DOI QR코드

DOI QR Code

Recent Research Trends of Acupuncture for Wrinkle Treatment

주름 개선을 위한 침 연구의 현황분석

  • Jung, Hyeon-Suk (Department of Korean Medicine, College of Korean Medicine, Daejeon University) ;
  • Kim, Tae-Jun (Department of Korean Medicine, College of Korean Medicine, Daejeon University) ;
  • Park, Ji-Yeun (Department of Korean Medicine, College of Korean Medicine, Daejeon University)
  • 정현석 (대전대학교 한의과대학 한의학과) ;
  • 김태준 (대전대학교 한의과대학 한의학과) ;
  • 박지연 (대전대학교 한의과대학 한의학과)
  • Received : 2021.05.17
  • Accepted : 2021.06.06
  • Published : 2021.06.27

Abstract

Objectives : The aim of this study is to analyze the effect of acupuncture and the details of acupuncture treatment methods on skin wrinkles. Methods : Search was conducted in Pubmed, KISS, and NDSL databases for acupuncture studies on skin wrinkles. The detailed therapeutic techniques of acupuncture used for skin wrinkles and the effect of acupuncture on skin wrinkle improvement were analyzed. Then, the study results using the same indicator were compared through meta-analysis in order to compare the effects of acupuncture with the control group. The quality of randomized controlled trials (RCTs) was assessed using the risk of bias (ROB) assessment tool (Ver. 1.0, Cochrane Collaboration). Results : A total of 10 RCTs and 19 case series were included in this study. The most frequently used therapeutic technique for skin wrinkle improvement was Microneedle therapy system (MTS, n=19), and they were mostly used with aesthetic solutions (13 out of 19 studies). Skin wrinkle related indexes were most commonly used to evaluate skin wrinkle improvement (n=14). Panax Ginseng pharmacopuncture showed the most remarkable effect in improving the range of skin wrinkles and the depth of skin wrinkles. MTS+epidermal growth factor improved the levels of skin hydration, skin elasticity, and variation of skin pigment the most. MTS+Endothelial precursor cell improved the number of skin melanin the most. Three RCTs included in the meta-analysis showed moderate ROB on average. Conclusions : Acupuncture treatment was effective in improving skin wrinkles. However, a precise study design using unified indicators and appropriate controls needs to be performed in further studies in order to establish more convincing evidence of the effectiveness of acupuncture for improving skin wrinkles.

Keywords

Acknowledgement

This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT & Future Planning (NRF-2018R1C1B3004424).

