Treatment of Postinflammatory Hyperpigmentation Following Acne With Microneedling and Panax Ginseng–Derived Exosomes

Summary:. This case report evaluated the efficacy of microneedling therapy system (MTS) combined with topical exosome therapy for the treatment of postinflammatory hyperpigmentation (PIH) following acne. Two patients were included in the study: a 32-year-old woman with scattered PIH on her forehead,...

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Main Authors: Jovian Wan, MBChB, Soo-Bin Kim, PhD, Song Eun Yoon, MD, Hugues Cartier, MD, Sebastien Garson, MD, Kyu-Ho Yi, MD, PhD
Format: Article
Language:English
Published: Wolters Kluwer 2025-07-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006975
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author Jovian Wan, MBChB
Soo-Bin Kim, PhD
Song Eun Yoon, MD
Hugues Cartier, MD
Sebastien Garson, MD
Kyu-Ho Yi, MD, PhD
author_facet Jovian Wan, MBChB
Soo-Bin Kim, PhD
Song Eun Yoon, MD
Hugues Cartier, MD
Sebastien Garson, MD
Kyu-Ho Yi, MD, PhD
author_sort Jovian Wan, MBChB
collection DOAJ
description Summary:. This case report evaluated the efficacy of microneedling therapy system (MTS) combined with topical exosome therapy for the treatment of postinflammatory hyperpigmentation (PIH) following acne. Two patients were included in the study: a 32-year-old woman with scattered PIH on her forehead, cheeks, nose, and perioral area, and a 37-year-old man with hyperpigmentation on both cheeks. Both patients underwent 3 sessions of MTS spaced 3 weeks apart, followed by the immediate application of a topical exosome (P198 RECORE SB PLUS, P198 ExoNature, Primoris International Co., Ltd., Seoul, Republic of Korea). PIH severity was assessed using the PIH severity scale, with baseline scores of grade 2 (mild) for both patients. One month after the final session, posttreatment scores improved to grade 1 (trace) for both patients, as evaluated by 2 dermatologists. Both patients demonstrated significant improvements in hyperpigmentation and overall skin tone. The female patient achieved a more even complexion with visible lightening in affected areas, whereas the male patient experienced a marked reduction in cheek pigmentation. Both patients expressed high satisfaction with the results, and no adverse effects were reported. These findings suggest that the combination of MTS and topical exosomes is a promising, safe approach for managing PIH, particularly in individuals with darker skin types prone to pigmentation disorders.
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spelling doaj-art-87b1ff8770b24a5393c7d0f0bb95136a2025-08-20T03:32:28ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-07-01137e697510.1097/GOX.0000000000006975202507000-00038Treatment of Postinflammatory Hyperpigmentation Following Acne With Microneedling and Panax Ginseng–Derived ExosomesJovian Wan, MBChB0Soo-Bin Kim, PhD1Song Eun Yoon, MD2Hugues Cartier, MD3Sebastien Garson, MD4Kyu-Ho Yi, MD, PhD5From the * Medical Research Inc., Wonju, Korea† Department of Oral Anatomy, College of Dentistry, Wonkwang University, Iksan,Korea‡ BRANDNEW Aesthetic Surgery Clinic, Seoul, Korea§ Centre Médical Saint Jean, Arras, France¶ Cabinet Médical, Senlis, France∥ Division in Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institute, BK21 FOUR Project, Yonsei University College of Dentistry, Seoul, KoreaSummary:. This case report evaluated the efficacy of microneedling therapy system (MTS) combined with topical exosome therapy for the treatment of postinflammatory hyperpigmentation (PIH) following acne. Two patients were included in the study: a 32-year-old woman with scattered PIH on her forehead, cheeks, nose, and perioral area, and a 37-year-old man with hyperpigmentation on both cheeks. Both patients underwent 3 sessions of MTS spaced 3 weeks apart, followed by the immediate application of a topical exosome (P198 RECORE SB PLUS, P198 ExoNature, Primoris International Co., Ltd., Seoul, Republic of Korea). PIH severity was assessed using the PIH severity scale, with baseline scores of grade 2 (mild) for both patients. One month after the final session, posttreatment scores improved to grade 1 (trace) for both patients, as evaluated by 2 dermatologists. Both patients demonstrated significant improvements in hyperpigmentation and overall skin tone. The female patient achieved a more even complexion with visible lightening in affected areas, whereas the male patient experienced a marked reduction in cheek pigmentation. Both patients expressed high satisfaction with the results, and no adverse effects were reported. These findings suggest that the combination of MTS and topical exosomes is a promising, safe approach for managing PIH, particularly in individuals with darker skin types prone to pigmentation disorders.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006975
spellingShingle Jovian Wan, MBChB
Soo-Bin Kim, PhD
Song Eun Yoon, MD
Hugues Cartier, MD
Sebastien Garson, MD
Kyu-Ho Yi, MD, PhD
Treatment of Postinflammatory Hyperpigmentation Following Acne With Microneedling and Panax Ginseng–Derived Exosomes
Plastic and Reconstructive Surgery, Global Open
title Treatment of Postinflammatory Hyperpigmentation Following Acne With Microneedling and Panax Ginseng–Derived Exosomes
title_full Treatment of Postinflammatory Hyperpigmentation Following Acne With Microneedling and Panax Ginseng–Derived Exosomes
title_fullStr Treatment of Postinflammatory Hyperpigmentation Following Acne With Microneedling and Panax Ginseng–Derived Exosomes
title_full_unstemmed Treatment of Postinflammatory Hyperpigmentation Following Acne With Microneedling and Panax Ginseng–Derived Exosomes
title_short Treatment of Postinflammatory Hyperpigmentation Following Acne With Microneedling and Panax Ginseng–Derived Exosomes
title_sort treatment of postinflammatory hyperpigmentation following acne with microneedling and panax ginseng derived exosomes
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006975
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