AbstractBackground: Subcision is a minimally invasive office procedure utilized for treating depressed acne scars. It involves utilizing a needle or cannula to release fibrotic tissue beneath the skin, improving scar appearance without requiring a traditional incision.
Aim: Our objective was to assess the effectiveness of combining subcision with a blunt cannula, platelet-rich plasma injections, and microneedling for post-acne rolling scars treatment.
Methods: This pilot clinical trial was executed on 50 patients aged from 18 to 40 years, suffered from mild to severe rolling acne scars on their face. With exclude patient under treatment of acne for 4-6 weeks. Using of blunt cannula, no 25 gauge in subcision followed by PRP injection by the cannula in the same session followed by micro needling.
Results: There was significant positive correlation between physician satisfaction with age of onset of acne. Whereas, there was significant negative correlation between physician satisfaction with types of scars (p<0.05). Also, there was significant positive correlation between patient satisfaction with age and types of scars. Whereas, there was significant negative correlation between patient satisfaction with any previous types of acne and physician satisfaction (p<0.05). Controversy, there were no significant correlations between physician and patient satisfaction with other parameters (p>0.05).
Conclusions: The synergistic combination of platelet-rich plasma and subcision demonstrates enhanced efficacy in treating depressed acne scars. The application of plasma gel serves as a cost-effective and safe filler material that helps minimize the likelihood of scar recurrence following subcision procedures. When used together, these techniques provide superior outcomes in addressing atrophic post-acne scarring.
