Subcision Versus 100% Trichloroacetic Acid in the Treatment of Rolling Acne Scars

BACKGROUND Acne scarring is common but surprisingly difficult to treat. Newer techniques and modifications to older ones may make this refractory problem more manageable. The 100% trichloroacetic acid (TCA) chemical reconstruction of skin scars (CROSS) method is a safe and effective single modality...

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Bibliographic Details
Published in:Dermatologic surgery 2011-05, Vol.37 (5), p.626-633
Main Authors: RAMADAN, SHAHIRA ABD EL‐RAHMAN, EL‐KOMY, MOHAMED HUSSEIN MEDHAT, BASSIOUNY, DALIA AHMED, EL‐TOBSHY, SEHAM AHMED
Format: Article
Language:English
Subjects:
Acne Vulgaris - complications
Adult
Biological and medical sciences
Caustics - therapeutic use
Chemexfoliation - methods
Cicatrix - drug therapy
Cicatrix - etiology
Cicatrix - surgery
Dermatology
Face
Female
Humans
Male
Medical sciences
Middle Aged
Skin involvement in other diseases. Miscellaneous. General aspects
Skin plastic surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Treatment Outcome
Trichloroacetic Acid - therapeutic use
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Summary:BACKGROUND Acne scarring is common but surprisingly difficult to treat. Newer techniques and modifications to older ones may make this refractory problem more manageable. The 100% trichloroacetic acid (TCA) chemical reconstruction of skin scars (CROSS) method is a safe and effective single modality for the treatment of atrophic acne scars, whereas subcision appears to be a safe technique that provides significant improvement for rolling acne scars. OBJECTIVE To compare the effect of the 100% TCA CROSS method with subcision in treating rolling acne scars. METHODS Twenty patients of skin types III and IV with bilateral rolling acne scars received one to three sessions of the 100% TCA CROSS technique for scars on the left side of the face and subcision for scars on the right side. RESULTS The mean decrease in size and depth of scars was significantly greater for the subcision side than the 100% TCA CROSS (p
ISSN:1076-0512
1524-4725
DOI:10.1111/j.1524-4725.2011.01954.x