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Rosacea is More than Just a Red Face: Microbotox's Role in Minimizing Enlarged Facial Pores for a Rosacea Patient Jaya Nagara, Adianto; Wydya Yenny, Satya; Fadhilla, Yola; Norawati, Lilik; Arimuko, Abraham
Journal La Medihealtico Vol. 5 No. 1 (2024): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v5i1.1021

Abstract

Enlarged facial pores are a cosmetic concern and a prominent feature of skin aging that impacts patient quality of life. Microbotox has emerged in multiple studies as a solution for reducing pore size and improving skin texture. A case of 29 years old female with papulopustular rosacea and enlarged skin pores was reported. From the patient's anamnesis, it was found that the patient has been complaining of a reddish patch with pimples on the nose and both cheeks for the past 4 years. The patient has also had enlarged pores on both cheeks for the past 3 years. On dermatologic state there were erythematous macule, erythematous papules and enlarged pores on both of the cheek. Global Flushing Severity Score (GFSS) was 3, Investigator’s Global Assessment (IGA) of Rosacea Severity for papules and pustules is grade 2 and erythema grade 2. Visual Assessment for Pore was 6. Patient received a single session of microbotox. Dermoscopy examination showed linear vessels (telangiectasia), a pustule, and also follicles filled with sebum. Follow up of the patient was done for 6 weeks. Patients reported a decrease in issues such as flushing, papules, pustules, and erythema. A noticeable improvement in pore size was also observed. This action can be repeated every 3 months to maintain clinical improvement and good skin texture. Botulinum toxin exhibits a satisfying level of efficacy and safety in rosacea treatment. A single microbotox session proves to be a safe and effective approach for reducing facial pore size, along with notable improvements in skin texture.
Tarik Benang Menggunakan Asam Polilaktat / Polikaprolakton yang Diperkaya Asam Hialuronat pada Penuaan Wajah Sepertiga Tengah dan Bawah: Benang Polilaktat/Polikaprolakton Yang Diperkaya Asam Hialuronat pada Penuaan Wajah Chandra, Rudi; Norawati, Lilik
Media Dermato-Venereologica Indonesiana Vol 51 No 3 (2024): Media Dermato Venereologica Indonesiana
Publisher : Perhimpunan Dokter Spesialis Kulit dan Kelamin Indonesia (PERDOSKI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33820/mdvi.v51i3.380

Abstract

Pendahuluan: Tarik benang merupakan suatu prosedur di mana benang bioabsorbable dimasukkan di bawah kulit yang bertujuan untuk melawan ptosis gravitasional dan mengangkat jaringan ke atas secara invasif minimal. Inovasi terbaru menggunakan benang yang terbuat dari poly-L-lactic-acid/polycaprolactone (PLLA/PCL) yang diperkaya hyaluronic acid (PLLA/PCL/HA) telah banyak diminati. Penambahan HA berperan sebagai antioksidan, pelembap, dan biomaterial untuk penyembuhan luka. Laporan kasus ini disusun untuk menggambarkan efektivitas yang signifikan dari tarik benang yang menggunakan PLLA/PCL/HA pada penuaan wajah. Ilustrasi kasus: Terdapat dua orang pasien, seorang wanita (40 tahun) dan seorang pria (48 tahun) dengan fototipe kulit Fitzpatrick III-IV, yang mengalami penuaan wajah sepertiga tengah dan bawah dengan pengenduran sedang hingga sangat berat menurut skala penilaian fotografik Ezure. Kedua pasien menjalani prosedur tarik benang menggunakan empat benang PLLA/PCL/HA pada masing-masing sisi wajah. Tindak lanjut dilakukan setelah tiga bulan dengan hasil perbaikan klinis yang sangat baik. Kesimpulan: Benang PLLA/PCL generasi baru yang diperkaya HA memberikan efek pengangkatan kulit yang lebih bertahan lama, efek peremajaan yang lebih baik dalam perbaikan tekstur, kerutan, skar, dan perubahan volumetrik wajah sehingga efektif dalam penanganan penuaan wajah sepertiga tengah dan bawah. 
Combination Procedure for Acne Scars Revision, Is It Needed? Utama, Redha Cipta; Yenny, Satya Wydya; Norawati, Lilik; Arimuko, Abraham
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 4 (2024): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v8i4.954

