Treatment of Acne Scars With Erbium:Yttrium Aluminum Garnet (Er:YAG) Laser Examined Under OCT
Study Details
Study Description
Brief Summary
This study is examining the effects of the 2940 nm Er:YAG on atrophic facial acne scars under optical coherence tomography in terms of blood flow, vessel shape, skin roughness, collagen content, and epidermal thickness.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Laser Treatment Patients will receive one laser treatment (week 0) with the Erbium YAG laser at a 2940nm wavelength (Alma - Harmony XL Laser) and parameters corresponding with their acne scar severity. They will then return to the clinic 1, 4 and 8 weeks (7, 30, and 56 days + 7 days) after the treatment for their scars to be evaluated under optical coherence tomography. Laser parameters are as follows: iPixelEr 2940nm Erbium:YAG Module: mild scars: 7 by 7 (7X7) mm tip, energy 1400-1600 millijoules/P (mJ), pulse energy 5 Hz, 2-6 stacks, pulse mode L, 2-3 passes, 10% overlap moderate scars: 7X7 mm tip, energy 1600-1800 mJ/P, pulse energy 5 Hz, 2-6 stacks, pulse mode L, 2-3 passes, 10% overlap severe scars: 7X7 mm tip, 1800-2000 mJ/P, pulse energy 5 Hz, 2-6 stacks, pulse mode L, 2-3 passes, 10% overlap |
Device: Alma - Harmony XL Laser
The Erbium YAG laser at a 2940nm wavelength is used for ablative laser resurfacing as well as treating acne scars.
Other Names:
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Outcome Measures
Primary Outcome Measures
- Change in blood flow [During 8 weeks]
Optical coherence tomography (OCT) will be used to quantitatively measure changes in facial atrophic acne scars in terms of blood flow (proportion of signals with strong dynamic signal (%)/depth (mm)).
- Change in epidermal thickness [During 8 weeks]
Optical coherence tomography (OCT) will be used to quantitatively measure changes in facial atrophic acne scars in terms of epidermal thickness (mm).
- Change in collagen content [During 8 weeks]
OCT will be used to qualitatively measure changes in facial atrophic acne scars in terms of collagen content. Collagen content will be measured in terms of brightness of OCT scan. Areas of skin that contain collagen tend to be brighter (more white in color) whereas areas with less collagen content tend to be darker.
- Change in skin roughness [During 8 weeks]
OCT will be used to quantitatively measure changes in facial atrophic acne scars in terms of skin roughness (µm).
Secondary Outcome Measures
- The Patient Scar Assessment Scale [During 8 weeks]
Scale (1-10) used to qualitatively monitor treatment and changes in scars by the patient.
- The Observer Scar Assessment Scale [During 8 weeks]
Scale (1-10) used to qualitatively monitor treatment and changes in scars by the dermatologist.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patients should be 18-90 years of age
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Patients should have Fitzpatrick skin types of I-III
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Patients should have at least mild acne
Exclusion Criteria:
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The patient should not be receiving any additional systemic, topical, or intralesional treatment of the scars during the study
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Pregnant or lactating females
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Fitzpatrick skin type of IV-VI
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A history of keloids or hypertrophic scars
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Scleroderma
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Photosensitivity
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Botulinum toxin injection, facial laser resurfacing, chemical peels, fillers, or usage of oral retinoid within the last 6 months
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Subjects with a known history of herpes simplex
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Sylvester Comprehensive Cancer Center | Miami | Florida | United States | 33130 |
Sponsors and Collaborators
- University of Miami
Investigators
- Principal Investigator: Keyvan Nouri, MD, University of Miami
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 20170490