Microneedling in the Complex Therapy of Atrophic Post-inflammatory Scars
Cicatricial deformities are one of the most common reasons for visiting medical institutions of a dermatological or cosmetological profile, while atrophic scars (AR) make up the vast majority - 60.3% of cases. Treatment of patients with post-acne scars should be tailored to each patient. Microneedling is promising in terms of AR correction. Material and methods. 32 patients with atrophic post-acne scars were under observation: ice pick - 12 patients; boxcar - 11 patients; rolling - 9 patients. The duration of the existence of scars ranged from 2 to 12 months. All patients underwent microneedling procedures once a month, course - 4. Results. After therapy, clear and practically clear skin (0-1 point on the Goodman scale) after 6 months was observed in 33.3% (ice pick), 27.3% (boxcar) and 22.2% (rolling) of patients. MSS (color) improved by 76.7%, MSS (texture) by 66.7%, MSS (embossed) by 78.7%, MSS (displacement) by 41.1%, MSS (density) by 90.8%. The decrease in the APSEA index after 6 months was 74.8%. Conclusions. The results of the study showed a rather high efficiency of microneedling in patients with atrophic post-acne scars, regardless of the phenotype of post-acne scars.