The efficacy of energy-based devices for enlarged facial pores : a systematic review
42
12
Issued Date
2023
Copyright Date
2023
Resource Type
Language
eng
File Type
application/pdf
No. of Pages/File Size
ix, 57 leaves : ill.
Access Rights
open access
Rights
ผลงานนี้เป็นลิขสิทธิ์ของมหาวิทยาลัยมหิดล ขอสงวนไว้สำหรับเพื่อการศึกษาเท่านั้น ต้องอ้างอิงแหล่งที่มา ห้ามดัดแปลงเนื้อหา และห้ามนำไปใช้เพื่อการค้า
Rights Holder(s)
Mahidol University
Bibliographic Citation
Thematic Paper (M.Sc. (Medicine))-Mahidol University, 2023
Suggested Citation
Sukit Chansuntinukul The efficacy of energy-based devices for enlarged facial pores : a systematic review. Thematic Paper (M.Sc. (Medicine))-Mahidol University, 2023. Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/117657
Title
The efficacy of energy-based devices for enlarged facial pores : a systematic review
Author(s)
Abstract
Facial pores, the small openings in the skin responsible for sweat and sebum passage, play a crucial role in maintaining skin health. However, when these pores become enlarged, it can lead to various cosmetic concerns and psychological impacts. Objectives: To determine the efficacy of each energy-based device for enlarged facial pores. Methods: A literature search was performed via the PubMed and Embase databases to identify relevant studies published without language restrictions through January 4th, 2023. The studies included randomized controlled studies of facial pores treated with energy-based devices and studies of energy-based devices combined with combination therapy. The primary outcome of the studies included pore count, pore volume, pore area, pore grading scales and improvement scales. The quality was assessed by using the Cochrane risk-of-bias tool/ RoB2. Results: A total of 4,134 studies were identified. After removing duplicates and screening the data, 264 full-text papers were evaluated for eligibility. Among these, 242 records were excluded, leaving 21 eligible studies. Ablative fractional lasers such as fractional carbon dioxide, erbium-doped yttrium aluminium garnet (Er:YAG), and yttrium scandium gallium garnet (YSGG) lasers have shown promise in reducing facial pores, with fractional carbon dioxide laser demonstrating significant improvement in multiple trials. Ablative fractional laser resurfacing combined with topical stem cell therapy has also yielded positive results. Non-ablative fractional lasers, particularly with 1565nm and 1927nm wavelengths, have been considered effective and safe for reducing facial pores. Other treatments like microneedle radiofrequency, focused ultrasound, intense pulsed light and certain laser modalities such as Q-switch Nd: YAG (with or without topical carbon), and fractional picosecond lasers with a 1064nm wavelength have demonstrated efficacy in reducing pore size, while long-pulse Nd: YAG lasers and fractional picosecond lasers with a 755nm wavelength and broadband light have shown mixed results or no benefits in reducing pores size. Limitations: The included studies exhibit heterogeneity in the assessment method, with variations between objective and subjective measures used to evaluate treatment efficacy. Furthermore, differences in study design, including variations in the method of measuring efficacy, treatment parameters, and patient characteristics, further complicate the comparison and synthesis of results. Due to these limitations, a meta-analysis cannot be performed. Implication of Thematic Paper: This thematic has the potential to provide a non-invasive or minimally invasive solution for individuals dealing with enlarged facial pores. Our results could contribute to advancing the field of dermatology and aesthetic medicine by informing future treatment approaches and guiding healthcare professionals in recommending suitable interventions for individuals seeking pore reduction.
Degree Name
Master of Science
Degree Level
Master's degree
Degree Department
Faculty of Medicine Ramathibodi Hospital
Degree Discipline
Medicine
Degree Grantor(s)
Mahidol University