Plasma Radiofrequency Ablation for Scar Treatment

Abstract

Scars are a common disfiguring sequela of various events such as acne, hidradenitis suppurativa, surgery, trauma, and burns, which can lead to serious psychosocial problems with a negative effect on the quality of life. Many conventional approaches have been proposed for the treatment of scars, including surgical techniques, dermabrasion, chemical peels, topical silicone gel, 5-fluorouracile and dermal fillers injection or autologous fat transfer for atrophic scars, and corticosteroids injection for hypertrophic and keloid scars; however, they have sporadic effects. Ablative lasers, such as carbon dioxide laser or Erbium Yag laser, are associated with many collateral effects limiting their application. Non-ablative laser treatments have been shown to be safer and to have fewer side effects, but they have a reduction of clinical efficacy compared to ablative lasers and a minimal improvement of scars. The demand for minimal invasive and safe technology for the treatment of a scars has stimulated the search for more effective novel therapy with fewer collateral effects. Plasma radiofrequency ablation is a new technique consisting of the generation of plasma energy through the production of ionized energy, which thermally heats tissue in a uniform and controlled manner, through a plasma radiofrequency device, inducing a sublimation of the tissue. The aim of this study is to evaluate the effectiveness of P-RF ablation in the treatment of scars performed with D.A.S. Medical device (Technolux, Italia), which is a tool working with the long-wave plasma radiofrequency principle.

The quantitative investigation of spark plasma on skin parameters with skin elasticity, thickness, density, and biometric characteristics

“…One of the key advantages of this technology over fragmented lasers that act uniformly on the entire treated region is the ability to customize treatment millimeter by millimeter. Furthermore, the lack of adverse effects associated with the lack of a light source and the plasma's ability to adjust heat transmission and lessen the inflammatory impact promotes good cutaneous stimulation 34 . This method has several advantages, including the absence of absolute contraindications, minimal pain during surgery, rapid healing, rapid formation of a protective layer after surgery, rapid healing of the wound surface, immediate return to regular activity, and optimal results in increasing skin elasticity.…”

Effect of general and surface anesthesia on micro-plasma radiofrequency of hypertrophic scar: A retrospective cohort study

“…[7][8][9] High-temperature ionized gas can act on the tissue from heating to crusting, which is precise and rapid in healing and largely limits additional skin damage. [10] However, due to the deep penetration depth of radiofrequency, patients feel pain during treatment, which is not conducive to scar treatment and postoperative recovery.…”

Treatment of Atrophic Acne Scarring with Fractional Microplasma Radiofrequency: A Multicentric Experience

“…While this approach has shown promise in delivering superior results, it also raises concerns regarding the heightened risk of complications, especially in individuals with darker skin tones classified as Fitzpatrick IV and V. Despite the growing body of literature on the application of plasma RF in treating acne-related sequelae, there remains a notable gap in research focused on more aggressive treatment strategies for this demographic. 9 , 10 …”