Evidence map›Paper›PMID 39574411›Full record

Trial reportJournal of cosmetic dermatology2025

Efficacy and Safety of Combination Therapy of Microneedling Radiofrequency, In-Office and Home-Based Topical Cysteamine in Refractory Melasma: A Split Face, Vehicle-Control, Randomized Control Trial.

Ya-Wen Tsai, Jeng-Hsien Lin, Yi-Jing Lai, Tzu-Li Liu, Chau Yee Ng

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of cosmetic dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Review
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.

Ya-Wen TsaiSchool of Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Jeng-Hsien LinDr. LIN's Dermatological Clinic, Kaohsiung City, Taiwan.
Yi-Jing LaiSchool of Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Tzu-Li LiuDepartment of Internal Medicine, Taipei Medical University Hospital, Taipei, Taiwan.ORCID https://orcid.org/0000-0002-0910-8558
Chau Yee NgSchool of Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan.

Funding

Scientis PharmaWOH medical foundation
6 · The paper itself

Abstract

backgroundRefractory melasma remains a challenge in dermatology, necessitating the exploration of innovative treatments.

aimsThis study aims to evaluate the efficacy and safety of combining radiofrequency microneedling (RFM) with Cysteamine cream, applied both in-office and as a part of a home-care regimen, to treat refractory melasma. PATIENTS/

methodsA vehicle-controlled, split-face trial was conducted on 30 Fitzpatrick skin types III and IV participants. Subjects received RFM and Cysteamine serum on one side of the face and RFM with saline on the contralateral side. Additionally, a random half-added Cysteamine cream was applied at home. The modified Melasma Area and Severity Index and VISIA skin analysis were used for assessment.

resultsSignificant improvement in melasma severity and skin texture was noted on the sides treated with RFM and Cysteamine, including observable benefits from both in-office and home-based Cysteamine use with minimal adverse effects.

conclusionsThe combined approach of RFM with Cysteamine provides a promising and safe modality for managing refractory melasma, showing notable improvements.

Indexed as

CysteamineDry NeedlingMelanosisRadiofrequency TherapyAdministration, CutaneousAdultCombined Modality TherapyFemaleHome Care ServicesHumansMaleMiddle AgedNeedlesPercutaneous Collagen InductionSeverity of Illness IndexSkin CreamCysteaminecysteamineisobionic‐amide complexmelasmamicroneedling radiofrequencysplit‐face trial

Identifiers

PMID39574411
PMCPMC11845957

What OpenQuestion holds

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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.