SLalnless sLeel acupuncLure
needles
0.23mm needle gauge
1.3mm needle lengLh
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uermapen
SLalnless sLeel acupuncLure
needles
0.33mm needle gauge
0.3-2.3mm needle lengLh
Speed from 1 (23 Lo 30/sec)
Lo 7 (83 Lo 90/sec)
8efote
*-, *"(!(-(@
Apply MlA cteom
koll 4 tlmes vettlcolly, botlzootolly ooJ
Jloqooolly.
1bls tesolts lo oboot 250 cboooels/cm
2
.

No oeeJ to opply blqb ptessote.
Alm to ocbleve plopolot bleeJloq.
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loltlol cltcolot motloo, tbeo
botlzootol ooJ vettlcol foot tlmes.
1bls tesolts lo ovet 80 cboooels/sec.

8andomlsed Lrlal ln paLlenLs wlLh aLrophlc acne scarrlng
who had aL leasL one LreaLmenL wlLh Lhe uermaroller
8andomlsaLlon uslng a compuLer-generaLed
randomlsaLlon llsL
Croup A furLher LreaLmenL wlLh Lhe uermaroller
and assessmenL aL Lhree monLhs
Croup 8 LreaLmenL wlLh Lhe uermapen
and assessmenL aL Lhree monLhs
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uay 0
8ecrulLmenL
8andomlsaLlon
ldenLlfy scar Lo examlne vlsloscan
1reaLmenL
uay 84
aLlenL and operaLor quesLlonnalre
vlsloscan

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60 paLenLs were recrulLed lnLo Lhls sLudy
Cne rolllng scar was ldenLlfled on each paLlenL, marked and
phoLographed
Scar was scanned uslng Lhe vlsloscan vC98
LMLA cream was applled and covered wlLh polyLhene for
one hour
LMLA removed and skln swabbed wlLh alcohol
lllasL serum was applled Lo Lhe skln ln a Lhln layer
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uv-A llqbt vlJeo cometo
wltb blqb tesolotloo

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uv lmoqe
Ju kecoosttoctloo
uslng vlsloscan sofLware, volume of Lhe scar was calculaLed.
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uermaroller was performed rolllng four Llmes,
horlzonLally, dlagonally and verLlcally
uermapen was seL aL 1.3mm and Lhe face LreaLed wlLh
clrcular moLlon, Lhen horlzonLally and Lhen verLlcally four
Llmes aL speed seven.
8lood was wlped away wlLh sLerlle gauze and Lhe skln
washed wlLh sLerlle sallne.
Cold packs were applled for flve mlnuLes.
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aLlenLs were asked Lo flll ouL a quesLlonnalre followlng
LreaLmenL comparlng paln/dlscomforL wlLh prevlous
uermaroller LreaLmenL uslng a flve polnL scale:
1 = Much less palnful
2 = Less palnful
3 = Same
4 = More palnful
3 = Much more palnful
(*#"$!(" B>#.!,(&&$,"#
CperaLor was asked Lo assess ease of use and versaLlllLy
compared Lo Lhe uermaroller ln Lhose havlng uermapen,
uslng a flve polnL scale:
1 = very much easler
2 = Lasler
3 = Same
4 = More dlfflculL
3 = Much more dlfflculL
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AL vlslL Lwo, paLlenLs were asked how long Lhe downLlme
was for Lhelr prevlous LreaLmenL ln days.
Asked Lo assess lmprovemenL ln Lhelr scarrlng uslng a flve
polnL scale:
1 = Cood lmprovemenL
2 = SllghL lmprovemenL
3 = no lmprovemenL
4 = SllghLly worse
3 = Much worse
(*#"$!(" B>#.!,(&&$,"#
CperaLor was asked Lo assess lmprovemenL ln scarrlng
uslng a flve polnL scale:
1 = Cood lmprovemenL
2 = SllghL lmprovemenL
3 = no lmprovemenL
4 = SllghLly worse
3 = Much worse
A,.,(.-$&
uslng Lhe vlsloscan sofLware, Lhe volume of Lhe scar
was calculaLed for each scar
1he percenLage reducLlon ln volume was assessed
aL vlslL Lwo
"#.>@!.
60 paLlenLs were recrulLed lnLo Lhe sLudy
48 compleLed vlslLs one and Lwo (20 ln group A and 28 ln
group 8)
LlghL paLlenLs losL Lo follow up, four paLlenLs have yeL Lo
aLLend Lhe flnal vlslL due Lo delays ln sLarLlng Lhe sLudy
C
D
E
F
G
HC
HD
HE
HF
HG
H D I E J
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aLlenL AssessmenL of ulscomforL vlslL 3
1 = Mocb less polofol 5 = Mocb mote polofol
Ctoop A uetmotollet
Ctoop 8 uetmopeo
0
2
4
6
8
10
12
14
16
18
20
H 04; D 04;8 I 04;8 E K4;8 J 04;8
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uownLlme ln uays aL vlslL 3
Ctoop A uetmotollet
Ctoop 8 uetmopeo
1 = Mocb lmptoveJ J = No cbooqe 5 = Mocb wotse
Ctoop A uetmotollet
Ctoop 8 uetmopeo
"#.>@!.
lmprovemenL Assessed 8y aLlenL aL vlslL 3
C
D
E
F
G
HC
HD
HE
HF
HG
DC
H D I E J
C
J
HC
HJ
DC
DJ
H D I E J
"#.>@!.
lmprovemenL Assessed 8y CperaLor
1 = Mocb lmptoveJ J = No cbooqe 5 = Mocb wotse
Ctoop A uetmotollet
Ctoop 8 uetmopeo
A,.,(.-$&
8educLlon ln volume of Assessed Scar
Croup A uermaroller
20 paLlenLs
8educLlon = 29.1 ) 4.82
Croup 8 uermapen
28 paLlenLs
8educLlon = 42 ) 7.97
-(&-@>.,(&.
uermapen has slgnlflcanL advanLages over uermaroller
Lasler Lo use and more versaLlle ln LreaLlng areas such as Lhe
upper llp and nose
Less palnful and beLLer LoleraLed by Lhe paLlenL
Less downLlme
More effecLlve ln lmprovlng aLrophlc acne scars
"#.>@!.
8efote Aftet
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8efote Aftet
ooJ
*25=K6; L25=M<N N5 ;5= L;O
lot mote lofotmotloo oo tbe uetmopeo,
vlslt www.Jetmopeo.com.oo ot emoll lofoepolpmeJ.com.