Comparative outcome study of various chemical peels and surgical procedures in the management of acne scarring

[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.

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Collapsing the Surfaces of Skin and Photograph in Cosmetic Minimally-Invasive Procedures

Body & Society ◽

10.1177/1357034x18766289 ◽

2018 ◽

Vol 24 (1-2) ◽

pp. 175-192

Author(s):

Rachel Alpha Johnston Hurst

Keyword(s):

Soft Tissue ◽

Minimally Invasive ◽

Surgical Procedures ◽

Cosmetic Surgery ◽

Minimally Invasive Procedures ◽

Invasive Procedures ◽

Laser Treatments ◽

Chemical Peels ◽

The Difference

This article proposes that cosmetic minimally-invasive procedures – Botox injections, soft-tissue fillers, microdermabrasion, chemical peels and laser treatments – are an under-researched area and provide a number of promising paths for skin studies research. I argue that cosmetic minimally-invasive procedures collapse the difference between the surfaces of the photograph and the skin – the primary surfaces of cosmetic surgery – more successfully than cosmetic surgical procedures. More precisely, I maintain that the difference between photograph and skin is collapsed in two ways: first, through narrating the transformation of the skin’s surface in a way that more closely matches the photographic promises of the cosmetic surgery industry; and, second, by depicting the surgical penetration of the skin through advertising photography. The article concludes by suggesting that further investigation into cosmetic minimally-invasive procedures could offer a new way to think about relationships between ‘normative’ and ‘non-normative’ skin modification practices.

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Chemical Peels: Wound Treatment for up to Three Months Post Peel Recuperative Phase.

Dermatology and Dermatitis ◽

10.31579/2578-8949/005 ◽

2017 ◽

Vol 1 (1) ◽

pp. 01-03

Author(s):

Luke Jackson ◽

Ethan Nicholas ◽

Robert Mason ◽

Landon Owen

Keyword(s):

Continuous Process ◽

Single Agent ◽

Light Therapy ◽

Treatment Modalities ◽

Intense Pulse Light ◽

Pulse Light ◽

Chemical Peels ◽

Chemical Peeling ◽

Acne Scarring ◽

Malignant Lesions

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.

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Acne Scars: Pathogenesis, Classification and Treatment

Dermatology Research and Practice ◽

10.1155/2010/893080 ◽

2010 ◽

Vol 2010 ◽

pp. 1-13 ◽

Cited By ~ 97

Author(s):

Gabriella Fabbrocini ◽

M. C. Annunziata ◽

V. D'Arco ◽

V. De Vita ◽

G. Lodi ◽

...

Keyword(s):

Social Life ◽

Treatment Options ◽

Psychological Impact ◽

Acne Scars ◽

Chemical Peels ◽

Intralesional Steroid ◽

Silicone Gels ◽

Acne Scarring ◽

Atrophic Scars ◽

Classification And Treatment

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.

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