Monotherapy of biofiller for atrophic acne scars: A prospective nonrandomized study

Background: Atrophic acne scarring is an unpleasant and often permanent complication and a therapeutic challenge for dermatologists. Platelet-poor plasma (PPP) gel injections are derived from the patient’s own blood and used as a “biofiller” for skin rejuvenation. Objectives: The objective was to st...

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Main Authors: Mansi Bhatt, Varsha Jamale, Mohan Kale, Asma A Hussain, Balkrishna P Nikam
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Journal of Cutaneous and Aesthetic Surgery
Subjects:
Online Access:http://www.jcasonline.com/article.asp?issn=0974-2077;year=2022;volume=15;issue=3;spage=260;epage=266;aulast=Bhatt
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author Mansi Bhatt
Varsha Jamale
Mohan Kale
Asma A Hussain
Balkrishna P Nikam
author_facet Mansi Bhatt
Varsha Jamale
Mohan Kale
Asma A Hussain
Balkrishna P Nikam
author_sort Mansi Bhatt
collection DOAJ
description Background: Atrophic acne scarring is an unpleasant and often permanent complication and a therapeutic challenge for dermatologists. Platelet-poor plasma (PPP) gel injections are derived from the patient’s own blood and used as a “biofiller” for skin rejuvenation. Objectives: The objective was to study the efficacy and safety profile of PPP gel in atrophic acne scars. Materials and Methods: Thirty patients with atrophic acne scars were included in the study. Topical anesthesia was applied on the area of interest 45 min prior to the procedure. 20 mL of blood was collected in eight sodium citrate bulbs and centrifuged to get PPP that is coagulated with heat to form gel. This gel (biofiller) was injected in the scarred areas monthly for 6 months. Patients were evaluated using Goodman and Baron Scar (GBS) scale (quantitative and qualitative), Physician Global Assessment, and Visual Analogue Scale (VAS) at each visit. The final visit was after 3 months of the last procedure. Results: The mean value of GBS at the first visit was 28, which reduced to 8.2 at the final visit. The analysis of variance test was applied to the quantitative scale from the baseline visit to the final visit. The F value was 462.55 with a P value < 0.0001. The paired t-test was applied for the GBS quantitative scale, which showed a value of 22.86 with a P value of <0.001. Transient local side effects were noted. Conclusion: Biofiller is efficacious in improving atrophic acne scars. It is a simple, minimally invasive, cost-effective procedure with no risk of immunogenic reaction.
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spelling doaj.art-683a59b2edfe458fb0024c2b5e0d2f6a2022-12-22T02:49:33ZengWolters Kluwer Medknow PublicationsJournal of Cutaneous and Aesthetic Surgery0974-20772022-01-0115326026610.4103/JCAS.JCAS_58_22Monotherapy of biofiller for atrophic acne scars: A prospective nonrandomized studyMansi BhattVarsha JamaleMohan KaleAsma A HussainBalkrishna P NikamBackground: Atrophic acne scarring is an unpleasant and often permanent complication and a therapeutic challenge for dermatologists. Platelet-poor plasma (PPP) gel injections are derived from the patient’s own blood and used as a “biofiller” for skin rejuvenation. Objectives: The objective was to study the efficacy and safety profile of PPP gel in atrophic acne scars. Materials and Methods: Thirty patients with atrophic acne scars were included in the study. Topical anesthesia was applied on the area of interest 45 min prior to the procedure. 20 mL of blood was collected in eight sodium citrate bulbs and centrifuged to get PPP that is coagulated with heat to form gel. This gel (biofiller) was injected in the scarred areas monthly for 6 months. Patients were evaluated using Goodman and Baron Scar (GBS) scale (quantitative and qualitative), Physician Global Assessment, and Visual Analogue Scale (VAS) at each visit. The final visit was after 3 months of the last procedure. Results: The mean value of GBS at the first visit was 28, which reduced to 8.2 at the final visit. The analysis of variance test was applied to the quantitative scale from the baseline visit to the final visit. The F value was 462.55 with a P value < 0.0001. The paired t-test was applied for the GBS quantitative scale, which showed a value of 22.86 with a P value of <0.001. Transient local side effects were noted. Conclusion: Biofiller is efficacious in improving atrophic acne scars. It is a simple, minimally invasive, cost-effective procedure with no risk of immunogenic reaction.http://www.jcasonline.com/article.asp?issn=0974-2077;year=2022;volume=15;issue=3;spage=260;epage=266;aulast=Bhattatrophic acne scarsautologous fillerbiofillerdermal fillerplatelet-poor plasma
spellingShingle Mansi Bhatt
Varsha Jamale
Mohan Kale
Asma A Hussain
Balkrishna P Nikam
Monotherapy of biofiller for atrophic acne scars: A prospective nonrandomized study
Journal of Cutaneous and Aesthetic Surgery
atrophic acne scars
autologous filler
biofiller
dermal filler
platelet-poor plasma
title Monotherapy of biofiller for atrophic acne scars: A prospective nonrandomized study
title_full Monotherapy of biofiller for atrophic acne scars: A prospective nonrandomized study
title_fullStr Monotherapy of biofiller for atrophic acne scars: A prospective nonrandomized study
title_full_unstemmed Monotherapy of biofiller for atrophic acne scars: A prospective nonrandomized study
title_short Monotherapy of biofiller for atrophic acne scars: A prospective nonrandomized study
title_sort monotherapy of biofiller for atrophic acne scars a prospective nonrandomized study
topic atrophic acne scars
autologous filler
biofiller
dermal filler
platelet-poor plasma
url http://www.jcasonline.com/article.asp?issn=0974-2077;year=2022;volume=15;issue=3;spage=260;epage=266;aulast=Bhatt
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