A Clinical Report on Facial Atrophic Scars treatment with Acupotomy

Deul Le Min; Yong Ho Lee; Nam Gyeong Go; Le Min, Deul; Lee, Yong Ho; Go, Nam Gyeong

doi:10.13048/jkm.15027

JKM > Volume 36(3); 2015 > Article

Le Min, Lee, and Go: A Clinical Report on Facial Atrophic Scars treatment with Acupotomy

Case Report

The Journal of Korean Oriental Medicine 2015; 36(3): 144-153.

DOI: https://doi.org/10.13048/jkm.15027

A Clinical Report on Facial Atrophic Scars treatment with Acupotomy

Deul Le Min¹, Yong Ho Lee¹, Nam Gyeong Go¹

¹Onbody Oriental Medicine Clinic

Correspondence to: 민들레(Deul Le Min), 서울특별시 강남구 논현동 200-6 동양빌딩 5층 온바디한의원, Tel: +82-2-1661-3975, Fax: 0505-333-1375, E-mail: piyo928@hanmail.net

Received August 06, 2015 Revised September 18, 2015 Accepted September 18, 2015

Abstract

Objectives:

The purpose of this study is to evaluate the clinical effectiveness of acupotomy in the treatment of various facial atrophic scars except acne scars.

Methods:

Four patients with facial atrophic scars were treated by superficial dermal undermining with acupotomy. They were treated six times, and evaluated by comparing before and after photos, PGA(Physician’s Global assessment), SESES(The Stony Brook Scar Evaluation Score) and patient satisfaction.

Results and Conclusions:

After observing case photos, PGA, SBSES, patient’s satisfaction, it can be considered that acupotomy is an effective treatment modality for facial atrophic scars and it has no significant side effects.

Keywords: Facial atrophic scar, Acupotomy, PGA, SBSES

Fig. 1.

Before and after treatment of case 1 patient

Fig. 2.

Before and after treatment of case 2 patient

Fig. 3.

Before and after treatment of case 3 patient

Fig. 4.

Before and after treatment of case 4 patient

Fig. 5.

SBSES change before and after scar treatment

Table 1.

Physician’s Global Assessment(PGA)

Evaluation of improvement	Points
None	0
Slight	1
Average	2
Good	3
Very good	4

Table 2.

The Stony Brook Scar Evaluation Score

	Scar category	No. of^*Points
Width	> 2mm	0
Width	≤ 2mm	1

Height	Elevated or depressed in relation to surrounding skin	0
Height	Flat	1

Color	Darker than surrounding skin (red, purple, brown, or black)	0
Color	Same color or lighter than surrounding skin	1

Hatch marks or suture marks	Present	0
Hatch marks or suture marks	Absent	1

Overall appearance	Poor	0
Overall appearance	Good	1

* Total score=sum of individual scores; range, 0 (worst) to 5 (best)

Table 3.

The Results of Scar Treatment

Case	Sex	Age	PGA	SBSES		Satisfaction	Recommendation	Re-treatment
Case	Sex	Age	PGA	before	after	Satisfaction	Recommendation	Re-treatment
1	F	21	4	0 (0-0-0-0-0)	3 (0-1-0-1-1)	Good	7	7
2	F	22	4	0 (0-0-0-0-0)	5 (1-1-1-1-1)	Very good	10	10
3	F	29	3	0(0-0-0-0-0)	3 (0-1-1-0-1)	Very good	8	10
4	F	30	4	0(0-0-0-0-0)	4 (1-1-0-1-1)	Very good	10	10

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