References

  1. Lee KM. Im SC, Kim JS, Lee BH. A Clinical Study on Facial Wrinkles Treated with Miso Facial Acupuncture - Measured by The Facial Skin Photographing System -, The Journal of Korean Acupuncture & Moxibustion Society. 2010 ; 27(1) : 101-7.
  2. Yarr M, Gilchrest BA. Aging of skin, In : Freedberg IM, Eisen AZ, Wolff K, Austen KF, Goldmith LA, Katz SI, editors, Fitzpatrick's dermatology in general medicin. 6th ed. New york : McGraw-Hill. 2003 : 1386-98.
  3. Choi SS. 2001. A study on the whitening substrate of natural products. PhD Thesis. Chung-Ang University. Seoul.
  4. Kim NM, Gu BS, Lee SG, Hwang EI, So SH, Do JH. Effect of Korean red ginseng on collagen biosynthesis and MMP-I activity in human dermal fibroblast. J Ginseng Res. 2007 ; 31 (2) : 86-92. https://doi.org/10.5142/JGR.2007.31.2.086
  5. Jung TG, Kim MJ, Im GR, Yun GS. Moisturizing and Anti-oxidation Effect of Astragalus membranaceus Root Extract. J Soc Cosmet Scientists Korea. 2006 ; 32(3) : 193-200.
  6. Lee TW, Kim SN, Ji WG, Hwang SJ. Anti-wrinkle Effect of Pressure Sensitive Adhesive Hydrogel Patches Containing Ulmi Cortex Extract. J Korean Pharm Sci. 2004 ; 34(3) : 193-9.
  7. Kim SH, Jung H, Shin YC, Go SK. Research of Traditional Herbal Medicines for Anti-aging, Inhibition Effect of Wrinkle and Whitening Effect in the Skin, J Physiol & Pathol Korean Med. 2008 ; 22(3) : 691-8.
  8. Lee YE, Lee HJ, Kim JS. The Anti-wrinkle Effects of Cultivated Wild Ginseng Pharmacopuncture. The Acupuncture. 2015 ; 32(2) : 97-103. https://doi.org/10.13045/acupunct.2015023
  9. Park YH, Han CJ. A Effects of MTS and HFM on Aging Skin in Middle-aged men - Focus on Wrinkle, Pigmentation and Pore -. Journal of the Korean Society of Cosmetology. 2011 ; 17(3) : 576-82.
  10. Kang KW, Park JY, Kim JH, Choi SM, Jung GY. Anti Wrinkle Effect of Needle-Embedding Therapy: a Case Series. J Korean Obstet Gynecol. 2018 ; 31(1) : 147-54. https://doi.org/10.15204/jkobgy.2018.31.1.147
  11. Sung IC, Yang CK. Treatment of Facial Wrinkels with Char-Free Carbon Dioxide Laser and Erbium: YAG Laser. Korean J Dermatol. 1999 ; 37(2) : 177-184.
  12. Im MJ, Kim BS, Kang JS. Study on the Local Wrinkle Cure Using Acupuncture Needle. Korean J Oriental Physiology & Pathology. 2009 ; 23(6) : 1261-6.
  13. PRISMA checklist. http://www.prisma-statement.org/
  14. Nam KR, Kim MJ, Lee YW, Choe YB, Ahn KJ. A Split-Face Study of the Effects of a Stabilized Hyaluronic Acid-Based Gel of Nonanimal Origin for Facial Skin Rejuvenation Using a Stamp-Type Multineedle Injector: A Randomized Clinical Trial. Plastic Reconstr Surg. 2016 ; 137(3) : 809-16. https://doi.org/10.1097/01.prs.0000480686.68275.60
  15. Kim CM, Lee JK. Meta-Analysis on the Effect of Physical Therapy Methods on Myofascial Pain Syndrome: The Cases of Domestic Research. J Korean Phys Ther. 2020 ; 32(4) : 222-7. https://doi.org/10.18857/jkpt.2020.32.4.222
  16. Zasada M, Markiewicz A, Drozdz Z, Monsinska P, Erkiert-Polguj A, Budzisz E. Preliminary randomized controlled trial of antiaging effects of l-ascorbic acid applied in combination with no-needle and microneedle mesotherapy. J Cosmet Dermatology. 2019 ; 18(3) : 843-9. https://doi.org/10.1111/jocd.12727
  17. Park KY, Kwon HJ, Lee C, Kim D, Yoon JJ, Kim MN, et al. Efficacy and safety of a new microneedle patch for skin brightening: A Randomized, split-face, single-blind study. J Cosmet Dermatol. 2017 ; 16(3) : 382-7. https://doi.org/10.1111/jocd.12354
  18. Higgins JPT, Altman DG, Gotzsche PC, Juni P, Moher D, Oxman AD, et al. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ. 2011 ; 343 : d5928. https://doi.org/10.1136/bmj.d5928
