Evidence map›Paper›PMID 41347603›Full record

Trial reportJournal of cosmetic dermatology2025

Efficacy of the Combination Therapy of Intense Pulsed Light and Microneedling With a Postbiotic Formulation for Melasma.

Zhanhong Li, Yiyuan Xiang, Juan Meng, Huiying Wang, Hao Wu, Ting Li, Xiaoling Jiang, Tao Wu, Yan Zhang, Xuehua Xiao and 16 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of cosmetic dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. Article
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

26 authors.

Zhanhong LiGuangzhou MLT Medical Cosmetic Clinic, Guangzhou, China.ORCID https://orcid.org/0000-0002-7287-7245
Yiyuan XiangGuangzhou MLT Medical Cosmetic Clinic, Guangzhou, China.
Juan MengDepartment of Cosmetic Dermatology, Sichuan Huamei Zixin Plastic Surgery Hospital, Chengdu, China.
Huiying WangDepartment of Cosmetic Dermatology, Foshan Huamei Liancheng Plastic Surgery Hospital, Foshan, China.
Hao WuDepartment of Cosmetic Dermatology, Changsha MYLIKE Medical Cosmetic Hospital, Changsha, China.
Ting LiMedical Cosmetic Center, Xinjiang Uiger Municipal People's Hospital, Urumqi, China.
Xiaoling JiangFuzhou Gulou Aimeer Medical Cosmetic Clinic, Fuzhou, China.
Tao WuDepartment of Cosmetic Dermatology, Hainan Huamei Medical Cosmetic Hospital, Haikou, China.
Yan ZhangDepartment of Cosmetic Dermatology, Xi'an Yezi Medical Cosmetic Hospital, Xi'an, China.
Xuehua XiaoFuqing Yinxi Chen Yilei Medical Cosmetic Clinic, Fuqing, China.
Xiufen MaDepartment of Cosmetic Dermatology, Xiamen MYLIKE Medical Cosmetic Hospital, Xiamen, China.
Mei YangCenter for Photomedicine, Chengdu Runhe Dermatology Specialist Hospital, Chengdu, China.
Han ZhuDepartment of Cosmetic Dermatology, Hangzhou MYLIKE Medical Cosmetic Hospital, Hangzhou, China.
Yan BiGuangzhou MLT Medical Cosmetic Clinic, Guangzhou, China.
Yurong ChenGuangzhou MLT Medical Cosmetic Clinic, Guangzhou, China.
Hong LeiDepartment of Cosmetic Dermatology, Xinjiang Huamei Plastic Surgery Hospital, Urumqi, China.
Jing HuDepartment of Cosmetic Dermatology, Jinan Jingmei Boge Medical Cosmetic Hospital, Jinan, China.
Guiyun HuangDepartment of Cosmetic Dermatology, Guangzhou MYLIKE Medical Cosmetic Hospital, Guangzhou, China.
Lin CongDepartment of Cosmetic Dermatology, Shenzhen Yestar Medical Cosmetic Hospital, Shenzhen, China.
Jing WangDepartment of Cosmetic Dermatology, Shenzhen Pengai Medical Cosmetic Hospital, Shenzhen, China.
Lei YanChengdu Gaoxin Preface Medical Cosmetic Clinic, Chengdu, China.
Han ZhouGuangzhou LTHINK Medical Biotechnology Co. Ltd, Guangzhou, China.
Chunqing LiDepartment of Cosmetic Dermatology, Yunnan Wushi Jiamei Medical Cosmetic Hospital, Kunming, China.
Xue ZhangDepartment of Cosmetic Dermatology, Xi'an Gao Yi Sheng Medical Cosmetic Hospital, Xi'an, China.
Mei OuDepartment of Cosmetic Dermatology, Sichuan Hamilton Medical Cosmetic Hospital, Chengdu, China.
Qiong MengGuangzhou MLT Medical Cosmetic Clinic, Guangzhou, China.ORCID https://orcid.org/0000-0003-0240-0879

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMelasma pathogenesis involves multifactorial mechanisms, and a comprehensive strategy achieves superior outcomes compared to monotherapy. Intense pulsed light (IPL) reduces pigmentation via selective photothermal effects, while microneedling enhances melanin clearance through mechanical stimulation and improves transdermal drug delivery. However, the therapeutic synergy of combining IPL with microneedling for melasma management requires further validation.

objectiveTo assess the clinical effectiveness of combining IPL and microneedling with a postbiotic formulation containing Lactobacillus fermentation lysate in facial melasma.

methodsThirty individuals were enlisted and randomly split into two groups. IPL therapy group: Received IPL treatments at 4-week intervals for 12 weeks. Combination therapy group: Underwent alternating IPL and microneedling every 2 weeks for 12 weeks. Symptomatic improvement was assessed utilizing the Modified Melasma Area and Severity Index (mMASI) Score and VISIA skin detection system (Canfield, USA). Patient satisfaction was evaluated through questionnaires.

resultsBoth groups showed significant mMASI score reductions from baseline, with greater improvement in the combination group (p < 0.05). Clinical photographs demonstrated decreased pigmentation and inflammation, with 73.3% of patients reporting satisfaction. VISIA analysis confirmed the significant decrease in the score of speckle, brown speckle, red region and UV speckle, further confirming the positive impact of the combination therapy on melasma. No severe adverse events occurred.

conclusionThe combination therapy of IPL and microneedling with a postbiotic formulation exhibits a multidimensional synergistic effect, presenting a promising new direction for melasma therapy.

Indexed as

Dry NeedlingIntense Pulsed Light TherapyMelanosisAdultCombined Modality TherapyFemaleHumansMaleMiddle AgedNeedlesPatient SatisfactionPercutaneous Collagen InductionSeverity of Illness IndexTreatment OutcomeYoung Adultintense pulsed lightmelasmamesotherapymicroneedlingpostbiotics

Identifiers

PMID41347603
PMCPMC12679679

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.