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Monotherapy of Biofiller for Atrophic Acne Scars: A Prospective Nonrandomized Study
Mansi Bhatt1, Varsha Jamale1, Mohan Kale1
1Department of Dermatology, Krishna Institute of Medical Sciences, Karad, Maharashtra, India.
Journal of Cutaneous and Aesthetic Surgery
|December 23, 2022
Summary
Platelet-poor plasma (PPP) gel injections effectively improve atrophic acne scars. This minimally invasive biofiller treatment offers a safe and cost-effective solution for skin rejuvenation.
Area of Science:
- Dermatology
- Regenerative Medicine
- Aesthetic Procedures
Background:
- Atrophic acne scarring presents a significant therapeutic challenge due to its persistent nature.
- Platelet-poor plasma (PPP) gel, derived from autologous blood, is utilized as a biofiller for skin rejuvenation.
- The study investigates a novel application of PPP gel in treating acne-related scarring.
Purpose of the Study:
- To evaluate the efficacy of platelet-poor plasma (PPP) gel injections in improving the appearance of atrophic acne scars.
- To assess the safety profile and potential side effects associated with PPP gel biofiller treatments.
- To determine the clinical outcomes using standardized scar assessment scales.
Main Methods:
- A study involving 30 patients with atrophic acne scars was conducted.
- Platelet-poor plasma (PPP) was extracted from patient blood, converted into a gel (biofiller), and injected monthly for six months.
- Scar severity was assessed using the Goodman and Baron Scar (GBS) scale, Physician Global Assessment, and Visual Analogue Scale (VAS).
Main Results:
- Significant improvement in atrophic acne scars was observed, with the mean GBS score decreasing from 28 to 8.2.
- Statistical analysis (ANOVA and paired t-test) confirmed a highly significant reduction in scar severity (P < 0.0001).
- Transient, localized side effects were noted, indicating a favorable safety profile.
Conclusions:
- Platelet-poor plasma (PPP) gel biofiller demonstrates significant efficacy in treating atrophic acne scars.
- The procedure is simple, minimally invasive, and cost-effective.
- Autologous PPP gel offers a safe alternative with no risk of immunogenic reactions.

