The therapeutic effect of sufficient oxygen-rich PRP injection in facial rejuvenation by multiple objective evaluations in 26 cases

Background: Ozone can enhance the expression of some growth factors (GFs) in platelet rich plasma (PRP), recent study showed oxygen-rich PRP (ozonized PRP) have better therapeutic effects on bone and joint diseases. PRP injection has been widely used in the treatment of facial rejuvenation, but the...

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Main Authors: Jianyun Lu, Tong Zhang, Lu Zhou, Xiaoliang Tong, Rong Gui, Ling Jiang, Zhen Tang, Yunfeng Fu, Guosheng Zhao, Jinrong Zeng, Lihua Gao
Format: Article
Language:English
Published: Elsevier 2024-06-01
Series:Regenerative Therapy
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Online Access:http://www.sciencedirect.com/science/article/pii/S2352320424001007
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author Jianyun Lu
Tong Zhang
Lu Zhou
Xiaoliang Tong
Rong Gui
Ling Jiang
Zhen Tang
Yunfeng Fu
Guosheng Zhao
Jinrong Zeng
Lihua Gao
author_facet Jianyun Lu
Tong Zhang
Lu Zhou
Xiaoliang Tong
Rong Gui
Ling Jiang
Zhen Tang
Yunfeng Fu
Guosheng Zhao
Jinrong Zeng
Lihua Gao
author_sort Jianyun Lu
collection DOAJ
description Background: Ozone can enhance the expression of some growth factors (GFs) in platelet rich plasma (PRP), recent study showed oxygen-rich PRP (ozonized PRP) have better therapeutic effects on bone and joint diseases. PRP injection has been widely used in the treatment of facial rejuvenation, but the efficacy of sufficient oxygen-rich PRP in facial rejuvenation has not been studied. Objective: Firstly, we examined whether ozone treatment can increase the concentration of GFs of PRP in vitro. And then a variety of subjective and objective detection methods were used to evaluate the effect of sufficient(10–12 mL each time for the injection of face and neck) oxygen-rich (ozonized PRP) PRP injection in facial rejuvenation by follow-up for 6 months. At last, we investigated the satisfaction, side effects and pain score of the treatment through a questionnaire survey. Methods: The concentration of main GFs in PRP treated with different dose of ozone in vitro was measured by ELISA. Clinical picture, the collagen thickness of dermis by reflectance confocal microscope(RCM), skin conditions (including spots, ultraviolet (UV) spots, brown spots, red area, pores, wrinkles, texture and porphyrin) by VISIA were collected before treatment and each month follow-up visit after treatment until 6-month follow-up period was finished. Patients’ satisfaction, side effects and pain score were collected at the end of follow-up period. Results: PRP treated by high-dose ozone (57 μg/mL, ozone/PRP volume ratio:1/1) in vitro showed a significant increase in endothelial growth factor (EGF) and transforming growth factor-β (TGF-β) compared to baseline(P < 0.05). Collagen thickness of forehead, cheek and neck improved significantly compare to the baseline until to the 6 months after treatment. Spots, UV spots, brown spots, red area and texture improved significantly compare to the baseline(P < 0.05). All of participants reported improvement and have a median pain score of 4.19. No serious adverse events were observed. Conclusions: Ozone treatment can increase the concentration of GFs such as EGF and TGF-β in PRP in vitro. Sufficient oxygen-rich PRP injection may be an effective and promising method to treat facial rejuvenation.
