Aging skin is one of the most definite signs of physical aging and results in fine wrinkles and rhytides, dyschromia, and skin laxity. 1 In addition to intrinsic aging, which gradually degenerates dermal tissue, chronic exposure to ultraviolet radiation causes extrinsic aging or photoaging. 2 Photoaged skin typically demonstrates decreased collagen synthesis and structural changes in the collagen fiber network along with the accumulation of degenerated elastic fibers in the papillary and mid-dermis. There is a substantial demand for dermal rejuvenation with minimal invasiveness and patient downtime.The insulated monopolar radiofrequency (RF) microneedle device is an emerging treatment modality in cosmetic dermatology.Regardless of the subtype, RF utilizes the intrinsic resistance of tissue to convert electrical current into thermal form. 3 Thermal energy transmitted to the targeted depth mechanically contracts dermal Abstract Background: There is a tremendous demand for dermal rejuvenation with minimal invasiveness and patient downtime.
Aims:In this study, we evaluated the performance of nonfractional monopolar radiofrequency for the improvement of photoaged skin texture and wrinkles.
Methods:In total, 32 6-week-old female hairless mice were randomized into four groups of eight mice each: (a) healthy control, (b) UVB-exposed, (c) UVB + microneedling, and (d) UVB + microneedle RF. After applying each treatment modality, skin surface was globally investigated and histologically evaluated senile skin change.Immunohistochemistry was tested with the primary antibody to collagen type I and III.
Results: After UVB exposure, the Ra value was significantly increased, leading to clinical development of wrinkles with xerotic scales. Depth and number of wrinkles showed gradual improvement in RF-treated mice. The mean Ra value of the RFtreated group decreased significantly. The RF-treated group showed decreased epidermal thickness, suppression of dermal inflammatory cell infiltration, and increased density of collagen fibers and amount of elastic fibers. Conclusions: Microneedle RF treatment alleviates photoaged skin texture and wrinkles in this mouse model. To the best of our knowledge, our results provide the first evidence that a nonfractional monopolar microneedle radiofrequency device may contribute to the treatment of UV-damaged skin. K E Y W O R D S microneedling, photoaging, radiofrequency, rejuvenation, wrinkle How to cite this article: Hong JY, Kwon T-R, Kim JH, Lee BC, Kim BJ. Prospective, preclinical comparison of the performance between radiofrequency microneedling and microneedling alone in reversing photoaged skin. J Cosmet Dermatol.