Microneedling outcomes in early scars

1. Microneedling Outcomes in Early
Postsurgical Scars
Claytor, R. Brannon M.D.;
Sheck, Casey Gene D.O.;
Chopra, Vinod M.D.
SEPTEMBER 2022
Presenter: ACH-PS--Gerelmaa J. MD

2. Background
P: WILL I HAVE A SCAR???
DR: YES…

3. Background
When patients
do scar there
are different
ways of
managing those
scars.

4. MICRONEEDLING

5. Why would we do that???
➢Stimulates collagen growth back through
the scar
➢Helps remodel scars

6. METHODS
The science of wound healing indicates that the
biologically active time to intervene for improving scars
is during the late proliferative to early maturation phase.

7. METHODS

8. METHODS
All wound closures had a common element of absorbable
sutures placed in the deep dermis.
Open enrollment was offered to patients with a 6- to 16-
week postoperative window.
Postoperative treatment groups included
- 6 to 7 weeks (n = 7)
- 8 to 9 weeks (n = 7)
- 10 to 12 weeks (n = 4)
- 13 to 16 weeks (n = 7).

9. METHODS
Three treatments total were completed,
one at time of enrollment, followed by
treatments at 4 and 8 weeks.
The SkinPen Precision micronee- dling device (Crown Aesthetics, Dallas, Texas)
was utilized with depths ranging
between 1 mm and 2.5 mm, based on
the location of treatment area (face or body).

10. METHOD
• VIDEO 1
https://drive.google.com/file/d/1rAUGZiY-
PaEMg8cPOe1frGmYC8s09CC_/view?usp=sharin
g
• VIDEO 2
https://drive.google.com/file/d/1ncvWNW35Uk
uC3F6Eqypxw-SSUIbHAZQy/view?usp=sharing

11. RESULTS

12. RESULTS

13. DISCUSSION
When comparing outcomes between age,
Fitzpatrick phototype scale, and location of
scars on the body or face, no significant
difference was noted.

14. DISCUSSION
the standard of care through the maturation
phase has been limited:
-silicone scar cream
- mechanical massage
- sun avoidance
- compression therapy. 8

15. DISCUSSION
penetrating into the reticular dermis, minimally
invasive percutaneous collagen induction
causes activation and stimulation of fibroblasts to
produce collagen and elastin and induce angio-
genesis.5,9–16
MICRONEEDLING
• stimulates collagen growth back through the scar
• helps remodel scars

18. DISCUSSION
optimal timing of initiation of treatment
is still a matter of further investigation,
THEIR results showing that
microneedling need not be delayed
until 6 to 12 months postoperatively

19. THANK
YOU FOR
YOUR
ATTENTIO
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