{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T11:04:51Z","timestamp":1787828691345,"version":"build-2784847793"},"reference-count":26,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,10,4]],"date-time":"2024-10-04T00:00:00Z","timestamp":1728000000000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Skin Research and Technology"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Extracorporeal shock wave therapy (ESWT) enhances extracellular matrix remodeling and tissue regeneration by promoting growth factor release, regulating blood and lymphatic flows, and reducing fat and fibrotic tissues. Focused shock wave therapy (F\u2010SWT), radial shock wave therapy (R\u2010SWT), and combined F\u2010SWT and R\u2010SWT have been used to deliver different patterns of shock energy depending on the characteristics of the target lesions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We investigated the efficacy and safety of ESWT in patients with dermal and subdermal fibrosis. Fifty\u2010two patients treated with F\u2010SWT and\/or R\u2010SWT for dermal and subdermal fibrosis caused due to various reasons were retrospectively analyzed by reviewing their medical records, clinical images, and ultrasound study images.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean number of pulses administered for F\u2010SWT on the cheek, temple, and chin were 2600.0 \u00b1 1040.8 shocks\/session and for R\u2010SWT were 5080.0 \u00b1 2234.6 pulses\/session, and the number of treatment sessions were 8.0 \u00b1 4.4. In patients who were treated with ESWT on the abdomen, the mean number of pulses for F\u2010SWT were 2600.0 \u00b1 2408.3 shocks\/session and for R\u2010SWT were 8400.0 \u00b1 894.4 pulses\/session, and the number of treatment sessions were 3.2 \u00b1 1.6. Most patients were satisfied with the results. Pain during ESWT was well tolerated and post\u2010ESWT edema was more common in R\u2010SWT than in F\u2010SWT.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our data demonstrated that ESWT effectively and safely improved the clinical appearance and functional movement of patients with dermal and subdermal fibrosis caused due to various reasons.<\/jats:p><\/jats:sec>","DOI":"10.1111\/srt.70082","type":"journal-article","created":{"date-parts":[[2024,10,4]],"date-time":"2024-10-04T22:00:45Z","timestamp":1728079245000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Clinical Efficacy and Safety of Low\u2010Energy Extracorporeal Shock Wave Therapy for Various Conditions of Deep Dermal and Subdermal Fibrosis"],"prefix":"10.1111","volume":"30","author":[{"given":"Jeongah","family":"Ko","sequence":"first","affiliation":[{"name":"Ko Jung A Clinic  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6748-5071","authenticated-orcid":false,"given":"Sung Bin","family":"Cho","sequence":"additional","affiliation":[{"name":"Yonsei Seran Dermatology and Laser Clinic  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10,4]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1159\/000460503"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.molmed.2013.05.005"},{"key":"e_1_2_9_4_1","first-page":"138","article-title":"Biological Effects of Extracorporeal Shock Waves on Fibroblasts. 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