Effect of microneedling by dermaroller on acne scars: an observational study at tertiary care hospital

Anjum M. Momin; Jignesh B. Vaishnani; Sanjay S. Bosamiya; Ankita A. Mistry

doi:10.18203/2320-6012.ijrms20230178

Authors

Anjum M. Momin Department of Dermatology Venereology and Leprosy- Surat Municipal Institute of Medical Education and Research, Umarwada, Surat, Gujarat, India
Jignesh B. Vaishnani Department of Dermatology Venereology and Leprosy- Surat Municipal Institute of Medical Education and Research, Umarwada, Surat, Gujarat, India
Sanjay S. Bosamiya Department of Dermatology Venereology and Leprosy- Surat Municipal Institute of Medical Education and Research, Umarwada, Surat, Gujarat, India
Ankita A. Mistry Department of Dermatology Venereology and Leprosy- Surat Municipal Institute of Medical Education and Research, Umarwada, Surat, Gujarat, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20230178

Keywords:

Dermaroller, Facial acne scars, Microneedling

Abstract

Background: Post acne facial scar is very distressing phenomenon. There are many treatment options like laser resurfacing, dermabrasion, microdermabrasion and non-ablative laser resurfacing but it may cause adverse effects and interference with the daily activities of the patient. Microneedling or dermaroller therapy is newer modality in management of acne scars with satisfactory improvement and no significant side effect. Objective of our study was to evaluate efficacy and safety of microneedling in the treatment of atrophic facial acne scars.

Methods: Twenty-eight patients of Fitzpatrick skin type IV to V having atrophic facial acne scars and fulfilling inclusion criteria were treated with multiple sittings of microneedling (dermaroller) treatment at monthly interval. Goodman and Baron’s qualitative and quantitative acne scar grading system was used for assessment. Patients were evaluated clinically and by serial photography. Presence of any active infection, active acne, wounds, blisters, keloids, taking some medications like Accutane, antihypertensives, anticoagulants, systemic retinoids, topical retinoids, those undergoing cosmetic procedures, treatment with injecting fillers or ablative or non-ablative laser resurfacing, diabetes, collagen diseases and those who do not agree to participate in study were excluded.

Results: Any change in the grading of scars after the end of treatment and follow-up period was noted. Efficacy and improvement of dermaroller treatment was assessed by Goodman and Baron’s global acne scarring system. Out of 18 patients (of total 28) with Goodman and Baron’s qualitative grade-4, 16 (88.90%) patients reduced to grade-1. 21 out of 28 patients achieved ‘excellent’ response. Adverse effects were limited to transient erythema and post inflammatory hyperpigmentation.

Conclusions: Microneedling therapy seems to be simple, safe and efficacious for the management of atrophic facial acne scars.

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References

Majid I. Microneedling therapy in atrophic facial scars: an objective assessment. J Cutan Aesthet Surg. 2009;2(1):26-30.

Layton AM, Henderson CA, Cunliffe WJ. A clinical evaluation of acne scarring and its incidence. Clin Exp Dermatol. 1994;19:303-8.

Holland DB, Jeremy AH, Roberts SG, Seukeran DC, Layton AM, Cunliffe WJ. Inflammation in acne scarring: Comparison of the responses in lesions from patients prone and not prone to scar. Br J Dermatol. 2004;150:72-81.

Marneros AG, Norris JE, Watanabe S, Reichenberger E, Olson BR. Genome scans provide evidence for keloid susceptibility loci on chromosome 2q23 and 7p11. J Invest Dermatol. 2004;122:1126-32.

Chivot M, Pawin H, Beylot C, Chosidow O, Dreno B, Faure M, et al. Acne scars: epidemiology, pathophysiology, clinic, treatment. Ann Dermatol Venereol. 2006;133:813-24.

Fabbrocini G, Annunziata M, D’Arco V. Acne scars: pathogenesis, classification and treatment. Dermatol Res Pract. 2010;2010.

Falabella AF, Falanga V. Wound healing. In: Freinkel RK, Woodley DT, eds. The Biology of the Skin. New York: Parethenon; 2001:281-299.

Fabbrocini G, Fardella N, Monfrecola A, Proietti I, Innocenzi D. Acne scarring treatment using skin needling. Clin Exp Dermatol. 2009;34:874‑9.

Majid I, Sheikh G, September PI. Microneedling and its applications in dermatology. Prime Int J Aesth Anti-Age Med Healthcare. 2014;4(7):44-9.

Aust MC, Fernandes D, Kolokythas P, Kaplan HM, Vogt PM. Percutaneous collagen induction therapy: An alternative treatment for scars, wrinkles, and skin laxity. Plast Reconstr Surg. 2008;121:1421‑9.

Nair PA, Arora TH. Microneedling using dermaroller: A means of collagen induction therapy. GMJ. 2014;69(1):24-7.

Hu S, Chen MC, Lee MC, Yang LC, Keoprasam N. Fractional resurfacing for the treatment of atrophic facial acne scars in Asian skin. Dermatol Surg. 2009;35:826-32.

Chrastil B, Glaich AS, Goldberg LH, Friedberg PM. Second generation 1550 nm fractional photothermolysis for treatment of acne scars. Dermatol Surg. 2008;34:1327-32.

Jordan R, Cummins C, Burls A. Laser resurfacing of skin for improvement of acne scarring: a systematic review of evidence. Br J Dermatol. 2000;142:413-23.

Gold M, Biron J. Treatment of acne scars by fractional bipolar radiofrequency energy. J Cosmet Laser Ther. 2012;14:172-8.

Chandrashekar BS, Sriram R, Mysore R, Bhaskar S, Shetty A. Evaluation of microneedling fractional radiofrequency device for treatment of acne scars. J Cutan Aesthet Surg. 2014;7:93-7.

Munavalli GS, Weiss RA, Halder RM. Photoaging and non-ablative photorejuvenation in ethnic skin. Dermatol Surg. 2005;31:1250-60.

Gulanikar AD, Vidholkar R. Efficacy of platelet-rich plasma in acne scars. Clin Dermatol Rev. 2019;3:109-14.

Ramesh M, Gopal M, Kumar S, Talwar A. Novel technology in treatment of acne scars: The matrix tunable radiofrequency technology. J Cutan Aesthet Surg. 2010;214:46-51.

Singh A, Yadav S. Microneedling: advances and widening horizons. Indian Dermatol Online J. 2016;7:244-54.

Yadav S, Dogra S. A cutaneous reaction to microneedling for post acne scarring caused by nickel hypersensitivity. Aesthet Surg J. 2016;36:168‑70.

Pahwa M, Pahwa P, Zaheer A. “Tram track effect” after treatment of acne scars using a microneedling device. Dermatol Surg. 2012;38(7pt1):1107‑8.

Chandrashekar BS, Sriram R, Mysore R, Bhaskar S, Shetty A. Evaluation of microneedling fractional radiofrequency device for treatment of acne scars. J Cutan Aesthet Surg. 2014;7:93-7.

Hassan R. Comparison of efficacy of microneedling for the treatment of acne scars in asian skin with and without subcision. J Turk Acad Dermatol. 2015;9(2):1592a2.

Pandey A, Swain JP, Minj A. Assessment of microneedling therapy in the management of atrophic facial acne scars. J Evid Based Med Healthcare. 2015;2(57):8911-3.

Dogra S, Yadav S, Sarangal R. Microneedling for acne scars in Asian skin type: an effective low cost treatment modality. J Cosmet Dermatol. 2014;13(3):180-7.

Dodaballapur S. Microneedling with dermaroller. J Cutan Aesthet Surg. 2009;2(2):110-1.