Commentary on A Neglected Acne Scar Type: Papular Acne Scars and Their Correlations With Keloid Scars

2021 ◽  
Vol 47 (10) ◽  
pp. 1352-1353
Author(s):  
Greg J. Goodman
Keyword(s):  
Acne Scar ◽  
Acne Scars ◽  
Keloid Scars

scholarly journals The Effectiveness of Microneedling Therapy on The Severity of Acne Scars According to Goodman and Baron: A Systematic review and meta-analysis

2022 ◽  
pp. 48
Author(s):  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Control Group ◽  
Skin Damage ◽  
Acne Scar ◽  
Acne Scars ◽  
Significant Difference ◽  
Acne Scarring ◽  
The Mean ◽  
Z Value

Background: The emergence of acne scars due to skin damage in the acne healing process and causes psychological effects. The management of acne scars can be done in several methods. Microneedling is a very simple, safe, effective, and minimally invasive therapeutic technique compared to other therapeutic modalities in acne scars. The resulting wound is micro-sized, and promotes the growth of growth factors and collagen production. We aimed to assess the effectiveness of using microneedling as an acne scar treatment option. A systematic review and meta-analysis were qualitatively and quantitatively conducted from RCTs, assessing the effectiveness of microneedling in reducing the severity of acne scars according to Goodman and Baron in the treatment of acne scars. Methods: Medline Pubmed, PMC, Scopus, Google Scholar, and JDC library, eligible search. Ten studies (n=514) were analyzed qualitatively with 2 studies (n=53 subjects) and quantitatively analyzed by 2 studies (n=90 subjects). Both analyzes were included in the meta-analysis. The mean age of the participants was 40.5 years. The application of microneedling intervention as monotherapy or a combination in patients with acne scarring was followed for at least 16 weeks, the results obtained were the mean reduction in the degree of acne scarring after microneedling. Result: The combination of microneedling treatment obtained a qualitative decrease in the degree of acne scars according to Goodman and Baron with a Z value (-4.299) and P=<0.001 lower than the control (PRP) with a significant difference. The quantitative decrease in the degree of acne scars according to Goodman and Baron obtained a Z value (-4.681) and P=<0.001 lower than the control (PRP) with a significant difference. Quantitative reduction in the degree of acne scars according to Goodman and Baron on single therapy between treatment and control with a value of Z (-3.536) and P=<0.001 lower than control (fractional CO2) with a significant difference. The results of the degree of acne scars in the group treated with microneedling alone or in combination were lower than the control group. The mean before and after therapy compared to the control there was a significant difference. Conclusion. The results of a systematic review, concluded that the group treated with microneedling had a decrease in the degree of acne scarring according to Goodman and Baron with P=<0.001 compared to before treatment. The decrease was shown in the difference in Z values, which was significantly greater than the control given other therapies. Microneedling therapy can be an alternative therapy option for acne scar patients who are unresponsive to previous therapy or in conditions where there are contraindications to other therapies.

scholarly journals Whole Area versus Focal Acne Scar Treatment (FAST) of Post Acne-Scars by Fractional CO2 Laser: A Comparative Study

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
M A Abdallah ◽  
C K T Gobrial ◽  
S G H Gomah
Keyword(s):  
Comparative Study ◽  
Co2 Laser ◽  
Acne Scar ◽  
Fractional Co2 Laser ◽  
Acne Scars ◽  
Scar Treatment ◽  
Acne Scarring ◽  
Facial Area ◽  
The Right ◽  
Split Face

