Subcision with Platelet-Rich Plasma and Microneedling versus Subcision with Saline and Microneedling in Posttraumatic Scars

Abstract Background: In treating post-traumatic scars, this study compared the safety and effectiveness of combined subcision with saline and microneedling versus combined subcision with platelet-rich plasma and microneedling. Methods: Subcision with microneedling with either saline or platelet-rich plasma was used to treat 36 consecutive individuals with post-traumatic scarring. The Modified Manchester score was used to assess texture change, pigmentation, and surface distortion changes. Each change was given a score between 1 and 4. A lower score (range: 3–12) indicates a better result. The mean of the three individual scores was determined. Results: For best outcomes, a patient needed an average of four treatments for each scar, with a one-month follow-up period following the final treatment. The three variables in group B had mean scores of 1.4±0.5, 2±0.8, and 2.2±0.9, respectively, for texture change, pigmentation, and surface distortion. With a mean score of 1.4±0.5, texture change had the best response out of the three variables we evaluated. The investigator determined that the mean improvement score for patients in group B's overall appearance was 5.61±1.19. Conclusion: The study has shown that the combination of subcision with platelet-rich plasma, and microneedling appears to be a promising treatment for posttraumatic scars due to its low risk and high efficacy. Our findings suggest that this is safe method for treating posttraumatic scars, with few side effects and a low chance of recurrence.