Evidence map›Paper›PMID 39414647›Full record

ArticleAesthetic plastic surgery2025

A New Approach with Combined Microneedle and Sublative Fractional Radiofrequency for Photoaging Management: A Clinical, Histometric, and Immunohistochemical Study.

Moetaz El-Domyati, Osama Moawad, Hossam Abdel-Wahab, Ezzeldin F Behairy, Ahmed F Rezk

Abstract read
In one paragraph

Article in Aesthetic plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Moetaz El-DomyatiDepartment of Dermatology, Faculty of Medicine, Minia University, Minia, Egypt. moetazeldomyati@gmail.com.ORCID 0000-0002-8921-2442
Osama MoawadMoawad Skin Institute for Laser, Cairo, Egypt.
Hossam Abdel-WahabDepartment of Dermatology, Faculty of Medicine, Minia University, Minia, Egypt.
Ezzeldin F BehairyDepartment of Dermatology, Faculty of Medicine, Minia University, Minia, Egypt.
Ahmed F RezkDepartment of Dermatology, Faculty of Medicine, Minia University, Minia, Egypt.ORCID 0000-0002-5015-6535

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFractional radiofrequency (FRF) has been reported to be effective in improving wrinkles. A combination of microneedle and sublative fractional radiofrequency (SFRF) may have the potential synergy to improve photoaged skin.

objectivesTo evaluate the efficacy and safety of combined microneedle and SFRF in photoaging management.

methodsThis prospective study included 12 subjects with moderate photoaging (skin phototype III-IV). The subjects received three consecutive combined microneedle and sublative FRF at 1-month intervals. Punch biopsies were obtained before and after three months of treatment. Routine H&E, Masson-trichrome, Orcein staining, histometric measurements, as well as Collagen type I and Elastin immunohistochemical staining were performed.

resultsSignificant improvement was noticed regarding skin tightening and texture (p < 0.05), rhytides, and volunteers' satisfaction (p < 0.001). Collagen fibers appeared better organized, with a significant increase in collagen type I (p = 0.001). Meanwhile, normal-appearing elastic fibers were restored, and a significant reduction in abnormal elastin was achieved (p = 0.0005).

conclusionCombined microneedle and sublative FRF may provide a new therapeutic approach for photoaged skin. LEVEL OF EVIDENCE II: For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

Cosmetic TechniquesNeedlesRadiofrequency TherapySkin AgingAdultElastinFemaleHumansImmunohistochemistryMaleMiddle AgedProspective StudiesRejuvenationElastinFractional radiofrequencyMicroneedlingPhotoagingSublative radiofrequency

Identifiers

PMID39414647
PMCPMC11965193

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.