Abstract

Background: The treatment of acne scars is a problem for dermatologist. Varied morphology of acne scars makes the treatment more difficult. Combination technique has high efficacy than monotherapy. The challenge is how to select best combination procedure for scar revision. Case presentation: A 43-year-old male present with acne scars since 5 years ago. Dermatological findings revealed atrophic acne scars (ice pick, boxcar, rolling) types on forehead, nose and cheeks. Diagnosis established as moderate atrophic acne scars with global acne scarring system (GASS) is 21. Patient treated with blunt canula subcision, hyaluronic acid (HA) filler, microneedling radiofrequency, 90% trichloroacetic acid chemical reconstruction of skin scars (TCA CROSS) and application of salmon polydeoxyribonucleotide (PDRN). Patient also received topical 0.05% retinoic acid, 4% niacinamide, and sunscreen for daily. After 10 days, there is flattening and disappear of ice pick and boxcar, elevating of rolling scar, GASS score is 15. Blunt cannula subcision and HA filler is safe, effective for rolling scar through fibrous band breaking and prevent re-adhesion. Microneedling RF is effective for boxcar, otherwise 90% TCA CROSS preferrable for ice pick scars. This combination procedure leading cellular necrosis in epidermis, collagen in dermis, and stimulate regeneration. Application of Salmon PDRN may promote wound healing, hydrate the epidermis, and prevent dyschromia. Conclusion: Combination of subcision, dermal filler, microneedling radiofrequency, 90% TCA CROSS, and Salmon PDRN has high efficacy for scar revision through collagen remodelling and acceleration wound healing.
INJEKSI INTRADERMAL VS APLIKASI MICRONEEDLING DARI POLIDEOKSIRIBONUKLEOTIDA, ASAM HIALURONAT CROSS-LINKED, DAN GLUTATHIONE SEBAGAI TERAPI KOMBINASI UNTUK HIPERPIGMENTASI PERIORBITAL Chandra, Rudi; Norawati, Lilik
Media Dermato-Venereologica Indonesiana Vol 50 No 4 (2023): Media Dermato Venereologica Indonesiana
Publisher : Perhimpunan Dokter Spesialis Kulit dan Kelamin Indonesia (PERDOSKI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33820/mdvi.v50i4.440

Abstract

Pendahuluan: Hiperpigmentasi periorbital (HPO) merupakan kondisi yang mengganggu secara kosme- tik, ditandai dengan pigmentasi yang terutama pada kelopak mata bagian bawah. Hiperpigmentasi periorbital sulit untuk diobati dan terbatasnya pilihan terapi yang dapat diandalkan karena patogenesis dan etiologinya yang kompleks. Ilustrasi Kasus: Kami melaporkan dua orang wanita dengan hiperpigmentasi infraorbital yang diterapi dengan kombinasi polideoksiribonukleotida (PDRN), asam hialuronat cross-linked, dan glu- tathione melalui injeksi intradermal di area infraorbital kanan dan aplikasi menggunakan microneedling di area infraorbital kiri, total dua sesi perawatan dengan interval satu minggu. Diskusi: Pengobatan HPO ha- rus dimodifikasi sesuai dengan etiologinya, seperti pigmentasi, vaskular, perubahan kulit, dan tipe campuran. Polideoksiribonukleotida menyebabkan induksi dari sekresi faktor pertumbuhan, sitokin anti-inflamasi, per- baikan jaringan, penyembuhan luka, dan anti-melanogenik. Asam hialuronat cross-linked bekerja sebagai an- tioksidan, pelembab, penginduksi kolagen, dan biomaterial untuk penyembuhan luka. Sedangkan glutathione merupakan bahan pencerah kulit yang bekerja dengan mengurangi produksi melanin, sebagai antioksidan, dan anti-keriput. Kesimpulan: Kombinasi PDRN, asam hialuronat cross-linked, dan glutathione efektif mengobati HPO tipe pigmentasi. Penggunaan injeksi intradermal dan aplikasi jarum mikro sama efektifnya dengan peng- hantaran obat intradermal.
Combination Procedure for Acne Scars Revision, Is It Needed? Utama, Redha Cipta; Yenny, Satya Wydya; Norawati, Lilik; Arimuko, Abraham
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 4 (2024): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v8i4.954

Abstract

Background: The treatment of acne scars is a problem for dermatologist. Varied morphology of acne scars makes the treatment more difficult. Combination technique has high efficacy than monotherapy. The challenge is how to select best combination procedure for scar revision. Case presentation: A 43-year-old male present with acne scars since 5 years ago. Dermatological findings revealed atrophic acne scars (ice pick, boxcar, rolling) types on forehead, nose and cheeks. Diagnosis established as moderate atrophic acne scars with global acne scarring system (GASS) is 21. Patient treated with blunt canula subcision, hyaluronic acid (HA) filler, microneedling radiofrequency, 90% trichloroacetic acid chemical reconstruction of skin scars (TCA CROSS) and application of salmon polydeoxyribonucleotide (PDRN). Patient also received topical 0.05% retinoic acid, 4% niacinamide, and sunscreen for daily. After 10 days, there is flattening and disappear of ice pick and boxcar, elevating of rolling scar, GASS score is 15. Blunt cannula subcision and HA filler is safe, effective for rolling scar through fibrous band breaking and prevent re-adhesion. Microneedling RF is effective for boxcar, otherwise 90% TCA CROSS preferrable for ice pick scars. This combination procedure leading cellular necrosis in epidermis, collagen in dermis, and stimulate regeneration. Application of Salmon PDRN may promote wound healing, hydrate the epidermis, and prevent dyschromia. Conclusion: Combination of subcision, dermal filler, microneedling radiofrequency, 90% TCA CROSS, and Salmon PDRN has high efficacy for scar revision through collagen remodelling and acceleration wound healing.