Journal of Cutaneous and Aesthetic Surgery

ORIGINAL ARTICLE
Year
: 2014  |  Volume : 7  |  Issue : 1  |  Page : 18--23

Combination therapy in the management of atrophic acne scars


Shilpa Garg, Sukriti Baveja 
 Department of Dermatology, Base Hospital, Delhi Cantonment, Delhi, India

Correspondence Address:
Dr. Shilpa Garg
22/11 Geeta Mandir Marg, New Rajinder Nagar, New Delhi - 110 060
India

Background: Atrophic acne scars are difficult to treat. The demand for less invasive but highly effective treatment for scars is growing. Objective: To assess the efficacy of combination therapy using subcision, microneedling and 15% trichloroacetic acid (TCA) peel in the management of atrophic scars. Materials and Methods: Fifty patients with atrophic acne scars were graded using Goodman and Baron Qualitative grading. After subcision, dermaroller and 15% TCA peel were performed alternatively at 2-weeks interval for a total of 6 sessions of each. Grading of acne scar photographs was done pretreatment and 1 month after last procedure. Patients own evaluation of improvement was assessed. Results: Out of 16 patients with Grade 4 scars, 10 (62.5%) patients improved to Grade 2 and 6 (37.5%) patients improved to Grade 3 scars. Out of 22 patients with Grade 3 scars, 5 (22.7%) patients were left with no scars, 2 (9.1%) patients improved to Grade 1and 15 (68.2%) patients improved to Grade 2. All 11 (100%) patients with Grade 2 scars were left with no scars. There was high level of patient satisfaction. Conclusion: This combination has shown good results in treating not only Grade 2 but also severe Grade 4 and 3 scars.


How to cite this article:
Garg S, Baveja S. Combination therapy in the management of atrophic acne scars.J Cutan Aesthet Surg 2014;7:18-23


How to cite this URL:
Garg S, Baveja S. Combination therapy in the management of atrophic acne scars. J Cutan Aesthet Surg [serial online] 2014 [cited 2020 Aug 11 ];7:18-23
Available from: http://www.jcasonline.com/article.asp?issn=0974-2077;year=2014;volume=7;issue=1;spage=18;epage=23;aulast=Garg;type=0