Scar
Conditions
Keywords
Dermabrasion, Microneedling, Surgical scars
Brief summary
This study aims to determine whether microneedling or dermabrasion in the early post-operative period is superior in improving the appearance of surgical scars on the face.
Detailed description
Microneedling and dermabrasion are two common modalities that may be performed in-office to treat surgical scars. Microneedling is a form of collagen induction therapy, often used in conjunction with platelet-rich plasma or hyaluronic acid. Dermabrasion is a technique that improves the skin structure, quality, and appearance of scars through collagen remodeling and reepithelization. To determine which modality is most effective, a prospective study; randomizing a volunteer sample of adult patients with new surgical vertical forehead scars will receive either dermabrasion or microneedling in the early postoperative period.
Interventions
PROCEDUREMicroneedling
a form of collagen induction therapy
PROCEDUREDermabrasion
a technique that improves the skin structure, quality, and appearance of scars through collagen remodeling and reepithelization
Sponsors
Wake Forest University Health Sciences
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Patients will be invited to participate in the study through the clinic setting - aim to have around 30 patient volunteers. Of the 30 patients, 15 will be randomized to receive microneedling, and 15 will receive dermabrasion.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Volunteer adult patients will be identified by visiting the Facial Plastics and Reconstructive Surgery Clinic at Atrium Health Wake Forest Baptist. * Patients will be 18 years old+ and have a vertical surgical scar in the superior 1/3 of the face (trichion to glabella). * Patients will enroll in the clinic research registry and indicate an interest in being involved in the study.
Exclusion criteria
* Patients who rate Types 4-6 on the Fitzpatrick scale will be excluded due to risk of poor outcome from dermabrasion. * There are no other planned
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Vancouver Scar Scale Scores | Month 7 | Four characteristics of the scar are assessed. These are: vascularity, height, pliability, and pigmentation. Each characteristic is given a score, which are added together to give an overall score between 0 and 13 - lower scores denoting normal skin |
| Change in Patient and Observer Scar Assessment Scale Scores | Month 7 | Items and total scale scores for the patient and observer: Each item on both scales has a score of 1 to 10. The lowest score is 1 and corresponds to the normal skin situation. The total score of both scales can be calculated simply by adding the scores of each of the six items. The total score will range from 6 to 60 - lower scores denoting normal skin |
| Change in Global Aesthetic Improvement Scale Scores | Month 7 | 5-point scale wherein 2 = much improved (marked improvement in appearance), 1 = improved (improvement in appearance but a touch-up or re-treatment is indicated - lower scores denoting normal skin |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient perceived benefit | At time of procedure (pain scale); at 6 months (yes/no) | At the time of intervention, patients will be asked to rank pain of procedure on a scale of 1-10 (1: minimal discomfort, 10: severe pain). At 6 months, they will also give a yes/no response as to whether they would undergo the study protocol (procedure) again. |
Countries
United States
Contacts
Primary ContactCandace M Waters, MD
Backup ContactLauren G Himes, MD
Outcome results
None listed