alexa Acne And Scarring | 64137
ISSN: 2155-9554

Journal of Clinical & Experimental Dermatology Research
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6th International Conference on Cosmetology, Trichology and Aesthetic Practices

Meghana Madhukar Phiske
Meghanas skin clinic, India
Posters & Accepted Abstracts: J Clin Exp Dermatol Res
DOI: 10.4172/2155-9554.C1.054
Abstract
Eighty to ninety percent patients with acne have atrophic scars (subdivided into boxcar, icepick, or rolling), while few have hypertrophic scars. Treatment requires different approaches with choice of treatment being based on scar type. Dermabrasion, useful in softening sharper scar edges, involves use of diamond embedded fraises attached to hand piece that evenly abrades skin to papillary dermis. In subcision, a hypodermic, tribevelled, or filter needle is introduced into subdermal plane to undermine scars. Skin needling involves vertically puncturing the skin to release scar tissue and promote neocollagenesis. For icepick scars, punch excision, elevation, and grafting are used. In punch excision, a scar is removed with punch biopsy and site is sutured. In punch elevation, punched-out scar is elevated to level of surrounding skin which heals secondarily. In punch grafting, scar is excised and a full-thickness skin graft is positioned. Chemical Reconstruction of Skin Scars (CROSS) technique of TCA application minimizes side effects of scarring and dyspigmentation and is used for icepick scarring. Deeper peels like phenol can be used to treat scars. Hyaluronic acid (HA) fillers are used for rolling acne scars. New technique known as subdermal minimal surgery allows precise and even radial dispersion of HA into dermal planes. Poly-Llactic acid (PLLA) has been used successfully for atrophic acne scars. Calcium hydroxyapatite semi-permanent filler has shown to improve rolling scars. Autologous fibroblast transfer (AFT) represents newer filler techniques for scarring. Laser resurfacing has emerged at the forefront of acne scar treatment. Various lasers used are ablative CO2 and Er:YAG lasers, erbium-doped 1550 nm laser and ablative fractionated CO2. Concurrent use of fractional laser skin resurfacing with punch elevation is effective. Picoseconds pulse duration with diffractive lens array may be a new technological advancement. Role of activated platelets in severe acne scarring has been reported.
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