Document Detail

Atrophic acne scar treatment using triple combination therapy: dot peeling, subcision and fractional laser.
MedLine Citation:
PMID:  19951190     Owner:  NLM     Status:  MEDLINE    
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.
Won Hyoung Kang; Yun Jeon Kim; Won Sik Pyo; Sung Jin Park; Jie Hoon Kim
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of cosmetic and laser therapy : official publication of the European Society for Laser Dermatology     Volume:  11     ISSN:  1476-4180     ISO Abbreviation:  J Cosmet Laser Ther     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-12-02     Completed Date:  2010-02-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136419     Medline TA:  J Cosmet Laser Ther     Country:  England    
Other Details:
Languages:  eng     Pagination:  212-5     Citation Subset:  IM    
Department of Dermatology, College of Medicine, Kwan-Dong University, Ilsan, Korea.
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MeSH Terms
Acne Vulgaris / complications*
Cicatrix / etiology,  therapy*
Cosmetic Techniques / instrumentation*
Laser Therapy, Low-Level / instrumentation,  methods*
Patient Satisfaction
Pilot Projects
Skin / radiation effects
Trichloroacetic Acid / therapeutic use
Reg. No./Substance:
76-03-9/Trichloroacetic Acid

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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