Evidence map›Paper›PMID 41821146›Full record

SynthesisJournal of cosmetic dermatology2026

Fractional CO2 Laser Versus Micro Needling Radiofrequency for Post Acne Scarring: A Meta-Analysis of RCTs.

Yahya Argobi, Faisal Tobeigei, Faris I Alasiri

Abstract readMeta-AnalysisComparative StudyReview
In one paragraph

Synthesis in Journal of cosmetic dermatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

3 authors.

Yahya ArgobiDepartment of Dermatology, College of Medicine, King Khalid University, Abha, Saudi Arabia.ORCID https://orcid.org/0000-0001-5343-5372
Faisal TobeigeiDepartment of Dermatology, College of Medicine, King Khalid University, Abha, Saudi Arabia.
Faris I AlasiriSecurity Forces Hospitals Program, General Directorate of Medical Services, Ministry of Interior, Riyadh, Saudi Arabia.

Funding

King Khalid University's Deanship of Scientific Research GRP/122/44
6 · The paper itself

Abstract

backgroundPost-acne scarring is a prevalent dermatological concern with significant impact on quality of life. Fractional CO2 laser (FCL) and microneedling radiofrequency (MNRF) are widely used treatments, but their comparative efficacy and safety require further synthesis. AIMS AND

objectivesThis meta-analysis was conducted to compare the efficacy and safety of FCL versus MNRF in the management of post-acne scarring.

methodsThe analysis included eight randomized controlled trials involving a total of 249 patients. The primary outcomes evaluated encompassed improvement in acne scars, patient satisfaction scores, pain levels, the risk of post-inflammatory hyperpigmentation, and the duration of erythema.

resultsFCL demonstrated superior improvement in acne scars (MD: 0.31, 95% CI, 0.13-0.48, p = 0.0005) and higher patient satisfaction (MD: 0.32, 95% CI, 0.10-0.44, p = 0.005) compared to MNRF. However, FCL was associated with significantly higher pain scores (MD: 2.14, 95% CI, 1.90-2.37, p < 0.00001), an increased risk of PIH (RR: 4.44, 95% CI, 2.39-8.26, p < 0.00001), and a longer duration of erythema (MD: 1.72 days, 95% CI, 1.43-2.02, p < 0.00001). MNRF exhibited a more favorable safety profile.

conclusionWhile FCL offers superior efficacy for post-acne scarring, MNRF provides better tolerability. The choice of treatment should be individualized, considering patient-specific factors such as skin type, pain tolerance, and recovery expectations. Further research with longer follow-up and standardized outcomes is needed.

Indexed as

Acne VulgarisCicatrixDry NeedlingLasers, GasRadiofrequency TherapyErythemaHumansHyperpigmentationNeedlesPatient SatisfactionPercutaneous Collagen InductionRandomized Controlled Trials as TopicTreatment Outcome

Identifiers

PMID41821146
PMCPMC12982687

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.