  19. Kwon NH, Kim CY, Shin YJ, Seo S, Song JH, Baek YH, et al. Clinical Study on Facial Skin Furrow Measurement Changes after Miso Facial Rejuvenation Acupuncture. The Journal of Korean Acupuncture & Moxibustion Society. 2009 ; 26(6) : 133-40.
  20. Son JY, Park MY, Choi HY, Kim JD. Case Report of the Effects of Miso Facial Rejuvenation Acupuncture on Skin Care. Korean J Oriental Physiology & Pathology. 2010 ; 24(6) : 1062-7.
  21. Kang G, Tu TNT, Kim S, Yang H, Jang M, Jo D, et al. Adenosine-loaded dissolving microneedle patches to improve skin wrinkles, dermal density, elasticity and hydration. Int J Cosmet Sci. 2018 ; 40(2) : 199-206. https://doi.org/10.1111/ics.12453
  22. Hong JY, Ko EJ, Choi SY, Li K, Kim AR, Park JO, et al. Efficacy and safety of a novel, soluble microneedle patch for the improvement of facial wrinkle. J Cosmet Dermatol. 2018 ; 17(2) : 235-41. https://doi.org/10.1111/jocd.12426
  23. Lee MN, Lee IH. The Effects of Automatic Micro-needle Therapy System supply EGF to impact the aging skin. J Korea Acad Industr Coop Soc. 2014 ; 15(4) : 2303-9. https://doi.org/10.5762/KAIS.2017.18.6.269
  24. Sung EJ, Cho EH, Park MC. A clinical report on the rejuvenate treatment with derma stamp. J Korean Med Ophthalmol Otolaryngol Dermatol. 2010 ; 23(3) : 225-35.
  25. Yun Y, Choi I. Effect of thread embedding acupuncture for facial wrinkles and laxity: a single-arm, prospective, open-label study. Integr Med Res. 2017 ; 6(4) : 418-26. https://doi.org/10.1016/j.imr.2017.09.002
  26. Cho JH, Lee HJ, Chung KJ, Park BC, Chang MS, Park SK. Effects of Jae-Seng Acupuncture Treatment on the Improvement of Nasolabial Folds and Eye Wrinkles. Evid Based Complement Alternat Med. 2015 ; 2015 : 273909. https://doi.org/10.1155/2015/273909
  27. Yun YH, Im JT, An JH, Lee JH, Choi YY. A Case Report of facial wrinkles and folds improved by using the Thread Embedding Acupuncture (TEA). J Korean Med Ophthalmol Otolaryngol Dermatol. 2018 ; 31(3) : 97-106. https://doi.org/10.6114/jkood.2018.31.3.097
  28. Kim HK. 2013. Effects of laser, radiofrequency and needle electrode electrical stimulation apply to improvement of skin functions. PhD Thesis. Yong-In University Graduate School: Department of Physical Therapy. Yongin.
  29. Lee GS, Go MK, Lee JH, Kim MJ, Hong KE. The Effect of Facial Embedding Therapy on Skin Elasticity and Moisture Content. The Journal of Korean Acupuncture & Moxibustion Society. 2011 ; 28(5) : 111-9.
  30. Kwon GS, Kim JH, Lee KA, Lee SJ, Song JH, Song CH, et al. The Effect of Miso Facial Acupuncture on Facial Reduction and Improvement of Skin Condition. The Journal of Korean Acupuncture & Moxibustion Society. 2012 ; 29(4) : 7-18.
  31. Markiewicz A, Zasada M, Erkiert-Polguj A, Wieckowska-Szakiel M, Budzisz E. An evaluation of the antiaging properties of strawberry hydrolysate treatment enriched with L-ascorbic acid applied with microneedle mesotherapy. J Cosmet Dermatol. 2019 ; 18(1) : 129-35. https://doi.org/10.1111/jocd.12545
  32. Lee C, Eom YA, Yang H, Jang M, Jung SU, Park YO, et al. Skin Barrier Restoration and Moisturization Using Horse Oil-Loaded Dissolving Microneedle Patches. Skin Pharmacol Physiol. 2018 ; 31(3) : 163-71. https://doi.org/10.1159/000487401
  33. Seok J, Hong JY, Choi SY, Park KY, Kim BJ. A potential relationship between skin hydration and stamp-type microneedle intradermal hyaluronic acid injection in middle-aged male face. J Cosmet Dermatol. 2016 ; 15(4) : 578-82. https://doi.org/10.1111/jocd.12244
