The Effectiveness of a 5% Retinoic Acid Peel Combined with Microdermabrasion for Facial Photoaging: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial

Background. Tretinoin has been shown to improve photoaged skin. This study was designed to evaluate the efficacy and tolerability of a 5% retinoic acid peel combined with microdermabrasion for facial photoaging. Materials and Methods. Forty-five patients, aged 35–70, affected by moderate-to-severe p...

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Main Authors: Gita Faghihi, Saghi Fatemi-Tabaei, Bahareh Abtahi-Naeini, Amir Hossein Siadat, Giti Sadeghian, Mohammad Ali Nilforoushzadeh, Hamed Mohamadian-shoeili
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Dermatology Research and Practice
Online Access:http://dx.doi.org/10.1155/2017/8516527
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author Gita Faghihi
Saghi Fatemi-Tabaei
Bahareh Abtahi-Naeini
Amir Hossein Siadat
Giti Sadeghian
Mohammad Ali Nilforoushzadeh
Hamed Mohamadian-shoeili
author_facet Gita Faghihi
Saghi Fatemi-Tabaei
Bahareh Abtahi-Naeini
Amir Hossein Siadat
Giti Sadeghian
Mohammad Ali Nilforoushzadeh
Hamed Mohamadian-shoeili
author_sort Gita Faghihi
collection DOAJ
description Background. Tretinoin has been shown to improve photoaged skin. This study was designed to evaluate the efficacy and tolerability of a 5% retinoic acid peel combined with microdermabrasion for facial photoaging. Materials and Methods. Forty-five patients, aged 35–70, affected by moderate-to-severe photodamage were enrolled in this trial. All patients received 3 sessions of full facial microdermabrasion and 3 sessions of either 5% retinoic acid peel or placebo after the microdermabrasion. Efficacy was measured using the Glogau scale. Patients were assessed at 2 weeks and 1, 2, and 6 months after treatment initiation. Results. The mean ± SD age of participants was 49.55±11.61 years, and the majorities (73.3%) were female. Between 1 month and 2 months, participants reported slight but statistically significant improvements for all parameters (P<0.001). In terms of adverse effects, there were statistically significant differences reported between the 5% retinoic acid peel groups and the control group (P<0.001). The majority of adverse effects reported in the study were described as mild and transient. Conclusion. This study demonstrated that 5% retinoic acid peel cream combined with microdermabrasion was safe and effective in the treatment of photoaging in the Iranian population. This trial is registered with IRCT2015121112782N8.
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spelling doaj-art-b5a59160bf5145b0a765c0786be0baec2025-08-20T03:20:55ZengWileyDermatology Research and Practice1687-61051687-61132017-01-01201710.1155/2017/85165278516527The Effectiveness of a 5% Retinoic Acid Peel Combined with Microdermabrasion for Facial Photoaging: A Randomized, Double-Blind, Placebo-Controlled Clinical TrialGita Faghihi0Saghi Fatemi-Tabaei1Bahareh Abtahi-Naeini2Amir Hossein Siadat3Giti Sadeghian4Mohammad Ali Nilforoushzadeh5Hamed Mohamadian-shoeili6Skin Diseases and Leishmaniasis Research Center, Department of Dermatology, Isfahan University of Medical Sciences, Isfahan, IranSkin Diseases and Leishmaniasis Research Center, Department of Dermatology, Isfahan University of Medical Sciences, Isfahan, IranCancer Research Center, Semnan University of Medical Sciences, Semnan, IranSkin Diseases and Leishmaniasis Research Center, Department of Dermatology, Isfahan University of Medical Sciences, Isfahan, IranSkin Diseases and Leishmaniasis Research Center, Isfahan University of Medical Sciences, Isfahan, IranSkin and Stem Cell Research Center, Tehran University of Medical Sciences, Tehran, IranDepartment of Internal Medicine, Kermanshah University of Medical Science, Imam Reza Hospital, Kermanshah, IranBackground. Tretinoin has been shown to improve photoaged skin. This study was designed to evaluate the efficacy and tolerability of a 5% retinoic acid peel combined with microdermabrasion for facial photoaging. Materials and Methods. Forty-five patients, aged 35–70, affected by moderate-to-severe photodamage were enrolled in this trial. All patients received 3 sessions of full facial microdermabrasion and 3 sessions of either 5% retinoic acid peel or placebo after the microdermabrasion. Efficacy was measured using the Glogau scale. Patients were assessed at 2 weeks and 1, 2, and 6 months after treatment initiation. Results. The mean ± SD age of participants was 49.55±11.61 years, and the majorities (73.3%) were female. Between 1 month and 2 months, participants reported slight but statistically significant improvements for all parameters (P<0.001). In terms of adverse effects, there were statistically significant differences reported between the 5% retinoic acid peel groups and the control group (P<0.001). The majority of adverse effects reported in the study were described as mild and transient. Conclusion. This study demonstrated that 5% retinoic acid peel cream combined with microdermabrasion was safe and effective in the treatment of photoaging in the Iranian population. This trial is registered with IRCT2015121112782N8.http://dx.doi.org/10.1155/2017/8516527
spellingShingle Gita Faghihi
Saghi Fatemi-Tabaei
Bahareh Abtahi-Naeini
Amir Hossein Siadat
Giti Sadeghian
Mohammad Ali Nilforoushzadeh
Hamed Mohamadian-shoeili
The Effectiveness of a 5% Retinoic Acid Peel Combined with Microdermabrasion for Facial Photoaging: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial
Dermatology Research and Practice
title The Effectiveness of a 5% Retinoic Acid Peel Combined with Microdermabrasion for Facial Photoaging: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial
title_full The Effectiveness of a 5% Retinoic Acid Peel Combined with Microdermabrasion for Facial Photoaging: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial
title_fullStr The Effectiveness of a 5% Retinoic Acid Peel Combined with Microdermabrasion for Facial Photoaging: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial
title_full_unstemmed The Effectiveness of a 5% Retinoic Acid Peel Combined with Microdermabrasion for Facial Photoaging: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial
title_short The Effectiveness of a 5% Retinoic Acid Peel Combined with Microdermabrasion for Facial Photoaging: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial
title_sort effectiveness of a 5 retinoic acid peel combined with microdermabrasion for facial photoaging a randomized double blind placebo controlled clinical trial
url http://dx.doi.org/10.1155/2017/8516527
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