Comparison of Micro Needling plus Topical Insulin with Micro Needling Alone In Patients with Atrophic Acne Scars: A Split Face Study

Authors

  • Sadia Malik Department of Dermatology, Combined Military Hospital, Gujranwala/National University of Medical Sciences (NUMS) Pakistan
  • Moizza Tahir Department of Dermatology, Combined Military Hospital, Gujranwala/National University of Medical Sciences (NUMS) Pakistan
  • Quratulain Ejaz Department of Radiology, Armed forces institute of Radiology and Imaging/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Khawar Kamal Department of Dermatology, Combined Military Hospital, Gujranwala/National University of Medical Sciences (NUMS) Pakistan
  • Sameena Kausar Department of Dermatology, Combined Military Hospital, Malir/National University of Medical Sciences (NUMS) Pakistan
  • Samra Sadaf Department of Dermatology, Combined Military Hospital, Gujranwala/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v74i2.8105

Keywords:

Atrophic acne scars, Goodman and baron’s quantitative scar scale, Micro-needling, Topical insulin

Abstract

Objective: To study the efficacy of topical Insulin with microneedling compared to microneedling alone in atrophic acne scars.

Study Design: Prospective, split face, comparative study.

Place and Duration of Study: Department of Dermatology, Combined Military Hospital, Gujranwala Pakistan, from Jan to Jul 2021.

Methodology: Fifty patients with atrophic acne scars from the dermatology outpatient department were selected. The right half of the face was treated with microneedling with Dermapen, keeping the needle depth at 2 mm, along with 40 units of Insulin, while the left half was treated with microneedling alone. The sessions were repeated at monthly intervals for a total of 3 sessions. Goodman and Baron’s quantitative scar scale was assessed at the beginning and then one month after the last (3rd) session, and improvement was measured.
Results: Pre-treatment Goodman and Barons quantitative score mean on the right half was 20.44±3.54 whereas on the left half was 20.62±3.23. Post-procedure Goodman and Baron’s quantitative grading scale mean score on the right half was 9.78±2.88 while on the left half, 10.54±2.27. The improvement in mean global scores on the right and left halves was 10.66±2.11 and 10.08±1.88, respectively. The paired sample t-test showed a significant difference (p<0.001) in the scores of both the right and the left halves.

Conclusion: Microneedling alone and combined with Insulin effectively treats atrophic acne scars.

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Published

29-04-2024

How to Cite

1.
Malik S, Moizza Tahir, Quratulain Ejaz, Khawar Kamal, Sameena Kausar, Samra Sadaf. Comparison of Micro Needling plus Topical Insulin with Micro Needling Alone In Patients with Atrophic Acne Scars: A Split Face Study. Pak Armed Forces Med J [Internet]. 2024 Apr. 29 [cited 2024 May 24];74(2):392-6. Available from: https://pafmj.org/PAFMJ/article/view/8105

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