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Table 3: Patient’s quality of life evaluated with QoL-Q result. The pre- and postoperative module was comprised
Thinking about Preoperatively Postoperatively P of 11 multiple-response questions. The questionnaire was
the body part that (%)* (%)* conceived by the authors as a test of self-administration,
you turned to the only for patients candidate to undergo all type of
plastic surgeon: cosmetic procedures. Questionnaires were filled out in an
How do you feel in 8 (27) 27 (90) 0.0001† anonymous fashion. Preoperative surveys were completed
your clothes?
How you feel when 5 (17) 28 (93) 0.0001† during the initial consultation, and postoperative
you're in the midst surveys were completed at the 6 months postoperative
of the people? visit. This was a cross-sectional study and therefore the
How do you feel 1 (3) 29 (97) 0.0001† patients who filled out preoperative surveys may be
showing the part of different from those who filled out postoperative surveys.
the body? Because surveys were filled out anonymously, there was
Do you feel safe in 15 (50) 24 (80) 0.002† no way to identify those patients who filled out both
working life? the preoperative and postoperative surveys. Statistical
Do you feel safe in 11 (37) 26 (87) 0.065 analysis was performed using descriptive and summary
your private life?
Do you feel safe of 1 (3) 26 (87) 0.0001† statistics to identify a central tendency. An unpaired t-test
the body part for was performed to examine the significance of changes in
which you have mean scores of satisfaction. Fisher’s exact test was used
addressed to the to detect any significant differences between preoperative
plastic surgeon and postoperative satisfaction for a dichotomous
Do you feel safe of 18 (30) 25 (83) 0.068 outcome. A value of P < 0.05 was considered significant.
your body?
Do you feel 7 (23) 25 (83) 0.0001†
reassured? Inclusion criteria were: (1) patients from 18 to 40 years old
Do you think your 13 (43) 24 (80) 0.003† in good health; and (2) patients with chronical acne scars
quality of life is on the cheeks.
good?
Do you think to be 12 (40) 22 (73) 0.004† Exclusion criteria were: (1) patients with diabetes,
successful in life? cancer, collagen disorders, deficiency status; (2) others
You think your body 6 (20) 19 (63) 0.0001† acute or chronical dermatological disorders; (3) patients
is beautiful?
with coagulation defects and platelet count less than
†: statistically significant; *: raw score ≥ 2; QoL-Q: questionnaire of 150,000/mm ; (4) pregnancy status; (5) acute phase of
3
quality of life
acne; and (6) chronical assumption of anti-aggregants
CO 2 laser resurfacing for face atrophic scars by acne agents or non-steroidal anti-inflammatory drugs.
and to analyse patient’s satisfaction with our original
questionnaire. All related patients are consented and RESULTS
agree with this publication.
Preoperative thickness of subcutaneous tissue of patients
METHODS from group A was 0.532 mm, whilst preoperative
thickness of subcutaneous tissue of patients from group B
From March 2014 to June 2015, 30 patients with acne was 0.737 mm. Postoperative thickness of subcutaneous
scars on the cheeks were selected for this pilot study. tissue was 1.201 mm in group A and 1.367 mm in group
Age ranged between 18 and 52 years old. Patients B. The improvement of thickness of subcutaneous tissue
were evaluated pre- and postoperatively by a physical was 0.668 mm in group A and 0.630 mm in group B.
examination, photographs and ultrasound scan with a 22 Preoperative and postoperative thickness values of
MHz probe to measure subcutaneous tissue thickness. group A and group B are displayed in Tables 1 and 2,
[2]
All patients were treated by infiltration of nanofat and PRP. respectively. The difference in thickness obtained with the
The production of PRP was achieved by RegenLab THT treatment in group A and in group B was not statistically
®
tube method. [3,4] Subsequently, patients were randomly significant, with a P = 0.7289. Answers of QoL-Q pre-
divided into 2 groups: group A, which also underwent module and post-module questionnaires are reported in
a fractional CO 2 laser resurfacing at 15 W; and group Table 3 and Figure 4, respectively.
B, which only underwent nanofat and PRP infiltration.
Patients attended a 1 month, 3 months and 6 months DISCUSSION
follow-up after treatment. The difference in thickness
[4-8]
obtained with the treatment in group A and in group B Currently, we have many new treatments for acne scars,
was compared through a t-test on unpaired data. Our no gold standard has been officially identified yet.
original questionnaire of quality of life questionnaire Historically, the most used treatments were: dermabrasion,
(QoL-Q) was also administered pre- and postoperatively a decade-old technique which employs the use of a
to analyse satisfaction and aesthetical perception of the motorised device equipped with an abrasive material to
Plast Aesthet Res || Volume 3 || July 7, 2016 237