The Efficacy of Microneedling and Platelet-Rich Plasma in the Treatment of Breast Reduction Scars: A Prospective Study

Buse Çapkınoğlu; Sabri Öztürk; Mustafa Durgun; Meltem Oral; Soysal Baş; Dağhan Işık

doi:10.31067/acusaglik.1880573

The Efficacy of Microneedling and Platelet-Rich Plasma in the Treatment of Breast Reduction Scars: A Prospective Study

Abstract

Background Incisional scars are among the most critical factors influencing postoperative satisfaction for both surgeons and patients. Although the majority of patients undergoing reduction mammoplasty report high overall satisfaction with the procedure, a significant proportion remain dissatisfied with the appearance of their scars.This study investigates the efficacy of combining platelet-rich plasma (PRP) with microneedling (dermapen) in the treatment of incisional scars. Methods A prospective, single-blind study design was employed. Twenty patients who had reduction mammoplasty and presented to the outpatient clinic with complaints related to scarring were divided into two groups. In the first group, microneedling was performed using a dermapen for 15 minutes, moving vertically and horizontally over incisional scars. In the second group, dermapen treatment was applied for five minutes to create microchannels, followed by topical PRP application, then continued for ten more minutes. Procedures were conducted in two sessions, three weeks apart. At six months, objective and subjective evaluations using VAS and statistical analyses were performed.. Results Both groups demonstrated significant improvement in scar healing; however, the addition of PRP did not provide any additional benefit. No severe complications were observed among the patients, and all resumed their daily activities without disruption. Furthermore, no cases of hypo- or hyperpigmentation were recorded. Conclusion Currently, there are limited effective treatment modalities for incisional scar management. Both techniques evaluated in this study were found to be safe and effective for the treatment of both mature and immature incisional scars across all skin types.

Keywords

References

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Details

Primary Language

English

Subjects

Surgery (Other)

Journal Section

Research Article

Authors

Buse Çapkınoğlu ^*
0000-0002-8636-1848
Türkiye

Sabri Öztürk
0000-0001-6511-9609
Türkiye

Mustafa Durgun
0000-0002-0811-9175
Türkiye

Meltem Oral
0009-0003-6785-1782
Türkiye

Soysal Baş
0000-0002-4657-1613
Türkiye

Dağhan Işık
0000-0003-2166-8643
Türkiye

Publication Date

April 20, 2026

Submission Date

February 3, 2026

Acceptance Date

March 11, 2026

Published in Issue

Year 2026 Volume: 17 Number: April, May, June 2026

DOI

https://doi.org/10.31067/acusaglik.1880573

IZ

https://izlik.org/JA38WH55ZS

Cite

RIS / Bibtex

EndNote

Çapkınoğlu B, Öztürk S, Durgun M, Oral M, Baş S, Işık D (April 1, 2026) The Efficacy of Microneedling and Platelet-Rich Plasma in the Treatment of Breast Reduction Scars: A Prospective Study. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 17 April, May, June 2026