Atrophic scars are a common complication of acne. Many modalities are proposed but each does not yield satisfactory clinical outcomes.
Thus, a new combination therapy is suggested that incorporates (i) dot peeling, the focal application and tattooing of higher trichloroacetic acid concentrations; (ii) subcision, the process by which there is separation of the acne scar from the underlying skin; and (iii) fractional laser irradiation. In this pilot study, the efficacy and safety of this method was investigated for the treatment of acne scars. Ten patients received this therapy for a year. Dot peeling and subcision were performed twice, 2-3 months apart and fractional laser irradiation was performed every 3-4 weeks.
Outcomes were assessed using scar severity scores and patients' subjective ratings. Acne scarring improved in all of the patients completing this study. Acne scar severity scores decreased by a mean of 55.3%. Eighty percent of the patients felt significant or marked improvement.
There were no significant complications at the treatment sites. It would appear that triple combination therapy is a safe and very effective combination treatment modality for a variety of atrophic acne scars.
"Atrophic acne scar treatment using triple combination therapy: Dot peeling, subcision and fractional laser"
J Cosmet Laser Ther. 2009 Aug 17; 1-4Kang WH, Kim YJ, Pyo WS, Park SJ, Kim JH (Hubemd.org)
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What Are The Most Reliable Pitted Acne Scar Treatment Options
Thus, a new combination therapy is suggested that incorporates (i) dot peeling, the focal application and tattooing of higher trichloroacetic acid concentrations; (ii) subcision, the process by which there is separation of the acne scar from the underlying skin; and (iii) fractional laser irradiation. In this pilot study, the efficacy and safety of this method was investigated for the treatment of acne scars. Ten patients received this therapy for a year. Dot peeling and subcision were performed twice, 2-3 months apart and fractional laser irradiation was performed every 3-4 weeks.
Outcomes were assessed using scar severity scores and patients' subjective ratings. Acne scarring improved in all of the patients completing this study. Acne scar severity scores decreased by a mean of 55.3%. Eighty percent of the patients felt significant or marked improvement.
There were no significant complications at the treatment sites. It would appear that triple combination therapy is a safe and very effective combination treatment modality for a variety of atrophic acne scars.
"Atrophic acne scar treatment using triple combination therapy: Dot peeling, subcision and fractional laser"
J Cosmet Laser Ther. 2009 Aug 17; 1-4Kang WH, Kim YJ, Pyo WS, Park SJ, Kim JH (Hubemd.org)
Related :
What Are The Most Reliable Pitted Acne Scar Treatment Options
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