Evidence map›Paper›PMID 41413319›Full record

ArticleDermatology and therapy2026

Comparison of Efficacy of Intradermal Stromal Vascular Fraction Injection Versus Saline Injection in the Treatment of Atrophic Acne Scar: A 10-Week, Prospective, Randomized, Split-Face, Single-Blind Controlled Trial.

Joong Heon Suh, Ji-Young Kim, Ji Young Yoon, Jun Hyo Lee, Dong Hyo Kim, Ungsik Jin, Dae Hun Suh

Registry-linked trialAbstract read
In one paragraph

Article in Dermatology and therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07094958 (Efficacy of Intradermal Stromal Vascular Fraction Injection in the Treatment of Atrophic Acne Scar), which is not on this 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.

NCT07094958 nanot yet recruitingnot on this map

Efficacy of Intradermal Stromal Vascular Fraction Injection in the Treatment of Atrophic Acne Scar

TypeinterventionalSponsorSeoul National University HospitalRan2025 to 2026Enrolled16ConditionsAcne Scars, Acne Scars - AtrophicArmsstromal vascular fraction (SVF), Normal Saline (NS)
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

7 authors.

Joong Heon Suh *Department of Dermatology, Seoul National University College of Medicine, Seoul, Republic of Korea.
Ji-Young Kim *Department of Plastic and Reconstructive Surgery, Hanyang University Medical Center, Seoul, Republic of Korea.
Ji Young YoonAcne, Rosacea, Seborrheic Dermatitis and Hidradenitis Suppurativa Research Laboratory, Seoul National University Hospital, Seoul, Republic of Korea.
Jun Hyo LeeDepartment of Dermatology, Seoul National University College of Medicine, Seoul, Republic of Korea.
Dong Hyo KimDepartment of Dermatology, Seoul National University College of Medicine, Seoul, Republic of Korea.
Ungsik JinDepartment of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Republic of Korea. usj1011@snu.ac.kr.
Dae Hun SuhDepartment of Dermatology, Seoul National University College of Medicine, Seoul, Republic of Korea. daehun@snu.ac.kr.ORCID http://orcid.org/0000-0002-3371-7505

Funding

National Research Foundation of Korea RS-2024-00345362
6 · The paper itself

Abstract

introductionManagement of atrophic acne scars remains challenging, and conventional treatments often yield suboptimal or inconsistent outcomes. Stromal vascular fraction (SVF), a cell-rich fraction derived from adipose tissue, has recently gained attention as a promising regenerative therapy. Several previous studies have reported benefits of SVF when combined with other treatment modalities; however, its stand-alone efficacy for atrophic acne scars has not been clearly investigated. In addition, molecular evidence supporting the regenerative effects of SVF in acne scar treatment remains limited.

methodsThis randomized, evaluator-blinded, split-face clinical trial was conducted in 14 patients with bilateral facial atrophic acne scars. One side was treated with intradermal SVF injection, while the contralateral side received normal saline (NS). Clinical outcomes were assessed using scar counts, Évaluation Clinique des Cicatrices d'Acne (ECCA) scores, Scar Global Assessment (SGA) scores, and standardized photography at baseline, 5 weeks, and 10 weeks. Skin biopsies were analyzed via immunohistochemistry for markers of epidermal regeneration (cytokeratin 14, cytokeratin 15, p63, integrin β1) and dermal remodeling (collagen I, elastin, vimentin).

resultsAt 10 weeks after initial treatment, the SVF-treated side showed a significantly greater reduction in total scar count compared to the NS-treated side (56.4% vs. 13.2%, p < 0.001). Scar subtype analysis revealed that all scar types (ice pick, boxcar, and rolling) responded more favorably to SVF treatment, with large effect sizes (Cohen's d > 0.99). ECCA and SGA scores were also significantly decreased on the SVF-treated side. Immunohistochemical analysis revealed marked upregulation of epidermal progenitor markers and increased deposition of collagen I, elastin, and vimentin in the SVF-treated tissue.

conclusionWe clinically demonstrated that SVF injection improves atrophic acne scars and simultaneously revealed its regenerative mechanisms involving epidermal and dermal remodeling. This supports the use of SVF as an evidence-based treatment modality for atrophic acne scars.

trial registrationClinicalTrials.gov Identifier, NCT07094958.

Indexed as

AcneAtrophic acne scarStem cellStromal vascular fractionTherapeutics

Identifiers

PMID41413319
PMCPMC13558499

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Registered trials

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 Socratic graph.