CROSS treatment of acne scars with trichloroacetic acid

Safoora Aamir, M. Ali Rafique Mirza, Zafar Iqbal

Abstract


Objective To establish efficacy and safety of medium depth spot peeling with 35% TCA in atrophic and rolled acne scars, in Asian skin (Fitzpatrick skin type III to IV).

 

Patients and methods The study was carried out in the Department of Dermatology Sheikh Zayed Hospital form September 2009 to April 2010. Patients with rolled or atrophic acne scars who presented to skin or plastic surgery outdoor were enrolled in the study. After taking informed consent and counseling, the enrolled patients were put on prepeel regimen of topical application of 4% hydorquinone and tretinoin for 2 weeks. 1 to 3 spot peeling sessions, with 35% TCA, were carried out depending on severity of scars. Prepeel and postpeel photographs were taken.

 

Results Nine patients with acne scars were enrolled in the study. The average age was 24 years. Total of 22 peeling sessions were done. Five patients had good, 4 had excellent and 1 patient had fair improvement. None of the patients had postinflammatory hyper- or hypopigmentation, scarring or keloid formation.

 

Conclusion 35% TCA spot peeling in rolled and atrophic acne scars is safe, effective and affordable treatment in patients with Fitzpatrick skin type III to IV.

 


Keywords


TCA, CROSS treatment, acne scars

Full Text:

Untitled

References


Thiboutout DM, Strauss JS. Diseases of the sebaceous glands. In: Fitzpatrick’s Dermatology in General Medicine. 6th edn. New York: McGraw-Hill; 2003. P.672-87.

Jacob CL, Dover JS, Kaminer MS. Acne scarring: A classification system and review of treatment options. J Am Acad Dermatol. 2001;45:109-17.

Goodman G. Post acne scarring: a review. J Cosmet Laser Ther. 2003;5:77-95.

Kunger N. Standard guidelines of care for chemical peels. Indian J Dermatol Venereol Leprol. 2008;74:5-12.

Lee JB, Chung WG, Kwahck H, Lee KH. Focal treatment of acne scars with trichloroacetic acid; Chemical reconstruction of skin scars method. Dermatol Surg. 2002;28:1017-21.

Fabbrocini G, Cacciapuoti S, Fardella N, Monfrecola G. Cross technique: chemical reconstruction of skin scars method. Dermatol Ther. 2008;21 Suppl 3:S29-32.

Yug A, Lane JE, Kent DE. Histological study of depressed acne scars treated with serial high concentration (95%) trichloroacetic acid. Dermatol Surg. 2006;32;985-90.

Koppel RA, Coleman KM, Coleman WP. The efficacy of EMLA versus ELA-Max for pain relief in medium-depth chemical peeling: a clinical and histopathologic evaluation. Dermatol Surg. 2000;26:61-4.

Hevia O, Nemeth AJ, Taylor JR. Tretinoin accelerates healing after TCA chemical peels. Arch Dermatol. 1991;127:678-82.


Refbacks

  • There are currently no refbacks.


ISSN: 1560-9014