Evidence map›Paper›PMID 40396558›Full record

Trial reportJournal of cosmetic dermatology2025

Efficacy of Platelet Rich Plasma Therapy in Melasma Using Microinjections and Microneedling Techniques.

Seema Sitaula, Shree Ram Pokhrel, Prayash Paudel, Aabha Shrestha

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Journal of cosmetic dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Seema SitaulaDepartment of Dermatology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Shree Ram PokhrelBachelor of Medicine Bachelor of Surgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.ORCID https://orcid.org/0009-0000-3072-2125
Prayash PaudelBachelor of Medicine Bachelor of Surgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Aabha ShresthaDoctor of Medicine in Department of Dermatology and Venerology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMelasma is a long-term acquired disorder characterized by symmetrical darkening in facial regions exposed to sunlight. Although some risk factors have been identified, the etiology remains unclear, and interventions frequently do not totally improve outcomes.

aimIt compares the efficacy and side effects of platelet-rich plasma therapy administered by microneedling versus microinjection to detect any difference in the delivery methods, treatment outcomes, and safety profiles.

methodsIn this prospective, single-center, randomized split-face research, 62 patients' melasma was treated with PRP therapy using microneedling versus microinjection. Microneedling and microinjection were used to apply PRP to the face's two sides. Photographs were obtained before therapy, and the modified Melasma Area and Severity Index (MASI), Physician Global Assessment, and Patient Global Assessment were used for monthly follow-up evaluation. In order to compare safety and efficacy, adverse events were recorded and statistical analysis was performed.

resultsA significantly significant difference (p < 0.001) was observed in the mean change in MASI score between microinjection and microneedling. The microneedling group showed a 73.33% improvement while the microinjection group had an 18.33% improvement, both of which were greater than 50%. The microneedling group showed a 46.67% improvement and the microinjection group had a 5% improvement of over 75%. There were no noteworthy negative effects observed.

conclusionPRP therapy with microneedling is superior to microinjection in treating melasma; patients who receive microneedling show noticeably better improvement.

Indexed as

Cosmetic TechniquesDry NeedlingMelanosisPlatelet-Rich PlasmaAdultFemaleFollow-Up StudiesHumansMaleMicroinjectionsMiddle AgedNeedlesPercutaneous Collagen InductionProspective StudiesSeverity of Illness IndexTreatment OutcomemelasmamicroinjectionmicroneedlingPRP therapy

Identifiers

PMID40396558
PMCPMC12093912

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.