Postacne Scarring: A Review of its Pathophysiology and Treatment

@article{Goodman2000PostacneSA,
  title={Postacne Scarring: A Review of its Pathophysiology and Treatment},
  author={Greg J. Goodman and Facd},
  journal={Dermatologic Surgery},
  year={2000},
  volume={26},
  pages={857–871}
}
  • G. Goodman, Facd
  • Published 1 September 2000
  • Medicine
  • Dermatologic Surgery
Background. There has been a largely unheralded revolution in the number of techniques that can now be used in the treatment of atrophic postacne scarring. Atrophic scarring is the more common type of scarring encountered after acne. Objective. To illustrate the range of techniques useful in the therapy of postacne scarring, their relative advantages and disadvantages, and their place in treatment. Method. A review of available techniques is used to illustrate the treatment of indented or… 
Use of radiofrequency in cosmetic dermatology: focus on nonablative treatment of acne scars
TLDR
This review article demonstrates that out of all RF modalities, microneedle bipolar RF and fractional bipolar RF treatments offers the best results for acne scarring.
Subcision for Acne Scarring: Technique and Outcomes in 40 Patients
  • Murad Alam, N. Omura, M. Kaminer
  • Medicine
    Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
  • 2005
TLDR
Subcision appears to be a safe technique that may provide significant long-term improvement in the “rolling scars” of selected patients.
Novel Opportunities in the Treatment and Prevention of Scarring
TLDR
It is found that a variety of new treatments exist with potential effectiveness for the treatment of hypertrophic scars and keloids, including interferon, imiquimod 5% cream, tacrolimus, botulinum toxin, 5-fluorouracil, bleomycin, and verapamil.
Study of the effectiveness of fractional laser ablation in patients with atrophic postacne scars using the quantitative scar index
TLDR
The effectiveness of fractional ablation with the Erbium laser in patients with ARP is confirmed by a decrease in quantitative scar severity indices, which testifies to high satisfaction of the physician and the patient with the results of treatment and correlates with regression of clinical manifestations in these patients.
CROSS technique: chemical reconstruction of skin scars method
TLDR
It is believed that the 50% TCA CROSS can be an effective technique for the treatment of atrophic scars.
Evaluation of Subcision-Suction Method in the Treatment of Depressed Scars
TLDR
Frequent suctioning at the recurrence period of subcision increases subcision efficacy remarkably and causes significant and persistent improvement in short time, without considerable complication, in depressed scars of the face.
Acne scarring: a review of cosmetic therapies.
TLDR
Some of the most commonly used cosmetic therapies for acne scarring are reviewed, including dermabrasion, laser resurfacing, radiofrequency (RF), subcision, skin needling, punch techniques, chemical peels, soft-tissue augmentation, intralesional therapy, cryotherapy, and silicone dressings, with a focus on cosmetic outcomes.
Subcision Versus 100% Trichloroacetic Acid in the Treatment of Rolling Acne Scars
TLDR
For rolling acne scars in patients with Fitzpatrick skin types III and IV, subcision shows better results with fewer side effects than the 100% TCA CROSS technique, although further decrease in scar depth with time occurs more significantly after 100% tca CROSS.
A Review and Update of Treatment Options Using the Acne Scar Classification System
  • Monica Boen, C. Jacob
  • Medicine
    Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
  • 2019
TLDR
Therapies for acne scarring included surgical modalities, such as subcision, and punch excision and elevation, injectable fillers, chemical peels, dermabrasion, microneedling, and energy-based devices.
Treatment of Acne Scars Using Subdermal Minimal Surgery Technology
TLDR
Subdermal minimal surgery technology is an effective and safe method for improving acne scars and has indicated no significant interest with commercial supporters.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 143 REFERENCES
New treatment for pitted scars; preliminary report.
TLDR
Recently, a method has been developed and used with a considerable degree of success over a period of two years in the treatment of 23 patients with deeply depressed scar areas.
A clinical evaluation of acne scarring and its incidence
TLDR
Results indicate that facial scarring affects both sexes equally and occurs to some degree in 95% of cases, and emphasizes the need for earlier adequate therapy in an attempt to minimize the subsequent scarring caused by acne.
Treatment of facial rhytids with a nonablative laser: a clinical and histologic study.
TLDR
The nonablative laser gave clinically subtle and statistically insignificant improvement in rhytid severity and its use was associated with complications that included hyperpigmentation and scarring.
Resurfacing of Atrophic Facial Acne Scars with a High‐Energy, Pulsed Carbon Dioxide Laser
  • T. Alster, T. West
  • Medicine
    Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
  • 1996
TLDR
High‐energy, pulsed CO2 laser treatment can safely and effectively improve or even eliminate atrophic facial scars and provides many benefits over traditional treatment methods.
Corrective surgical planing of skin; new technique for treatment of acne scars and other skin defects.
  • A. Kurtin
  • Medicine
    A.M.A. archives of dermatology and syphilology
  • 1953
TLDR
The clinical benefit in the reported cases was such as to warrant further experiment with the abrasion technique, and after five years of trial, a successful modification has been tried.
Electrosurgical skin resurfacing: a new bipolar instrument.
TLDR
Electrosurgical resurfacing may become an effective and safe alternative to current resurfacing modalities and appearance of postoperative scars in all 6 patients was improved by electros surgical resurfacing.
Concurrent Use of Laser Skin Resurfacing and Punch Excision in the Treatment of Facial Acne Scarring
  • J. Grevelink, V. R. White
  • Medicine
    Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
  • 1998
TLDR
Laser skin resurfacing with the concurrent use of punch excision improves facial acne scarring and negates the need to delay additional resurfacing for a future visit.
Alabaster Skin after Carbon Dioxide Laser Resurfacing with Histologic Correlation
TLDR
This patient experienced a profound expression of an increasingly recognized and reported complication of carbon dioxide laser resurfacing, and Histologic correlation is similar to the results previously reported after phenol chemical peels, demonstrating a normal number of melanocytes but a decrease in epidermal melanin.
The Short‐ and Long‐Term Side Effects of Carbon Dioxide Laser Resurfacing
TLDR
CO2 laser resurfacing of facial rhytides and acne scars can be a very safe procedure by an experienced laser operator, however, careful patient selection, thorough patient instruction, and proper aesthetic analysis of treatment sites must be followed to insure the most favorable outcomes with CO2 Laser resurfacing.
...
1
2
3
4
5
...