Comparison of microneedling and polydeoxyribonucleotide salmon 3% versus microneedling and platelet rich plasma in treating wrinkles and facial hyperpigmentation

Comparison of microneedling and polydeoxyribonucleotide salmon 3% versus microneedling and platelet rich plasma in treating wrinkles and facial hyperpigmentation

Authors

  • Vera Vera Master Program in Biomedical Science, Anti-Aging Medicine, Faculty of Medicine, Universitas Udayana, 80234, Denpasar, Indonesia
  • I Gusti Ayu Agung Praharsini Master Program in Biomedical Science, Anti-Aging Medicine, Faculty of Medicine, Universitas Udayana, 80234, Denpasar, Indonesia
  • Agus Eka Darwinata Master Program in Biomedical Science, Anti-Aging Medicine, Faculty of Medicine, Universitas Udayana, 80234, Denpasar, Indonesia
  • Nila Wahyuni Master Program in Biomedical Science, Anti-Aging Medicine, Faculty of Medicine, Universitas Udayana, 80234, Denpasar, Indonesia
  • Ida Ayu Ika Wahyuniari Master Program in Biomedical Science, Anti-Aging Medicine, Faculty of Medicine, Universitas Udayana, 80234, Denpasar, Indonesia
  • Desak Ketut Ernawati Master Program in Biomedical Science, Anti-Aging Medicine, Faculty of Medicine, Universitas Udayana, 80234, Denpasar, Indonesia

Keywords:

microneedling, PRP, Salmon, skin aging, rejuvenation

Abstract

Background: As we age, skin wrinkles and facial hyperpigmentation are likely to appear. Microneedling (MN), a minimally invasive procedure, has gained popularity for its efficacy in addressing various concerns on the appearance of the skin. Combining it with additional agents enhances its therapeutic benefits. Polydeoxyribonucleotide (PDRN) Salmon 3% and Platelet-Rich Plasma (PRP) are two promising agents for skin rejuvenation.

Objective:  This study aims to compare MN combined with PDRN Salmon 3% versus PRP in treating wrinkles and facial hyperpigmentation.

Methods: A randomized, controlled trial was executed involving 24 women, aged 30-50, with moderate wrinkles and hyperpigmentation. Participants were divided randomly into two experimental sets: Group 1 (MN + PDRN Salmon 3%) or Group 2 (MN + PRP). Both treatments were administered in two sessions, three weeks apart. Assessments were performed at baseline and six weeks after baseline. The outcome was measured using the Lemperle score for wrinkles, and Skin Hyperpigmentation Index (SHI) score for facial hyperpigmentation.

Results: Both groups demonstrated significant reductions in wrinkles and facial hyperpigmentation. Notably, the PDRN group showed a significantly greater reduction in Lemperle scores (p=0.021), while no significant difference was observed in SHI scores between the groups (p=0.758). Adverse effects were minimal and similar between the groups.

Conclusion: MN with PDRN 3% or MN with PRP is an effective therapy in treating mild to moderate wrinkles and hyperpigmentation. While both treatments are effective, MN with PDRN 3% demonstrated a more significant reduction in wrinkle scores compared to MN with PRP. Further research is needed to confirm these findings.

References

1. Preston J, Biddell B. The physiology of ageing and how these changes affect older people. Medicine. 2021; 49(1):1–5.

2. Chaudhary M, Khan A, Gupta M. Skin ageing: pathophysiology and current market treatment approaches. Curr Aging Sci. 2020; 13(1):22–30.

3. Vashi NA, Buainain de Castro Maymone M, Kundu R V. Aging differences in ethnic skin. J Clin Aesthet Dermatol. 2016; 9(1):31-38.

4. Du Y, Doraiswamy C, Mao J, et al. Facial skin characteristics and concerns in Indonesia: a cross-sectional observational study. Skin Res Technol. 2022; 28(5):719–728.

5. Anand CV, Rao P. Skin care used with microneedling. In: Microneedling: global perspectives in aesthetic medicine. Bangkok. Elizabeth Bahar Houshmand, ed. 2021; 4:41–51.

6. Peng GL. Platelet-Rich Plasma for skin rejuvenation: facts, fiction, and pearls for practice. Facial Plast Surg Clin North Am. 2019; 27(3):405–411.

7. Alster TS, Graham PM. Microneedling: a review and practical guide. Dermatol Surg. 2018; 44(3):397–404.

8. Shin SH, Lee YH, Rho NK, Park KY. Skin aging from mechanisms to interventions: focusing on dermal aging. Front Physiol. 2023; 10:14:1195272.

