Evidence map›Paper›PMID 40433711›Full record

Trial reportJournal of cosmetic dermatology2025

Effect of Topical Timolol on Healing of Immature Breast Scars After Mammoplasty: A Randomized Controlled Trial With Blinded Assessors and Patients.

Nahid Nafissi, Fatemeh Najafi, Alireza Jafarzadeh, Elham Behrangi, Masoumeh Roohaninasab, Seyyedeh Tahereh Rahimi, Sepideh Salehi, Amir Jafari-Nasirmahalleh, Nazanin Hoseini, Azadeh Goodarzi

Abstract readRandomized Controlled Trial
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. GPCRs as key regulators in wound healing.Frontiers in cell and developmental biology · 2026
    Review
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

10 authors.

Nahid NafissiDepartment of Surgery, Rasool Akram Medical Complex Research Development, School of Medicine, IUMS, Tehran, Iran.ORCID https://orcid.org/0000-0001-7454-9985
Fatemeh NajafiSchool of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Alireza JafarzadehDepartment of Dermatology, Rasool Akram Medical Complex Clinical Research Development Center (RCRDC), School of Medicine, Iran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0001-5878-9778
Elham BehrangiDepartment of Dermatology, Rasool Akram Medical Complex Clinical Research Development Center (RCRDC), School of Medicine, Iran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0002-6545-3460
Masoumeh RoohaninasabDepartment of Dermatology, Rasool Akram Medical Complex Clinical Research Development Center (RCRDC), School of Medicine, Iran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0002-2862-6422
Seyyedeh Tahereh RahimiDepartment of Dermatology, Rasool Akram Medical Complex Clinical Research Development Center (RCRDC), School of Medicine, Iran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0002-1021-6257
Sepideh SalehiDepartment of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0009-0007-0153-8100
Amir Jafari-NasirmahallehSchool of Medicine, Iran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0002-5991-2712
Nazanin HoseiniDepartment of Dermatology, Rasool Akram Medical Complex Clinical Research Development Center (RCRDC), School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Azadeh GoodarziDepartment of Dermatology, Rasool Akram Medical Complex Clinical Research Development Center (RCRDC), School of Medicine, Iran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0002-1249-4429

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWound healing is a complex process encompassing four main stages: hemostasis, inflammation, cell proliferation, maturation, and differentiation. Timolol (TM) may influence these stages, particularly re-epithelialization. This study aims to evaluate the 1-month effects of timolol on acute surgical wounds in post-mammoplasty patients.

objectivesTo investigate the efficacy of topical timolol in improving postoperative breast scars, aiming to guide future treatment protocols and prescriptions.

methodsA total of 12 patients who underwent bilateral mammoplasty were enrolled in this double-blind randomized clinical trial. Treatment commenced 48 h post-surgery; one breast was treated with 0.5% timolol eye drops, while the contralateral breast received distilled water (control). Patients were advised to minimize sun exposure and pressure on the treated area, and no additional oral or topical medications were prescribed. Cleansing with a prescribed cleanser occurred every 3 days. Cosmetic assessments were conducted by a specialist at 10 and 30 days post-surgery using a 10-point Likert scale. Data were analyzed using two-way repeated measures ANOVA.

resultsTimolol significantly reduced erythema over time (Interaction, p < 0.0001; Treatment, p = 0.02), with an average decrease of 5.38 points (95% CI: 4.22-6.55) compared to 4.41 points (95% CI: 3.83-5) for placebo. The difference in reduction was 0.972 points (95% CI: 0.18-1.7). A significant improvement in the aesthetic appearance of the breast was also noted (Interaction, p < 0.0001; Treatment, p = 0.015), with timolol enhancing the aesthetic score by approximately 5.5 points (95% CI: 4.9-6.2) versus 4.58 points (95% CI: 3.4-5.7) for the placebo. Overall, timolol improved the aesthetic score by 0.972 points (95% CI: 0.23-1.7) more than the placebo.

conclusionTopical application of 0.5% timolol significantly improved the aesthetic appearance and reduced erythema of post-mammoplasty breast scars over a 1-month period. The results demonstrate a measurable clinical benefit, with statistically significant differences favoring timolol over placebo. These findings suggest that early intervention with topical timolol may offer a safe, effective, and non-invasive option for optimizing scar outcomes in surgical patients.

Indexed as

Adrenergic beta-1 Receptor AntagonistsCicatrixMammaplastyPostoperative ComplicationsTimololWound HealingAdministration, TopicalAdultDouble-Blind MethodErythemaFemaleHumansMiddle AgedOphthalmic SolutionsTreatment OutcomeYoung AdultAdrenergic beta-1 Receptor AntagonistsOphthalmic SolutionsTimololclinical trialimmature scarmammoplastypostoperative scarRCTscartimololtopical timololwound

Identifiers

PMID40433711
PMCPMC12118336

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.