Comparison of Outcome Parameters in Laser Rhytide Treatment
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Purpose
We previously published a comparative split-face study which has shown a significant, albeit moderate, effect of ablative fractional laser treatment. While indicating that a single session with fractional ablative lasers can be effective in the treatment of peri-orbital wrinkles, the trial also revealed substantial disagreement between the different end points (profilometry, Fitzpatrick wrinkle score, patient satisfaction). Since the PBI is a patient-related index it could not be included in the aforementioned split-face trial; the present study therefore attempts to further elucidate the patient-related benefit of a single fractional ablative laser treatment session as well as carefully analyse the respective correlations between the outcome parameters employed.
| Condition | Intervention | Phase |
|---|---|---|
|
Skin Aging |
Procedure: Fractional carbon dioxide laser treatment Procedure: Fractional Er:YAG laser treatment |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Double Blind (Subject, Investigator, Outcomes Assessor) Primary Purpose: Diagnostic |
| Official Title: | Comparison of Clinical Outcome Parameters, the Patient Benefit Index (PBI) and Patient Satisfaction After Ablative Fractional Laser Treatment of Peri-orbital Rhytides |
- Quantitative measurement of wrinkle depth [ Time Frame: Before and after treatment (3 months) ] [ Designated as safety issue: No ]
- Fitzpatrick wrinkle score [ Time Frame: Before and after treatment (3 months) ] [ Designated as safety issue: No ]
- Patient benefit index (PBI) [ Time Frame: Before and after treatment (3 months) ] [ Designated as safety issue: No ]
- Patient satisfaction [ Time Frame: 1, 3, 6 days and 3 months after treatment ] [ Designated as safety issue: No ]
| Enrollment: | 28 |
| Study Start Date: | August 2008 |
| Study Completion Date: | March 2009 |
| Primary Completion Date: | March 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: Fractional carbon dioxide laser treatment |
Procedure: Fractional carbon dioxide laser treatment
With the CO2 laser (Fraxel Re:pair, Solta Medical Inc., Hayward, CA), patients received two passes at 15 mJ (1st pass) and 20 mJ (2nd pass), respectively, with a total density of 20 %. We employed 'pin-point bleeding' and serosanguinous exudate as a clinical end point. The pulse duration was 10 msec.
|
| Active Comparator: Fractional Er:YAG laser treatment |
Procedure: Fractional Er:YAG laser treatment
The Er:YAG laser (MCL 30 Dermablate, Asclepion Laser Technologies GmbH, Jena, Germany) was used in 4 passes with a total fluence of 60 J/cm² and pulse stacking (6 stacked pulses); the pulse duration was 400 μsec.
|
Eligibility| Ages Eligible for Study: | 40 Years to 55 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- mild to moderate peri-orbital rhytides ('crow's feet') at rest (Class II according to Fitzpatrick)
Exclusion Criteria:
- unrealistic expectations
- inability to meet follow-up criteria
- Fitzpatrick skin phototype >III
- coagulation disorders or anti-coagulant treatment
- allergy to lidocaine or tetracaine
- oral isotretinoin within the last 6 months
- any active skin disease within the treatment areas (e.g., psoriasis, cancer, or autoimmune disease)
- synthetic implants in the treatment area
- facial cosmetic procedures affecting the treatment area within the last 6 months
- photosensitizing medications (e.g., tetracycline, gold)
- history of keloid formation
- pregnancy
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Christian Raulin/Professor Dr., Laserklinik Karlsruhe |
| ClinicalTrials.gov Identifier: | NCT00994474 History of Changes |
| Other Study ID Numbers: | LK_06_2009 |
| Study First Received: | October 13, 2009 |
| Last Updated: | October 13, 2009 |
| Health Authority: | Germany: Federal Institute for Drugs and Medical Devices |
Keywords provided by Laserklinik Karlsruhe:
|
Laser surgery Profilometry Fitzpatrick wrinkle score Patient Benefit Index Patient satisfaction |
ClinicalTrials.gov processed this record on June 17, 2013