9. Lee JC, Daniels MA, Roth MZ. Mesotherapy, microneedling, and chemical peels. Clin Plast Surg. 2016; 43(3):583–595.

10. Ablon G. Safety and effectiveness of an automated microneedling device in improving the signs of aging skin. J Clin Aesthet Dermatol. 2018; 11(8):29–34.

11. Amer M, Farag F, Amer A, ElKot R, Mahmoud R. Dermapen in the treatment of wrinkles in cigarette smokers and skin aging effectively. J Cosmet Dermatol. 2018; 17(6):1200–1204.

12. El-Domyati M, Barakat M, Awad S, Medhat W, El-Fakahany H, Farag H. Multiple microneedling sessions for minimally invasive facial rejuvenation: an objective assessment. Int J Dermatol. 2015; 54(12):1361-1369.

13. Maia R, da Silva R, Farias S, et al. Effect of microneedling associated with drug delivery on facial rejuvenation: clinical and histological evaluation. Int J Med Sci Clin Invent. 2021; 8(4):5349–5358.

14. Squadrito F, Bitto A, Irrera N, et al. Pharmacological activity and clinical use of PDRN. Front Pharmacol. 2017; 26:8:224.

15. Noh TK, Chung BY, Kim SY, et al. Novel anti-melanogenesis properties of polydeoxyribonucleotide, a popular wound healing booster. Int J Mol Sci. 2016; 17(9):1448.

16. Atiyeh B, Oneisi A, Ghieh F. Platelet-rich plasma facial rejuvenation: myth or reality? Aesthetic Plast Surg. 2021; 45(6):2928–2938.

17. Banihashemi M, Zabolinejad N, Salehi M, Alamdari DH, Nakhaizadeh S. Platelet-rich plasma use for facial rejuvenation: a clinical trial and review of current literature. Acta Biomed. 2021; 92(2):e2021187.

18. Nanda S, Chauhan K, Shetty V, Dashore S, Bhatia S. Platelet-Rich Plasma in aesthetics. Indian Dermatol Online J. 2021; 12:41–54.

19. Gu Y, Han J, Jiang C, Zhang Y. Biomarkers, oxidative stress and autophagy in skin aging., Aging Res Rev. 2020; 59:101036.

20. Zargaran D, Zoller F, Zargaran A, Weyrich T, Mosahebi A. Facial skin ageing: key concepts and overview of processes. Int J Cosmet Sci. 2022; 44(4):414–420.

21. Russell-Goldman E, Murphy GF. The pathobiology of skin aging: new insights into an old dilemma. Am J Pathol. 2020; 190(7):1356–1369.

22. Atiyeh BS, Abou Ghanem O, Chahine F. Microneedling: Percutaneous Collagen Induction (PCI) therapy for management of scars and photoaged skin—Scientific evidence and review of the literature. Aesthetic Plast Surg. 2021; 45(1):296–308.

23. Mccrudden MTC, McAlister E, Courtenay AJ, González-Vázquez P, Raj Singh TR, Donnelly RF. Microneedle applications in improving skin appearance. Exp Dermatol. 2015; 24(8): 561–566.

24. Suwanchinda A. Treatment of hyperpigmentation with microneedling. In: Microneedling: global perspectives in aesthetic medicine. Bangkok. Elizabeth Bahar Houshmand ed. 2021; 52–79.

25. Khan A, Wang G, Zhou F, et al. Polydeoxyribonucleotide: a promising skin anti-aging agent. Chinese Journal of Plastic and Reconstructive Surgery. 2022; 4:187–193.

26. Park KY, Seok J, Rho NK, Kim BJ, Kim MN. Long-chain polynucleotide filler for skin rejuvenation: efficacy and complications in five patients. Dermatol Ther. 2016; 29(1):37–40.

27. Edgar S, Hopley B, Genovese L, Sibilla S, Laight D, Shute J. Effects of collagen-derived bioactive peptides and natural antioxidant compounds on proliferation and matrix protein synthesis by cultured normal human dermal fibroblasts. Sci Rep. 2018; 8(1):10474.

28. Kim YJ, Kim MJ, Kweon DK, Lim ST, Lee SJ. Polydeoxyribonucleotide activates mitochondrial biogenesis but reduces MMP-1 activity and melanin biosynthesis in cultured skin cells. Appl Biochem Biotechnol. 2020; 191(2):540–554.

29. Lee YJ, Kim HT, Lee YJ, et al. Comparison of the effects of polynucleotide and hyaluronic acid fillers on periocular rejuvenation: a randomized, double-blind, split-face trial. J Dermatolog Treat. 2022; 33(1):254–260.