Abstract Background Acne scarring is often the primary concern of a patient with acne. Acne scarring can cause depression and is a risk factor for suicide. Patients feel their appearance interferes with their relationships and chances of future employment. Acne scars can be classified into 3 different types: atrophic, hypertrophic, or keloidal. Atrophic acne scars are the most common type. Atrophic acne scars are divided into three main types: ice pick, rolling and boxcar scars. Aim of the Work To compare the results of whole facial area versus Focal Acne Scar Treatment (FAST) by factional CO2 laser in a split face study. Patients and Methods The present study is a split face comparative study which included 20 adult patients with atrophic acne scars ranged from 18 to 44 years old of both sex. The study was approved by the Research Ethical Committee, Faculty of Medicine, Ain Shams University and fulfilled all the ethical aspects required in human research. All patients received full information about description of the procedure of treatment, possible side effects, photo documentation and they all provided written consent. Results Patients were asked to compare the pain, peeling and complications between the right and left sides post CO2 fractional treatment: pain was more at right side in 35% of cases and more at left side in 30% of cases and equal in the rest of cases, peeling was faster at the right side in 60% of cases, faster at the left side in 20% of cases and equal at the rest of cases, 4 of the patients had post inflammatory hyperpigmentation (1 patient at right side, 2 patients at left side and 1 patient at both sides), no other complications were recorded as secondary infection, scaring keloid and prolonged erythema. Conclusion We compared the results of whole facial area treatment in the right side of the face versus Focal Acne Scar Treatment (FAST) in the left side by factional CO2 laser. We discovered that there is a statistically highly significant relationship between the improvement of acne scars and treatment with fractional CO2 laser by the either techniques. Both techniques are preferable in treating acne scars in equal degree.

scholarly journals The Combination of Platelet Rich Plasma with Skin Needling or Subcision for Postacne Scaring: a Serial Case Study

2020 ◽  
Vol 3 (2) ◽  
Author(s):  
Endra Yustin
Keyword(s):  
Simple Technique ◽  
Platelet Rich Plasma ◽  
Facial Skin ◽  
Combination Therapies ◽  
Acne Scar ◽  
Acne Scars ◽  
Small Needle ◽  
Male Patients ◽  
Methods Of Treatment

Scaring in acne remains a common problem and became therapeutic challenges for the clinician. Several modalities were introduced, and combination therapies are required to achieve satisfactory results. Skin needling and subcision reported as effective methods for treating acne scar. The skin needling technique involves puncturing the skin multiple times with a small needle to induce collagen growth, while subcision worked by tunneling the connective tissue and scattered the fibrosis scar. Platelet-rich plasma (PRP) influences wound-healing by stimulating an intense inflammatory response and growth factors, these increase in the production of extracellular matrix and granulation tissue occurs, with vascular in-growth, fibroblastic proliferation, and collagen production also accelerated. Three male patients enrolled in the study, with grades 2-3 acne scar. There are three different methods of treatment were used to see the effect of the treatment. The first patient used the combination of topical PRP and skin needling, and the second patient received a combination of PRP injection and subcision, while the third patient obtains combination between topical PRP and skin needling continued with PRP injection and subcision. Our study revealed that PRP and skin needling or subcision is a simple technique and has the potential for improvement of acne scars. Three weeks after treatment, all three patient had smoother facial skin and reduction of acne scar severity. The combination of PRP and skin needling or and subcision is a simple, safe and rapid method for acne scars treatment.

scholarly journals EFFICACY OF FRACTIONAL CO2 LASER WITH TOPICAL PLATELET RICH PLASMA IN TREATMENT OF ACNE SCARS

2020 ◽  
Vol 4 (11) ◽  
Author(s):  
Kiran Puram ◽  
Rachana Laul ◽  
Anand Asia
Keyword(s):  
Co2 Laser ◽  
Platelet Rich Plasma ◽  
Acne Vulgaris ◽  
Tertiary Care ◽  
Acne Scar ◽  
Tertiary Care Centre ◽  
Self Assessment ◽  
Fractional Co2 Laser ◽  
Acne Scars ◽  
Quantitative Score

