Abstract

Introduction: Permanent scars are the major complications of acne. Correction of scars is the priority for acne patients. Platelet-rich plasma (PRP) may be useful in the treatment of atrophic acne scars by promoting collagen deposition. Skin needling also releases growth factors, initiate a cascade of wound healing resulting in collagen production. Hence, skin needling and PRP should act synergistically to improve acne scars.Objective: To assess the effectiveness of the combined use of skin needling and PRP application in acne scar treatment.Material and Methods: The study enrolled 10 patients of acne scars. Platelet rich plasma therapy with needling was given to them at monthly interval for a therapeutic period of 6 months. The effects of therapy were evaluated based on photographic assessment and patient’s satisfaction.Results: Mean age of the patients was 28.10 ± 5.065. Twenty percent of patients showed excellent response, 80% showed good response. The results were found to be significant with p value < 0.014. Pain and edema were major complaints which subsided in 1-2 days.Conclusion: Platelet rich plasma therapy combined with skin needling is a safe and effective treatment for management of acne scars.

Highlights

  • Permanent scars are the major complications of acne

  • Platelet rich plasma therapy combined with skin needling is a safe and effective treatment for management of acne scars

  • Many techniques are available for the correc on of atrophic acne scars, including subcision, dermabrasion, chemical peeling, laser technology, fat gra ing, and use of fillers; these techniques have resulted in varying degrees of success and associated adverse effects.[5,6,7,8]

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Summary

Introduction

Permanent scars are the major complications of acne. Correction of scars is the priority for acne patients. Atrophic acne scars are by far the most common type.[4] Facial scars lead to cosme c problems, and have psychological effects such as emo onal debilita on, embarrassment, poor self-esteem, and social isola on.[5] Many techniques are available for the correc on of atrophic acne scars, including subcision, dermabrasion, chemical peeling, laser technology, fat gra ing, and use of fillers; these techniques have resulted in varying degrees of success and associated adverse effects.[5,6,7,8] It has been postulated that autologous platelet-rich plasma (PRP) could be used for the treatment of atrophic facial scars, because it can enhance wound healing, which has been shown to accelerate ssue repair.[5,9] Percutaneous collagen induc on or skin needling has recently been proposed as a simple and effec ve therapeu c op on for the management of atrophic scars.[10] Skin needling is a technique that uses a sterile dermaroller to puncture the skin and release growth factors. This current study was conducted aiming to clarify the efficacy and safety of each modality

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