Efficacy and Safety of Punch Elevation with Microneedling in the Treatment of Atrophic Acne Scars

Document Type : Original Article

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Department of Dermatology, Andrology and Venereology, Faculty of Medicine, Al-Azhar University, Assiut, Egypt.

Abstract

Background: Approximately 95% of people with a history of acne may have post-acne scars, which are challenging to treat and diminish their quality of life.
The aim of the work: We aimed to compare the efficacy and safety of two treatments for atrophic acne scars: punch elevation with microneedling and platelet rich plasma (P/M/P) versus microneedling and platelet rich plasma (M/P) in a split face prospective study.
Patients and Methods: This is prospective comparative research conducted on 15 patients between the ages of 19 and 32 with post acne boxcar and icepick scars. Fourteen patients have boxcar scars on the right and left side, while seven patients have icepick scars on the left side and six patients have icepick scars on right side. Left side of face of each patient was treated by punch elevation. After four weeks, both sides were treated with microneedling and platelets rich plasma (PRP). Three sessions of microneedling and PRP on both sides were done with a 4-week interval.
Results: There was a significant reduction in Goodman score of boxcar and icepick scar after treatment by punch elevation plus microneedling and PRP on the left side, however there was no significant difference on the right side before and after treatment. On the other hand, Punch treated side show a statistically significant difference when compared to right side. Most of patients were satisfied after treatment. Micro-needling with PRP and punch elevation were well tolerated with no major adverse events were observed.
Conclusions: Punch elevation is simple, a safe and cost effective procedure for facial box and icepick scars atrophic acne scars and combination of punch elevation procedure with other procedures like microneedling and PRP offer better results in treatment of post acne scars than microneedling with PRP only.

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