30. Yogya Y, Wanitphakdeedecha R, Supisara W, Nanchaipruek Y, Yan C, Rakchart S. Efficacy and safety of using noninsulated microneedle radiofrequency alone versus in combination with polynucleotides for treatment of periorbital wrinkles. Dermatol Ther (Heidelb). 2022; 12:1133–1145.

31. Maisel-Campbell AL, Ismail A, Reynolds KA, et al. A systematic review of the safety and effectiveness of platelet-rich plasma (PRP) for skin aging. Arch Dermatol Res. 2020; 312(5): 301–315.

32. Du R, Lei T. Effects of autologous platelet rich plasma injections on facial skin rejuvenation. Exp Ther Med. 2020; 19(4):3024-3030.

33. Vladulescu D, Scurtu LG, Simionescu AA, Scurtu F, Popescu MI, Simionescu O. Platelet-rich plasma (PRP) in dermatology: cellular and molecular mechanisms of action. Biomedicines. 2023; 12(1):7.

34. Kelm RC, Ibrahim O. Utility of platelet-rich plasma in aesthetics. Clin Dermatol. 2022; 40(1):19–28.

35. Lin M-Y, Lin C-S, Hu S, Chung W-H. Progress in the use of platelet-rich plasma in aesthetic and medical dermatology. J Clin Aesthet Dermatol. 2020; 13(8):28–35.

36. White C, Brahs A, Dorton D, Witfill K. A comprehensive review of emerging applications in medical and aesthetic dermatology. J Clin Aesthet Dermatology. 2021; 14(11):44-57.

37. Samadi P, Sheykhhasan M, Khoshinani HM. The use of platelet-rich plasma in aesthetic and regenerative medicine: a comprehensive review. Aesthetic Plast Surg. 2019; 43(3):803–814.

38. Asif M, Kanodia S, Singh K. Combined autologous platelet-rich plasma with microneedling versus microneedling with distilled water in the treatment of atrophic acne scars: a concurrent split-face study. J Cosmet Dermatol. 2016; 15(4):434-443.

39. Ibrahim MK, Ibrahim SM, Salem AM. Skin microneedling plus platelet-rich plasma versus skin microneedling alone in the treatment of atrophic post acne scars: a split face comparative study. J Dermatol Treat. 2018; 29(3):281–286.

40. Ibrahim ZA, El-Ashmawy AA, Shora OA. Therapeutic effect of microneedling and autologous platelet-rich plasma in the treatment of atrophic scars: a randomized study. J Cosmet Dermatol. 2017; 16(3):388–399.

41. da Silva LQ, Cancela RBB, de Lima Montalvão SA, et al. The effect of lyophilized platelet rich-plasma on skin aging: a non-randomized, controlled, pilot trial. Arch Dermatol Res 2021; 313(10):863–871.

42. Lemperle G, Holmes RE, Cohen SR, Lemperle SM. A classification of facial wrinkles. Plast Reconstr Surg. 2001; 108(6):1735-1750

43. Bossart S, Ramelet AA, Willinberg T, et al. Skin hyperpigmentation index facilitating quantification of hyperpigmentation in clinical practice. Dermatology. 2021; 237(3):486-488.

44. Bossart S, Cazzaniga S, Willenberg T, et al. Reliability assessment and validation of the skin hyperpigmentation index compared to the physician global assessment score. Dermatology. 2022; 238(4):688–691.

45. Cameli N, Mariano M, Cordone I, Abril E, Masi S, Foddai ML. Autologous pure platelet-rich plasma dermal injections for facial skin rejuvenation: clinical, instrumental, and flow cytometry assessment. Dermatol Surg. 2017; 43(6):826–835.

46. Everts PA, Pinto PC, Girão L. Autologous pure platelet-rich plasma injections for facial skin rejuvenation: biometric instrumental evaluations and patient-reported outcomes to support antiaging effects. J Cosmet Dermatol. 2019; 18(4):985–995.

47. Zhao L, Hu M, Xiao Q, et al. Efficacy and safety of platelet-rich plasma in melasma: a systematic review and meta-analysis. Dermatol Ther (Heidelb). 2021; 11(5):1587–1597.

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Published

25-06-2025

How to Cite

1.
Vera V, Praharsini IGAA, Agus Eka Darwinata, Nila Wahyuni, Ida Ayu Ika Wahyuniari, Desak Ketut Ernawati. Comparison of microneedling and polydeoxyribonucleotide salmon 3% versus microneedling and platelet rich plasma in treating wrinkles and facial hyperpigmentation. Aesthetic Medicine [Internet]. 2025 Jun. 25 [cited 2025 Jul. 3];11(2):16753. Available from: https://mail.mattioli1885journals.com/index.php/aestheticmedicine/article/view/16753