To compare the efficacy of 35% glycolic acid along with micro-needling versus platelet rich plasma along with micro-needling in treatment of the acne scars

Authors

  • Mah-e-Neema Asghar Dermatology Unit II, mayo hospital,Lahore
  • Mah-e-Neema Asghar Department of Dermatology, KEMU, Mayo Hospital, Lahore.
  • Zahra Arooba Department of Dermatology, KEMU, Mayo Hospital, Lahore.
  • Noshi Ilyas Department of Dermatology, KEMU, Mayo Hospital, Lahore.
  • Altaf Hussain Department of Dermatology, KEMU, Mayo Hospital, Lahore.
  • Shahbaz Aman Department of Dermatology, KEMU, Mayo Hospital, Lahore.

Keywords:

Acne vulgaris, ; Micro-needling, Platelet rich plasma, glycolic acid (GA), Post-acne atrophic scars

Abstract

OBJECTIVE: To compare the efficacy of 35% glycolic acid combined with micro-needling versus platelet rich plasma combined with micro-needling in the treatment of acne scars METHODOLOGY: This randomized controlled study was conducted at Department of Dermatology, Mayo Hospital, Lahore from July 16, 2022 to January 15, 2023. 60 patients fulfilling the selection criteria were enrolled. Group A went through micro-needling combined with 35% glycolic acid (containing glycolic acid) and group B went through micro-needling combined with platelet rich plasma. Scars were examined before the first treatment session and at each follow up and scored according to Goodman and Baron’s Qualitative Acne Scarring Grading System. Final visit was done after 4 weeks of last session. Both groups were compared for efficacy using Chi-square test taking p-value ≤0.05 as significant. RESULTS: In group-A, 7(23.3%) were males and 23(76.7%) were females, while in group-B, 8(26.7%) were males and 22(73.3%) were females. The mean age of patients in group-A was 23.68±5.03 years and 24.48±4.75 years in group-B. In Micro-needling plus 35% glycolic acid group, 26(86.7%) patients had efficacy of treatment, while in Micro-needling plus PRP group, 19(63.3%) patients had efficacy of treatment (p<0.05). CONCLUSION: Micro-needling combined with 35% glycolic acid is a more effective therapeutic modality than micro-needling combined with PRP. KEY WORDS: Acne Vulgaris, Micro-Needling, Platelet Rich Plasma, 35% Glycolic Acid, Post-Acne Atrophic Scars.

References

Williams, H. C., Dellavalle, R. P. & Garner, S. Acne vulgaris. The Lancet. 2012;379(9813):361-72.

Hay RJ, Johns NE, Williams HC et al. The global burden of skin disease in 2010: an analysis of the prevalence and impact of skin conditions. J Invest Dermatol. 2013; 134:1527–34.

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

Fox L, Csongradi C, Aucamp M, du Plessis J, Gerber M. Treatment Modalities for Acne.

Molecules. 2016;21(8):1063.

Lavers I. Diagnosis and management of Acne vulgaris. Nurse Prescr. 2014;12:330–6.

Ghodsi SZ, Orawa H, Zouboulis CC. Prevalence, severity, and severity risk factors of acne in high school pupils: a community-based study. J Invest Dermatol. 2009;129(9):2136–41.

El-Domyati M, Barakat M, Awad S, Medhat W, El-Fakahany H, Farag H. Microneedling Therapy for Atrophic Acne Scars: An Objective Evaluation. J Clin Aesthet Dermatol. 2015;8(7):36-42.

Patil S, Patil SK. Dermaroller: simple and effective acne scar treatment. Int J Res. 2016;2(3):46.

Hou A, Cohen B, Haimovic A, Elbuluk N. Microneedling: a comprehensive review. Dermatol Surg. 2017;43(3):321-39.

Saadawi AN, Esawy AM, Mohamed WE. Microneedling and glycolic acid peel for treatment of acne scar; comparative study. ZUMJ. 2018;24(1):44-54.

Sharad J. Combination of microneedling and glycolic acid peels for the treatment of acne scars in dark skin. J Cosmet Dermatol. 2011;10(4):317-23.

Gupta M, Barman KD, Sarkar R. A Comparative Study of Microneedling Alone Versus Along with Platelet-Rich Plasma in Acne Scars. J Cutan Aesthet Surg. 2021;14(1):64-71.

Nandini AS, Sankey SM, Sowmya CS, Sharath Kumar BC. Split-face Comparative Study of Efficacy of Platelet-rich Plasma Combined with Microneedling versus Microneedling alone in Treatment of Post-acne Scars. J Cutan Aesthet Surg. 2021;14(1):26-31.

Ali G, Mehtab K, Sheikh ZA. Beliefs and perceptions of acne among a sample of students from Sindh Medical College, Karachi. J Pak Med Assoc. 2010;60(1):51–4.

Perkins AC, Cheng CE, Hillebrand GG. Comparison of the epidemiology of acne vulgaris among Caucasian, Asian, Continental Indian and African American women. Eur Acad Dermatol Venereol. 2011;25(9):1054–60.

Cohen BE, Elbuluk N. Micro-needling in skin of color: A review of uses and efficacy. Derm Surg. 2015;74(2):348–55.

Fabbrocini G, Annunziata MC, D’Arco V Acne Scars: Pathogenesis, Classification and Treatment. Dermatol Res Pract. 2010:e893080.

Rana S, Mendiratta V, Chander R. Efficacy of microneedling with 70% glycolic acid peel vs microneedling alone in treatment of atrophic acne scars—A randomized controlled trial. J Cosmet Dermatol. 2017;16(4):454–459.

Sharad J. Combination of microneedling and glycolic acid peels for the treatment of acne scars in dark skin. J Cosmet Dermatol. 2011;10(4):317–23.

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Published

2023-08-07

How to Cite

1.
Asghar M- e-N, Asghar M- e-N, Arooba Z, Ilyas N, Hussain A, Aman S. To compare the efficacy of 35% glycolic acid along with micro-needling versus platelet rich plasma along with micro-needling in treatment of the acne scars. J Pak Assoc Dermatol [Internet]. 2023Aug.7 [cited 2025Mar.27];33(3):986-90. Available from: https://www.jpad.com.pk/index.php/jpad/article/view/2525

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