Facial biostimulation with PRP activated with ozone resound on cellular redox balance, improves lipoatrophy and quality of life in HIV patients

Context: Pathogenic impact of high-grade local and systemic oxidative stress in antiretroviral treated HIV patients are recognized factor influencing in lipodystrophy, which is proposed can be ameliorate with platelet rich plasma (PRP). Aims: To determine the efficacy and safety of ozone and calcium activated PRP application in lipoatrophy- AIDS Cuban individuals. Methods: Thirty HIV individuals enrolled in quasi experimental prospective study showed lipoatrophy grade from 1 to 3. A mean volume interval of 8 to 22.2 mL of PRP was injected in 5 interventions during a year. The clinical, chemical, oxidative stress and progression indexes determinations were performed prior to injections and at 6 and 12 months after. Also, questionnaires based on Short Form 36, Medical Outcomes Study HIV Health Survey were assessed. Different statistical analyses were done comparing baseline respect final values of variables. Results: Beneficial improve of lipoatrophy grade (p<0.05) and stabilization in global indexes of damage and antioxidant status at the end of the study was demonstrated. The comparison revealed a significantly smaller damage and higher antioxidant status compared to baseline values (p<0.05). Non-significant modifications were observed in hematological and chemical indexes (p˃0.05), respect quality of life 75% of three dimensions improved and depressive symptoms decreased. Non-adverse reactions were observed during the study period. Conclusions: These results corroborate that beneficial amelioration of oxidative stress occurs in lipoatrophy AIDS patients during effective and safety PRP-ozone facial bioestimulation. Integral diagnosis would be worthwhile to conduct a more comprehensive study and manage of lipoatrophy.