  34. Lee HJ, Lee EG, Kang S, Sung JH, Chung HM, Kim DH. Efficacy of microneedling plus human stem cell conditioned medium for skin rejuvenation: a randomized, controlled, blinded split-face study. Ann Dermatol. 2014 ; 26(5) : 584-91. http://doi.org/10.5021/ad.2014.26.5.584
  35. Yuksel EP, Sahin G, Aydin F, Senturk N, Turanli AY. Evaluation of effects of platelet-rich plasma on human facial skin. J Cosmet Laser Ther. 2014 ; 16(5) : 206-8. https://doi.org/10.3109/14764172.2014.949274
  36. Kim S, Yang H, Kim M, Baek JH, Kim SJ, An SM, et al. 4-n-butylresorcinol dissolving microneedle patch for skin depigmentation: a randomized, double-blind, placebo-controlled trial. J Cosmet Dermatol. 2016 ; 15(1) : 16-23. https://doi.org/10.1111/jocd.12178
  37. Kim EJ, Kim JS, Yu SH, Rho HS, Kim DH, Kim HG, et al. Influence of The Neck acupressure massage and The Neck Cream Including Korean Herbal Extract on The Neck Wrinkles and Facial Blood Circulation. The Korea Institute of Oriental Medical Informatics. 2009 ; 15(1) : 85-91.
  38. Kim YS, Kim D, Kim Y, Park SG, Lee CK, Kang NG. Hyaluronic Acid Enhances the Dermal Delivery of Anti-wrinkle Peptide via Increase of Stratum Corneum Fluidity. J Soc Cosmet Sci Korea. 2018 ; 44(4) : 447-53. https://doi.org/10.15230/SCSK.2018.44.4.447
  39. Kim KH, Gwak HS, Jeoung GH, Kim HJ. Review on R&D reports of pharmacopuncture in South Korea. The Society of Sports Korean Medicine. 2020 ; 20(1) : 65-70.
  40. Lee DY, Choi BS, Lee IH, Kim JH, Gwon PS. Comparison of Index Compounds Content and Antioxidative Activity of Wild Ginseng Pharmacopuncture by Extraction Methods. J Int Korean Med. 2018 ; 39(3) : 313-22. https://doi.org/10.22246/jikm.2018.39.3.313
  41. Yun YH, Kim TY, Im TJ, Hwang YH, Choi IH. Narrative Review and Propose of Thread Embedding Acupuncture Procedure for Facial Wrinkles and Facial Laxity. J Korean Med Ophthalmol Otolaryngol Dermatol. 2020 ; 28(59) : 119-33. https://doi.org/10.6114/jkood.2015.28.1.119
  42. Jeong SY, Park JY, Kim YS, Kim SY. Contemporary Application of Roller Needle and Stamp Needle: A Patent Review. Korean J Acupunct. 2019 ; 36(3) : 139-49. https://doi.org/10.14406/acu.2019.017
  43. Higgins JPT, Altman DG, Sterne JAC (editors). Chapter 8: Assessing risk of bias in included studies. In: Higgins JPT, Churchill R, Chandler J, Cumpston MS (editors), Cochrane Handbook for Systematic Reviews of Interventions version 5.2.0 (updated June 2017), Cochrane, 2017. Available from www.training.cochrane.org/handbook
  44. Pudukadan D. Treatment of Acne Scars on Darker Skin Types Using a Noninsulated Smooth Motion, Electronically Controlled Radio-frequency Microneedles Treatment System. Dermatol Surg. 2017 ; 43 Suppl 1 : S64-9. https://doi.org/10.1097/dss.0000000000000894
  45. Kaplan H, Kaplan L. Combination of microneedle radiofrequency (RF), fractional RF skin resurfacing and multi-source non-ablative skin tightening for minimal-downtime, full-face skin rejuvenation. J Cosmet Laser Ther. 2016 ; 18(8) : 438-41. https://doi.org/10.1080/14764172.2016.1228981
  46. Tanaka Y. Long-term three-dimensional volumetric assessment of skin tightening using a sharply tapered non-insulated microneedle radiofrequency applicator with novel fractionated pulse mode in asians. Lasers Surg Med. 2015 ; 47(8) : 626-33. https://doi.org/10.1002/lsm.22401
  47. Lee C, Yang H, Kim S, Kim M, Kang H, Kim N, et al. Evaluation of the anti-wrinkle effect of an ascorbic acid-loaded dissolving microneedle patch via a double-blind, placebo-controlled clinical study. Int J Cosmet Sci. 2016 ; 38(4) : 375-81. https://doi.org/10.1111/ics.12299