Читать книгу Microneedling - Группа авторов - Страница 10

Microneedling, or percutaneous collagen induction therapy, was introduced in the 1990s for the treatment of scars, striae, and laxity [1]. The use of needles for nonablative skin treatment was first described by Orentreich and Orentreich in 1995 as subcision surgery, which is the release of depressed scars and wrinkles with a needle from their attachment to the underlying skin. This controlled trauma leads to the formation of connective tissue to fill the created gap.

Figure 1.1 Original microneedling roller created by Dr. Desmond Fernandes in 2001. Fixed needle length of 3.0 mm multiuse roller; designed for reuse on a single patient for approximately six treatment sessions. The original rollers were not able to be autoclaved at that time. They were sterilized by soaking in instrument cleaning fluid.

Source: Dr. Desmond Fernandes.

In 1996, skin needling using a roller device was introduced by Fernandes at the International Society of Aesthetic Plastic Surgery (ISAPS) congress in Taipei [2]. In 1997, Camirand and Doucet introduced dry tattooing without pigment as needle dermabrasion and proposed it as a technique to improve the appearance of scars [3].

Fernandes, in 2001, developed the original percutaneous collage induction dermaroller with needles. His pilot roller device was a drum‐shaped tool, with a cylinder and 3 mm needles that reach the fibroblasts deep in the reticular layer (see Figure 1.1).

Zeitter et al. confirmed Fernandes’s findings and made a modified roller. They concluded that 1 mm needles show similar results to 3 mm needles, with the advantage of less downtime, swelling, and pain [3, 4].