Background: Acne scars are most distressing sequelae of acne vulgaris having a major impact on psychosocial aspect and quality of life of an individual. In spite of various therapeutic modalities available treatment of acne scars is challenging. Resurfacing techniques such as Fractional Co2 Laser is a well-established treatment option for acne scar. Platelet-Rich Plasma (PRP), an autologous preparation of growth factors helps in wound healing and tissue regeneration. Aim: To study the efficacy of Fractional CO2 Laser with Topical Platelet-Rich Plasma in Acne scars. Materials and Methods: A total of 15 patients with atrophic facial acne scar, aged 18-40 years attending Outpatient Department of Dermatology, Venereology and Leprosy at tertiary care centre during January 2019 to December 2019 were included for this interventional study after written informed consent. The patients underwent six sessions of Fractional CO2 Laser with Topical application of Platelet-Rich Plasma at monthly intervals. Pre and post treatment comparative Goodman and Baron’s quantitative global scarring grading and patients self-assessment score were used for assessment. Results: At the end of study mild reduction in Goodman and Baron’s quantitative score for acne scar was noted in 13 patients (86.6%). Mean Goodman and Baron’s quantitative score att 4 weeks after sixth sitting was 13.13 ± 4.60. On patients self-assessment moderate resolution of acne scar was noted in 8 patients (53.3%). Conclusion: Fractional CO2 Laser with Topical Platelet-Rich Plasma application has mild to moderate improvement of acne scars and shorter down time of Fractional CO2 Laser. Keywords: Acne scar, Fractional Co2 Laser, Topical Platelet-Rich Plasma

scholarly journals Microneedling vs. chemical reconstructon of skin scars with trichloroacetic acid: a comparative study

2017 ◽  
Vol 3 (2) ◽  
pp. 277
Author(s):  
Nithya Dhollan ◽  
Vanathi Thirunavukkarasu
Keyword(s):  
Trichloroacetic Acid ◽  
Young Population ◽  
Acne Scar ◽  
Skin Rejuvenation ◽  
Laser Resurfacing ◽  
Acne Scars ◽  
Percentage Improvement ◽  
Group A ◽  
The Difference ◽  
Group B

<p class="abstract"><strong>Background:</strong> Acne scars are a cause of major psychological morbidity in the young population. Microneedling using dermarollers which uses the principle of percutaneous collagen induction and Chemical reconstruction of skin scars (CROSS) using Trichloroacetic acid (TCA) are both widely used methods for the treatment of acne scars and are cheaper alternatives to LASER resurfacing. The aim of our study is to objectively compare the efficacy of microneedling using dermaroller with CROSS using 100% TCA in the management of acne scars.</p><p class="abstract"><strong>Methods:</strong> 30 patients with acne scars were divided into 2 groups A and B with 15 patients each. Group ‘A’ underwent microneedling using 1.5 mm dermaroller and Group ‘B’ underwent CROSS technique with 100% TCA. A total of 4 sessions at monthly intervals were performed on both groups. The percentage improvement in the acne scar grade between the two groups was compared using the student ‘t’ test.<strong></strong></p><p class="abstract"><strong>Results:</strong> Among the 30 patients, 13 (86%) patients in Group A (Microneedling) and 11 (78%) patients in group B (CROSS) noted significant reduction in their acne scar grade. The difference between the 2 groups was statistically insignificant. 3 patients had significant post inflammatory hyperpigmentation in group ‘B’.</p><p><strong>Conclusions:</strong> The techniques of microneedling and CROSS are both effective in acne scars But microneedling scores in other aspects such as faster wound healing, better skin rejuvenation and safety in dark skinned individuals.</p>

scholarly journals Efficacy of dermaroller on morphology of acne scars: analytical and prospective study

2017 ◽  
Vol 3 (3) ◽  
pp. 399 ◽  
Author(s):  
Anu Garg ◽  
Shyam Sundar Chaudhary
Keyword(s):  
Patient Satisfaction ◽  
Treatment Failure ◽  
Prospective Study ◽  
Effective Treatment ◽  
Patient Perception ◽  
Acne Scar ◽  
Acne Scars ◽  
End Of Treatment ◽  
Pre Treatment ◽  
High Level

