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HERO ID
758787
Reference Type
Journal Article
Title
Medium-depth chemical peels in the treatment of acne scars in dark-skinned individuals
Author(s)
Al-Waiz, MM; Al-Sharqi, AI
Year
2002
Is Peer Reviewed?
Yes
Journal
Dermatologic Surgery
ISSN:
1076-0512
EISSN:
1524-4725
Volume
28
Issue
5
Page Numbers
383-387
Language
English
PMID
12030868
Abstract
Multiple modalities are available for treating acne scars, one of which is chemical peeling.
To evaluate the efficacy of medium-depth peels in the treatment of acne scars.
A total of 15 patients (14 women and 1 man) were seen between November 1998 and March 2000. A medium-depth chemical peel was performed. The peel was performed using a combination of Jessner's solution followed by the application of 35% trichloroacetic acid (TCA). The mean age of patients who entered the study was 28 years. A total of 42 peeling sessions were performed: 13 patients had the full three-session regiment, 1 patient had two sessions, and 1 had only one session.
Patients in our study had two forms of acne scars, the atrophic saucer or crater-like form and the pitted (ice-pick) form. Improvement occurred in all except one of our patients. Significant improvement (greater than 75% clearance of lesions) occurred in 1 patient (6.6%), moderate improvement (51-75% clearance) in 8 patients (53.3%), mild improvement (26-50% clearance) in 4 patients (26.6%), minimal improvement (1-25% clearance) in 1 patient (6.6%), and no response in 1 patient (6.6%). All patients had different combinations of the above two forms. Four patients (26.6%) had mainly pitted scars and deep atrophic scars. The clinical response in those patients was moderate, mild, minimal, and no response, respectively. The remainder of our patients had mainly atrophic scars of moderate depth. Nine patients (73.4%) suffered from transient postinflammatory hyperpigmentation. In two of them it was preceded by erythema that lasted for more than 1 month. All patients were free of noticeable pigmentation 3 months after the final peel. Patients in whom hyperpigmentation did not develop were of light brown complexion.
We conclude that medium-depth chemical peel is a safe and effective method of treating acne scars even in patients with dark complexion.
Tags
•
Trichloroacetic acid (TCA) (Final, 2011)
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