Deep Chemical Peels for Post-acne Scarring

2011 ◽  
pp. 149-157
Author(s):  
Marina Landau
Keyword(s):  
2017 ◽  
Vol 3 ◽  
pp. 205951311769531 ◽  
Author(s):  
Georgios Kravvas ◽  
Firas Al-Niaimi

[Formula: see text] Introduction: Acne is a common condition that can result in permanent scarring. Acne scars can be broken down into three categories: atrophic; hypertrophic; and keloidal. Atrophic scars can be further sub-classified into: ice pick; rolling; and boxcar. Objectives and Methods: We have performed a comprehensive literature search of the last ten years in order to determine the efficacy and adverse reactions of commonly used treatments against post-acne scarring. Results: A total of 36 relevant articles were identified on the following interventions: subcision (n = 10), dermabrasion (n = 1), microneedling (n = 8), dermal fillers (n = 5), and chemical peeling (n = 12). Discussion: Improvement in the appearance of post-acne scarring following subcision is in the range of 10–100%. Microdermabrasion achieved the least significant results. A total of 27.3% patients did not achieve any benefit despite eight treatment sessions, and only 9.1% achieved good results. All patients treated with microneedling achieved some improvement in scar appearance in the range of 31–62%. Dermal fillers also led to favourable outcomes. In particular, treatment with PPMA led to improvement in 84% of patients. Utilising chemical peels, trichloroacetic acid (TCA) CROSS achieved >70% improvement in 73.3% of patients, whereas 20% glycolic acid did not lead to any improvement in 25%. Conclusion: Post-acne scarring is a common and challenging condition with no easy and definitive solution. The above interventions have been used with varying degrees of efficacy, each having both pros and cons. All have been deemed to be safe with few and transient adverse reactions. However, further trials with a larger number of patients are necessary in order to reach more concrete conclusions regarding their efficacy.


2017 ◽  
Vol 1 (1) ◽  
pp. 01-03
Author(s):  
Luke Jackson ◽  
Ethan Nicholas ◽  
Robert Mason ◽  
Landon Owen

The cutaneous ageing process whether skin laxity, facial wrinkles, ageing pigmantory spots is a continuous process which is invariably difficult to stop, despite the recent advances in science and medicine. Moreover, to combat the signs of ageing, chemical peels may be used to help ameliorate the scars, to destroy premalignant and/or malignant lesions, unsightly pigmentation etc. The treatment modalities used to produce a controlled injury are dermabrasion, chemical peels and photoepilation (laser and intense pulse light) therapy. Only if the injury is in the proper tissue plane can the desired result be achieved. If too superficial, the results will be disappointing. If too deep, the results can be catastrophic. The chemical peeling creates a controlled injury in an attempt to correct a particular problem. Historically, various chemical peels used such as phenol, trichloroacetic acid as single agent or in combination. Recently, newer agents have been introduced into the world of chemical peeling. These newer agents are used in combination for resistant hyperpigmentation or combined with intense pulse light microdermabrasion for acne scarring to achieve satisfactory results.


2010 ◽  
Vol 2010 ◽  
pp. 1-13 ◽  
Author(s):  
Gabriella Fabbrocini ◽  
M. C. Annunziata ◽  
V. D'Arco ◽  
V. De Vita ◽  
G. Lodi ◽  
...  

Acne has a prevalence of over 90% among adolescents and persists into adulthood in approximately 12%–14% of cases with psychological and social implications. Possible outcomes of the inflammatory acne lesions are acne scars which, although they can be treated in a number of ways, may have a negative psychological impact on social life and relationships. The main types of acne scars are atrophic and hypertrophic scars. The pathogenesis of acne scarring is still not fully understood, but several hypotheses have been proposed. There are numerous treatments: chemical peels, dermabrasion/microdermabrasion, laser treatment, punch techniques, dermal grafting, needling and combined therapies for atrophic scars: silicone gels, intralesional steroid therapy, cryotherapy, and surgery for hypertrophic and keloidal lesions. This paper summarizes acne scar pathogenesis, classification and treatment options.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yee-How Say ◽  
Anna Hwee Sing Heng ◽  
Kavita Reginald ◽  
Yi Ru Wong ◽  
Keng Foo Teh ◽  
...  

Abstract Background Acne vulgaris, a highly prevalent multifactorial inflammatory skin disease, can be categorised into different severity and scarring grades based on the type, number, and severity of lesions. While many epidemiology studies have investigated the risk factors for acne presentation, fewer studies have specifically studied the risk factors for acne severity and scarring. Therefore, this study investigated the prevalence of acne, acne severity and scarring grades, and their associated non-modifiable and modifiable epidemiological risk factors among Malaysian Chinese. Methods A total of 1840 subjects (1117 cases/723 controls) completed an investigator-administered questionnaire as part of a cross-sectional study, which include socio-demographics, familial history, lifestyle factors, dietary habits, and acne history. Acne cases were further evaluated for their severity (n = 1051) and scarring (n = 1052) grades by a trained personnel. Results Majority of the acne cases (up to 69%) had mild acne or Grade 1/2 scarring, while 21.6% had moderate/severe acne and 5.5% had Grade 3/4 scarring. Males had significantly higher risk of presenting with higher grades of acne scarring. Those who had acne, regardless of severity and scarring grades, had strong positive familial history (either in parents and/or sibling). Frequent consumption (most or all days) of foods that are commonly consumed during breakfast (butter, probiotic drinks, cereals and milk) decreased the risk for acne presentation and higher acne scarring, while periodic consumption (once/twice per week) of nuts and burgers/fast food decreased the risk for higher acne severity. Alcohol drinking was significantly associated with increased risk for acne presentation, while paternal, parental and household smoking were associated with reduced risk of more severe acne. Conclusions In conclusion, positive familial history is a strong predisposing factor in influencing acne presentation, severity and scarring. Frequent consumption of foods that are commonly consumed during breakfast is protective against acne presentation.


1994 ◽  
Vol 30 (6) ◽  
pp. 988-992 ◽  
Author(s):  
Seth Lawrence Matarasso ◽  
Richard Gordon Glogau ◽  
Andrew C. Markey
Keyword(s):  

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