Short-term effects of vacuum massage on epidermal and dermal thickness and density in burn scars: an experimental study

Meirte, Jill; Moortgat, Peter; Anthonissen, Mieke; Maertens, Koen; Lafaire, C.; Cuyper, Lieve De; Hubens, Guy; Daele, Ulrike Van

doi:10.1186/s41038-016-0052-x

Cited by 12 publications

(16 citation statements)

References 35 publications

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“…The DUB high‐resolution ultrasound imaging is a high‐frequency ultrasound device that is used to measure both epidermal and dermal thickness. It has been shown to assess dermal and epidermal thickness in relation to burn scars and basal cell carcinomas [27,28]. However, there is little to no evidence investigating the use of this device to assess aesthetic treatments.…”

Section: Discussionmentioning

confidence: 99%

Novel Use of Non‐Invasive Devices and Microbiopsies to Assess Facial Skin Rejuvenation Following Laser Treatment

Kislevitz

Lu²,

Wamsley

et al. 2020

Lasers Surg Med

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Background and Objective: Patient-reported outcomes and blinded observer rating scales are subjective and unreliable but are extensively utilized to evaluate cosmetic office-based treatments, including ablative lasers. This study aims to assess the practicality of using noninvasive and minimally invasive methods for objective skin assessment following a skin rejuvenation treatment. Study Design/Materials and Methods: Twelve patients received a single 1,470/2,940 nm laser treatment for facial rejuvenation. Assessments were performed before treatment, and 7 days, 3 weeks, and 3 months posttreatment. Images were taken with the VISIA Skin Analysis System to measure wrinkles, textures, pores, ultraviolet (UV) spots, brown spots, red areas, and porphyrins. Other non-invasive skin measurements-highresolution ultrasonography, optical coherence tomography, transepidermal water loss and BTC 2000-were used to measure epidermal/dermal thickness, blood flow, surface roughness, wrinkle depth, attenuation coefficient, elasticity, laxity, and viscoelasticity. Microbiopsies (0.33 mm in diameter or the equivalent of a 23-gauge needle) were collected for histology and gene expression of tissue rejuvenation. Results: Significant improvement in facial skin aesthetics after laser treatment was recorded in UV spots, brown spots and pores after 3 weeks and in UV spots and brown spots after 3 months. The dermal attenuation coefficient decreased significantly at 3 weeks, while blood flow 0.5 to 0.7 mm below the skin surface increased significantly between 5 days and 3 weeks following treatment. Epidermal hyaluronic acid expression assessed by immunostaining and expression of inflammatory genes were elevated at 7 days posttreatment compared with untreated or 3 months posttreatment. There were no statistically significant changes in collagen or elastin-related genes between groups at the studied parameters. Conclusion: Non-invasive devices can be effectively used to provide objective measurements of skin structure, pigmentation, blood flow, and elasticity to assess the efficacy of facial skin rejuvenation treatments. Furthermore, microbiopsies can objectively evaluate facial skin rejuvenation without scarring. Using non-invasive skin imaging, a single treatment with the 1,470/2,940 nm laser was observed to be effective in improving skin appearance after 3 months, namely in reducing UV spots and brown spots, without significant changes in the tissue at the molecular level, as assessed by microbiopsy. Lasers Surg.

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Section: Discussionmentioning

confidence: 99%

Novel Use of Non‐Invasive Devices and Microbiopsies to Assess Facial Skin Rejuvenation Following Laser Treatment

Kislevitz

Lu²,

Wamsley

et al. 2020

Lasers Surg Med

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“…Unfortunately, the changes were transient, and diminished after about two hours; nevertheless, this 2016 study gave hope about the possibility of vacuum to enhance the extracellular matrix (ECM) remodeling and proliferation. The writers themselves attribute the increased dermal thickness to edema [25], which is probably due to the prolonged time interval used in this study. This current experiment was held to study changes in the histological structure of healthy mammalian skin in response to two weeks of exposure to INP, taking the albino mice as a model.…”

