A comparative study of the resurfacing effect of microdermabrasion versus glycolic acid peel in the management of acne scars
Keywords:
Acne vulgaris, glycolic acid peeling, postacne scars, microdermabrasionAbstract
Objective To compare the resurfacing effect of microdermabrasion versus glycolic acid peeling in the treatment of acne scars. Methods A total of 80 patients were selected randomly and divided into two groups A (treated with microdermabrasion) and B (treated with  glycolic acid peeling). Data were coded and analyzed. Results Of the 80 participants, 56 completed all 6 sessions. Among those 56 patients, 24 patients belonged to group A and 32 patients belonged to group B. In group A, good improvement was noted in 16.7% of the patients, 67% showed fair improvement, 12.5% showed poor improvement and 4.2% had no change after 6 sessions. In group B, 3% of the patients showed excellent improvement, 3% showed good improvement, 81.3% showed fair improvement, 6.25% showed poor improvement and no change was noted in 6.25% of the patients. Conclusion This study infers that superficial scars showed greater improvement with microdermabrasion while reduction in active acne lesions was much more with glycolic acid peel. However, no statistically significant differences were found between the outcomes of both therapeutic modalities.ÂReferences
References :
Zaenglein AL, Graber EM, Thiboutot DM. Acne Vulgaris and Acneiform Eruptions. In: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K. eds. Fitzpatrick’s Dermatology in General Medicine. 8th ed. New York, NY: McGraw-Hill; 2012).
Lekakh O, Mahoney AM, Novice K, et al. Treatment of acne vulgaris with salicylic acid chemical peel and pulsed dye laser: a split face, rater-blinded, randomized controlled Trial. J Lasers Med Sci. 2015;6(4):167-170. doi:10.15171/jlms.2015.13
Gollnick H, Cunliffe W, Berson D, Dreno B, Finlay A, Leyden JJ, et al . Global alliance to improve outcomes in Acne, Management of acne: A report from a global alliance to improve outcomes in Acne. J Am AcadDermatol 2003;49:S1-37.
Holland DB, Jeremy AH, Roberts SG, Seukeran DC, Layton AM, Cunliffe WJ. Inflammation in acne scarring: A comparison of the responses in lesions from patients prone and not prone to scar. Br J Dermatol 2004;150:72-81
Spencer JM, Kurtz ES.Approaches to document the efficacy and safety of microdermabrasion procedure. DermatolSurg 2006;32:1353-7.
Spencer JM. Microdermabrasion. Am J ClinDermatol 2005; 6: 89-92
Khunger N (2008): Standard guidelines of care for chemical peels. Indian J DermatolVenereol Leprol., 74:5.
M A Tutakne , K U R Chari , Acne Rosacea and perioral Dermatitis , chapter 25 ; IADVL Text book and atlas of Dermatology ; Edited by RG Valia , A R Valia ; 2nd Edition (2001) vol 1 685- 710.
Tsai RY, Wang CN, Chan HL. Aluminum oxide crystals microdermabrasion: A new technique for treating facial scarring. J DermatolSurg 1995;31:539-42.
Lloyd J (2001): The use of microdermabrasion for acne: a pilot study. Dermatol Surg., 27: 329.
Chivot M, Pawin H, BeylotC, Chosidow O, Dreno B, Faure M, et al.Cicatrices d'acnι: ιpidemiologie,phusiopathologie, clinique, traitment. Ann Dermatol Venereol 2006;133:813-24
Al-Ameer AM, Al-Akloby OM. Demographic features and seasonal variations in patients with acne vulgaris in Saudi Arabia: A hospital-based study. Int J Dermatol 2002;41:870-1
Kane A, Niang SO, Diagne AC, Ly F, Ndiaye B. Epidemiological, clinical, and therapeutic features of acne in Dakar, Senegal. Int J Dermatol 2007;46:36-8.
Salomone C, Nicklas C, Navarrete-Dechent C, Droppelmann K, Pérez-Cotapos ML.Comparative study of dietary habits between acne patients and a healthy cohort. Indian JDermatolVenereolLeprol [serial online] 2012 [cited 2013 Sep 24];78:99-101
Kaimal S, Thappa DM. Diet in dermatology: Revisited. Indian J Dermatol Venereol Leprol 2010;76:103-15
Spencer EH, Ferdowsian HR, Barnard ND. Diet and acne: A review of the evidence. Int J Dermatol 2009;48:339-47.
Williams M, Cunliffe WJ. Explanation for premenstrual acne. Lancet 1973;2:1055-7.
Stoll S, Shalita AR, Webster GF, Kaplan R, Danesh S, Penstein A. The effect of the menstrual cycle on acne. J Am AcadDermatol 2001;45:957-60.
Khanna VN, Pandhi KR. Relationship of acne with menstrual period. Indian J Dermatol Venereol Leprol 1991;57:138-40.
Sardana K, Sharma RC, Sarkar R. Seasonal variation in acne vulgaris-myth or reality. J Dermatol 2002;29:484-8.
Plewig G, Jansen T. Seborrheic dermatitis. In: Wolff K, Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, editors. Fitzpatrick's Dermatology in General medicine, 7th edn., New York: McGraw Hill Publishing; 2008. p. 219-25.
Peyrν J, Lleonart M; GrupoespaÏol del Estudio SEBDERM. Clinical and therapeutic profile and quality of life of patients with seborrheic dermatitis.Actas Dermosifiliogr 2007;98:476-82.
Layton AM, Henderson CA, Cunliffe WJ. A clinical evaluation of acne scarring and its incidence.Clin Exp Dermatol 1994;19:303-8.
Simpson NB, Cunliffe WJ. Disorders of the sebaceous glands. In: Burns T, Breathnach S, Cox N, Griffiths C, editors. Rook's textbook of dermatology. 7 th ed. Oxford: Blackwell
Science; 2004. p. 43.1-43.7.
Yeung CK, Teo LH, Xiang LH, Chan HH. A community-based epidemiological study ofacne vulgaris in Hong Kong adolescents. Acta Dermatol Venereol 2002;82:104-7.
Taylor SC, Cook-Bolden F, Rahman Z, Strachan D. Acne vulgaris in skin of color. J Am Acad Dermatol 2002;46:S98-106.
Tan, M.-H., Spencer, J. M., Pires, L. M., Ajmeri, J. and Skover, G. (2001), The Evaluation of Aluminum Oxide Crystal Microdermabrasion for Photodamage. Dermatologic Surgery, 27: 943–949.
Grover C, Reddu B S. The therapeutic value of glycolic acid peels in dermatology. Indian J DermatolVenereolLeprol 2003;69:148-50
Wang CM, Huang CL, Hu CTS, et al. The effect of glycolic acid on treatment of acne in Asian skin .Dermatol Surg 1997;23:23-29.