<p class="abstract"><strong>Background:</strong> Atrophic acne scars cause psychological devastation and are difficult to treat. The demand for less invasive but highly effective treatment for scars is growing. Objective is to assess the efficacy of microneedling in the management of atrophic acne scars on the basis of morphology.</p><p class="abstract"><strong>Methods:</strong> Fifty one patients with atrophic acne scars were selected. Each patient was evaluated for types of acne scars. Dermaroller was performed at 4 weeks interval for a total of 3 sessions. Evaluation of type of acne scar and photography were done pre-treatment and 6 months after the end of treatment. Patients own evaluation of improvement was assessed by patient perception scale.<strong></strong></p><p class="abstract"><strong>Results:</strong> At the end of treatment, boxcar scars reduced by 47.06%, rolling scars reduced by 37.25% and 05.88% reduction was seen in ice pick scars. No treatment failure was seen. There was high level of patient satisfaction with patient perception scale of 8.15.</p><p><strong>Conclusions:</strong> Dermaroller has shown good results in treating boxcar and rolling scars with little effect on ice pick scars.</p>

COMBINATING DERMAL FILLER IN DEPRESSED ACNE SCARS TREATMENT

2020 ◽  
pp. 7-10
Author(s):  
Nguyen Le Thi Cao
Keyword(s):  
Side Effects ◽  
Treatment Effectiveness ◽  
Dermal Filler ◽  
Acne Scar ◽  
Negative Effects ◽  
Improve Treatment ◽  
Acne Scars ◽  
Scar Treatment ◽  
Treatment Objective ◽  
Key Words Acne

Acne scars are common sequelae of adolescent acne and have many negative effects on patients. Scars can affect the aesthetics and psychology of patients, limiting social interaction and affecting success in life. The forms of acne scars are very diverse and complex. Each patient can have many scars associated with different degrees. Although there are many methods treatment, successfully treating acne scars is still challenging. Combinating dermal filler with other scar treatments (dermal subcision, laser fractional CO2, RF needle ...) accurately helping improve treatment effectiveness, minimizes side effects or complications due to treatment. Objective of the review is to classify acne scars and choose effective treatments for each type of scars. The method of applying fillers during scar treatment. Key words: Acne scar treatment, ice pick, box scar, rolling scar, subcision, filler

Efficacy of autologous plasma microneedling with cells in patients with post-acne atrophic scars

2021 ◽  
pp. 97-100
Author(s):  
A. P. Talybova ◽  
N. V. Gryazeva
Keyword(s):  
Plasma Cell ◽  
Global Assessment ◽  
Ultrasound Examination ◽  
Social Effects ◽  
Acne Scar ◽  
Global Assessment Scale ◽  
Autologous Plasma ◽  
Acne Scars ◽  
Atrophic Scars ◽  
Ultrasound Scanner

Objective: to studythe effectiveness of autologous plasma-cell microneedling in patients with different phenotypes of post-acne atrophic scars. Group 1A (n = 32) included patients with post – acne atrophic scars: ice pick – 12 patients; boxcar – 11; rolling – 9 patients. Group 1B consisted of 34 patients with scars ice pick – 12; boxcar – 12; rolling – 10 patients. In group 1A, patients underwent a microneedling procedure. In group 1B, microneedling was performed with autologous plasma with cells. To evaluate the effectiveness of the therapy methods, we used the IGA (Investigators Global Assessment) scale modified for post-acne scars, adapted for post-acne scars by the Assessment of the Psychological and Social Effects of Acne (APSEA). Special methods included ultrasound examination using an ultrasound scanner IU 22. The end result for different post-acne scar phenotypes showed the advantages of the developed complex for boxcar and rolling AR and slightly lower for ice pick. The recommended course of therapy is three procedures performed once in 4 weeks.

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