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spelling doaj-art-b57f1ff750df4f06b21ac2d91f6d2fd12024-11-30T07:10:45ZengElsevierRegenerative Therapy2352-32042024-06-0126213218The therapeutic effect of sufficient oxygen-rich PRP injection in facial rejuvenation by multiple objective evaluations in 26 casesJianyun Lu0Tong Zhang1Lu Zhou2Xiaoliang Tong3Rong Gui4Ling Jiang5Zhen Tang6Yunfeng Fu7Guosheng Zhao8Jinrong Zeng9Lihua Gao10Departments of Dermatology, The Third Xiangya Hospital, Central South University, Changsha, ChinaXiangya Medical College, Central South University, Changsha, ChinaDepartments of Dermatology, The Third Xiangya Hospital, Central South University, Changsha, ChinaDepartments of Dermatology, The Third Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Blood Transfusion, The Third Xiangya Hospital, Central South University, Changsha, ChinaDepartments of Dermatology, The Third Xiangya Hospital, Central South University, Changsha, ChinaDepartments of Dermatology, The Third Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Blood Transfusion, The Third Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Blood Transfusion, The Third Xiangya Hospital, Central South University, Changsha, ChinaDepartments of Dermatology, The Third Xiangya Hospital, Central South University, Changsha, ChinaDepartments of Dermatology, The Third Xiangya Hospital, Central South University, Changsha, China; Corresponding author. No. 138 Tongzipo Rd., Changsha, Hunan 410006, China.Background: Ozone can enhance the expression of some growth factors (GFs) in platelet rich plasma (PRP), recent study showed oxygen-rich PRP (ozonized PRP) have better therapeutic effects on bone and joint diseases. PRP injection has been widely used in the treatment of facial rejuvenation, but the efficacy of sufficient oxygen-rich PRP in facial rejuvenation has not been studied. Objective: Firstly, we examined whether ozone treatment can increase the concentration of GFs of PRP in vitro. And then a variety of subjective and objective detection methods were used to evaluate the effect of sufficient(10–12 mL each time for the injection of face and neck) oxygen-rich (ozonized PRP) PRP injection in facial rejuvenation by follow-up for 6 months. At last, we investigated the satisfaction, side effects and pain score of the treatment through a questionnaire survey. Methods: The concentration of main GFs in PRP treated with different dose of ozone in vitro was measured by ELISA. Clinical picture, the collagen thickness of dermis by reflectance confocal microscope(RCM), skin conditions (including spots, ultraviolet (UV) spots, brown spots, red area, pores, wrinkles, texture and porphyrin) by VISIA were collected before treatment and each month follow-up visit after treatment until 6-month follow-up period was finished. Patients’ satisfaction, side effects and pain score were collected at the end of follow-up period. Results: PRP treated by high-dose ozone (57 μg/mL, ozone/PRP volume ratio:1/1) in vitro showed a significant increase in endothelial growth factor (EGF) and transforming growth factor-β (TGF-β) compared to baseline(P < 0.05). Collagen thickness of forehead, cheek and neck improved significantly compare to the baseline until to the 6 months after treatment. Spots, UV spots, brown spots, red area and texture improved significantly compare to the baseline(P < 0.05). All of participants reported improvement and have a median pain score of 4.19. No serious adverse events were observed. Conclusions: Ozone treatment can increase the concentration of GFs such as EGF and TGF-β in PRP in vitro. Sufficient oxygen-rich PRP injection may be an effective and promising method to treat facial rejuvenation.http://www.sciencedirect.com/science/article/pii/S2352320424001007Platelet rich plasmaOzoneFacial rejuvenationCollagenRCM
spellingShingle Jianyun Lu
Tong Zhang
Lu Zhou
Xiaoliang Tong
Rong Gui
Ling Jiang
Zhen Tang
Yunfeng Fu
Guosheng Zhao
Jinrong Zeng
Lihua Gao
The therapeutic effect of sufficient oxygen-rich PRP injection in facial rejuvenation by multiple objective evaluations in 26 cases
Regenerative Therapy
Platelet rich plasma
Ozone
Facial rejuvenation
Collagen
RCM
title The therapeutic effect of sufficient oxygen-rich PRP injection in facial rejuvenation by multiple objective evaluations in 26 cases
title_full The therapeutic effect of sufficient oxygen-rich PRP injection in facial rejuvenation by multiple objective evaluations in 26 cases
title_fullStr The therapeutic effect of sufficient oxygen-rich PRP injection in facial rejuvenation by multiple objective evaluations in 26 cases
title_full_unstemmed The therapeutic effect of sufficient oxygen-rich PRP injection in facial rejuvenation by multiple objective evaluations in 26 cases
title_short The therapeutic effect of sufficient oxygen-rich PRP injection in facial rejuvenation by multiple objective evaluations in 26 cases
title_sort therapeutic effect of sufficient oxygen rich prp injection in facial rejuvenation by multiple objective evaluations in 26 cases
topic Platelet rich plasma
Ozone
Facial rejuvenation
Collagen
RCM
url http://www.sciencedirect.com/science/article/pii/S2352320424001007
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