Section: Introductionmentioning

confidence: 93%

“…It would be of a great value to detect the histological changes of skin and subcutaneous tissue after subjection to intermittent negative pressure (INP). Mierte et al studied how the dermis and epidermis changes in structure within scar tissue postvacuum [25]; they noticed a significant reduction in the epidermal thickness and increase in the dermis layer girth. Unfortunately, the changes were transient, and diminished after about two hours; nevertheless, this 2016 study gave hope about the possibility of vacuum to enhance the extracellular matrix (ECM) remodeling and proliferation.…”

Section: Introductionmentioning

confidence: 99%

The histological changes attributed to intermittent negative pressure on mice skin

Abbadi¹,

Idris²,

Nafie³

2019

Chinese J Med Res

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Background: Modern applications of negative pressure in healthcare include wound therapy, assisted child delivery, sleep apnea, and liposuction.Studies in negative pressure effects in the skin are scarce but promising. Objectives: To study the changes that could occur to the skin and subcutaneous tissue after exposure to two weeks period of intermittent negative pressure, using the albino mice as a model. Study design: Experimental animal study. Materials and methods: Ten albino mice were subjected to two sessions/day of intermittent negative pressure (INP) for two weeks. The tested skin areas were then excised for histology examination and compared with a control patches from the same mice. Skin biopsies were stained with H&E (Harris Hematoxilin), Mayer's Hematoxilin, and Masson's trichrome stain. The slides were reviewed by pathologists and photographed. Results: The test slides showed marked loss of sebaceous glands and hair follicles, increased condensation of collagen, inflammatory features in the form of white blood cells infiltrations and edematous patches. Conclusion: Applying INP to the skin of albino mice results in the reduction of sebaceous glands and hair follicles, and evident signs of inflammatory changes.

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“…Vacuum massage is a noninvasive mechanical massage technique performed with a device that lifts the skin using suction. This is thought to promote mobilization of the skin, increasing tissue distensibility 8,9 . This technique produces additional stretching of the skin when combined with heating using either ultrasound or paraffin.…”

Section: Introductionmentioning

confidence: 99%

Effects of therapeutic ultrasound and paraffin with or without vacuum massage on biomechanical properties of grafted skin after burn: a randomized controlled trial

Gonçalves

Guirro

Rossi

et al. 2022

Rev. Assoc. Med. Bras.

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OBJECTIVE: This study aimed to compare the effects of therapeutic ultrasound and paraffin with or without vacuum massage on the biomechanical properties of grafted skin after a burn. METHODS: A total of 44 patients with deep second-and third-degree burns, with a mean age of 35.89 (±11.53) years, who visited the Hospital Burn Unity, were included in the study. The therapeutic interventions were randomly defined by drawing lots, with a crossover design (crossover), and a minimum interval of 7 days (washout) between interventions. Skin biomechanical parameters such as distensibility (R0) and viscoelasticity (R6) were noninvasively evaluated by Cutometer before and after 0, 10, 20, and 30 min of intervention with therapeutic ultrasound and paraffin alone, as well as associated with negative pressure therapy of the skin (vacuum therapy). In this study, all groups showed increased distensibility (R0) in the period immediately after the application of the resources and a progressive reduction in the effects in the consecutive tests. Participants with skin grafts showed a decrease in viscoelasticity (R6) in all groups, except therapeutic paraffin and therapeutic ultrasound and vacuum massage. CONCLUSION: The biomechanical properties of grafted skin after a burn are altered after therapeutic intervention with ultrasound alone or associated with vacuum massage, such as intervention with paraffin associated with vacuum massage, for both parameters evaluated, skin distensibility (R0) and skin viscoelasticity (R6). However, the same did not occur for the intervention with isolated paraffin. There was no significant difference between the interventions therapeutic ultrasound and therapeutic paraffin.

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Short-term effects of vacuum massage on epidermal and dermal thickness and density in burn scars: an experimental study

Cited by 12 publications

References 35 publications

Novel Use of Non‐Invasive Devices and Microbiopsies to Assess Facial Skin Rejuvenation Following Laser Treatment

Novel Use of Non‐Invasive Devices and Microbiopsies to Assess Facial Skin Rejuvenation Following Laser Treatment

The histological changes attributed to intermittent negative pressure on mice skin

Effects of therapeutic ultrasound and paraffin with or without vacuum massage on biomechanical properties of grafted skin after burn: a randomized controlled trial

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