Research Article

Application of PRP in Chloasma: A Meta-Analysis and Systematic Review

Table 1

Characteristics of included studies.

Author, yearStudy designLocationNumber assigned/evaluatedAgeControlPRP preparationTreatmentTreatment timeFollow-up

Hofny et al. 2019 [3]Prospective before-and-after self-control studiesEgypt23/2321–50before-and-after self-control(1) Double centrifugation(1) Used PRP aloneThree sessions (four-week intervals)1 month
(2) 10 minutes at 1600 rpm(2) Hemi-face study
(3) 10 minutes at 4000 rpm(3) Intradermal injections on the left side and microneedling before and after PRP application on the right side
Sirithanabadeekul et al. 2020 [4]Randomized, split-face, single-blinded prospective trialThailand10/1033–58Intradermal normal saline injection(1) Single centrifugation(1) Used PRP and salineFour times every two weeks1 month
(2) Hemi-face study
2.4 minutes at 3200 rpm(3) Unilateral intradermal injection of PRP and the other side was injected with saline
Tuknayat et al. 2020 [17]Prospective before-and-after self-control studiesIndia64/65before-and-after self-control(1) Single centrifugation(1) Used PRP aloneThree sessions (four-weeks intervals)3 months
(2) 8 minutes at 3500 rpm(2) Autologous PRP injections
Mumtaz et al. 2021 [1]Nonrandomised controlled trialPakistan64/6420–40Intradermal tranexamic acid(1) Double centrifugation(1) Used PRP and tranexamic acidThree sessions (four-week intervals)6 months
(2) Grouping study
(2) 10 minutes at 1500 rpm(3) Experimental group: intradermal injection of PRP
(3) 10 minutes at 4000 rpmControl group: intradermal tranexamic acid
Adel et al. 2021 [18]Randomized prospective split-face studyEgypt20/20Intradermal injection of PRP vs intradermal injection of PRP + IPL(1) Used PRP and IPLFour sessions (two-week intervals)1 month
(2) Hemi-face study
(3) One side: intradermal injection of PRP
The other side: intradermal injection of PRP + IPL
Gamea et al. 2020 [19]Randomized controlled trialEgypt40/4032–58Topical 5% tranexamic acid(1) Double centrifugation(1)Used PRP and tranexamic acidTopical tranexamic acid (twice daily for 12 weeks1 month
(2)Grouping study
(2) 3 minutes at 2000 rpm(3) Experimental: topical tranexamic acid and intradermal injection of PRP
(3) 5 minutes at 5000 rpmControl group: topical tranexamic acid
Tuknayat et al. 2021 [2]Prospective before-and-after self-control studiesIndia40/40(1) Double centrifugation(1) Used PRP aloneThree sessions (one-week intervals)3 months
(2) 10 minutes at 1600 rpm(2) Intradermal injection of PRP
(3) 10 minutes at 4000 rpm
Faiz and Meng 2018 [20]Prospective before-and-after self-control studiesPakistan20/1521–42before-and-after self-control(1) Double centrifugationIntradermal injection of PRPFive sessions (two-week intervals)2 weeks
(2) 3 minutes at 1500 rpm
(3)5 minutes at 4000 rpm

PRP: platelet-rich plasma; IPL: intense pulse light.