Enerjet’s needleless mechanism of action is based on highvelocity
pneumatic acceleration of high-mass hyaluronic acid
particles, which penetrates the epidermis through a tiny entry
point. Once the accelerated jet reaches the dermal layer,
it spreads laterally, causing a controlled micro-injury to the
dermal layer, initiating the wound-healing process, and stimulating
neocollagenesis, a favorable secondary effect.5
Jet volumetric remodeling technology has shown promising
results, and may address some of the limitation of other
treatment modalities, and may be used in combination for an
effective treatment. This technology is associated with short
downtimes and is applicable to all acne scar subtypes as well
as all skin types. With JVR technology, the specific scar area is
treated, in contrast to other modalities such as chemical peels
or laser skin resurfacing where a significantly larger area outside
the scar is subject to the treatment.
CONCLUSION
The Enerjet system provides a unique, advanced technology
for a safe and effective acne scar treatment with minimal
downtime, pain, or side effects. Improved clinical results may
be achieved by optimizing HA volume and pressure power according
to skin type, treatment area, age, scar type (eg, high
pressure power in deep scars, greater volume of HA in extensive
scars). Additional controlled trials including multiple
patients, longer follow-up, and different parameters will be
necessary to determine the optimal settings for achieving the
best clinical effects per each scar subtype.
DISCLOSURES
Dr. Patel is a consultant for PerfAction. Mr. Tevet was an employee
of PerfAction.
REFERENCES
- Fabbrocini G, Annunziata MC, D’arco V et al. Acne Scars: Pathogenesis, Classification and Treatment. Dermatology res pract. 2010;2010:893080
- Jacob C, Dover J, Kaminer M. Acne scarring: a classification system and review of treatment options. J Am Acad Dermatol. 2001;45(1):109-17.
- Rivera, AE. Acne scarring: a review and current treatment modalities. J Am Acad Dermatol. 2001;59(4):659-676.
- Goodman, GJ. Treatment of acne scarring. Int J Dermatol, 2011;50(10):1179-94.
- Kim, BJ, Yoo, KH, Kim, MN. Successful Treatment of Depressed Scars of the Forehead Secondary to Herpes Zoster Using Subdermal Minimal Surgery Technology. Dermatol Surg. 2009;35(9):1439-40.
AUTHOR CORRESPONDENCE
Tapan Patel MBBS MRCP……................................... tp@phiclinic.com