Microneedling Therapy With or Without Amnion Bilayer Sheeting on Scar Tissue

Change in Subjective Pain in one month

Using Visual Analog Scale (0-10, 0 indicates no pain and 10 indicates severe pain)

Time frame: Baseline, day 7, day 30

Change in Erythema Degree in one month

Using Erythema score (0-4, 0 indicates no erythema and 4 indicates severe erythema)

Time frame: Baseline, day 7, day 30

Change in Dermoscopy Evaluation in one month

Qualitative description of blood vessel structure, pigmentation density and erythema

Time frame: Baseline, day 7 , day 30

Change in Biopsy Evaluation in one month

Descriptive evaluation using HE staining

Time frame: Baseline, Day 7 and day 30

Change in Skin Thickness in one month

Evaluation with USG of epidermal and dermal layer (in pixels)

Time frame: Baseline, Day 7 and day 30

Change in Subjective Improvement in one month

Using Patient and Observer Scar Assessment Scale (Patients scored from 1-10 in pain, itch, color, stiffness, thickness and irregularity of their scar, observer gives score on vascularity, pigmentation, thickness, relief, pliability, and surface area)

Time frame: Baseline , Day 7 and day 30

Change in Subjective Improvement in one month

Using Modified Vancouver Scar Scale (Evaluating pigmentation (score 0-3), vascularity (0-3), pliability (0-5), height (0-5))

Time frame: Baseline , Day 7 and day 30