A clinical evaluation of acne scarring and its incidence

Abstract

Despite scarring being a recognized sequel of acne, the actual extent and incidence of residual scarring remains unknown. One hundred and eighty-five acne patients were included in this study (101 females, 84 males). Patients were selected from acne clinics and their acne scarring was examined. The scarring was quantified according to a lesion count and allocated a score. The type and extent of scarring was correlated to the age and sex of the patient, the site of the acne, the previous acne grade according to the Leeds Technique, acne type (noted in clinic at the original referral time) and duration of acne, before adequate therapeutic measures had been instituted. Results indicate that facial scarring affects both sexes equally and occurs to some degree in 95% of cases. Total scarring on the trunk was significantly greater in males, as was hypertrophic and keloid scarring in these sites (P < 0.05). There were significant correlations between the initial acne grade and the overall severity of scarring in all sites and in both sexes (P < 0.01). Superficial inflamed papular acne lesions as well as nodular lesions were capable of producing scars. A time delay up to 3 years between acne onset and adequate treatment related to the ultimate degree of scarring in both sexes and in all three sites. This emphasizes the need for earlier adequate therapy in an attempt to minimize the subsequent scarring caused by acne.

A study of efficacy of subcision, micro-needling and carbon dioxide fractional laser for treatment of acne scars

“…In Group B patients -individual scars were marked using a sterile marker pen. 23 gauge needle is inserted adjacent to the scar with the bevel upwards parallel to the skin surface, into the deep dermis under the scar to release fibrous bands at dermal or deep dermal subcutaneous plane (3)(4)(5) by moving needle in horizontal plane using the sharp edge of needle. Post procedure topical antibiotics were given for 5 days along with use of sunscreens (with a minimum sun protection factor of 30 and UVA 3+).…”

“…2,3 Acne scarring is an unfortunate, permanent complication seen in about 95% patients of acne vulgaris up to some degree. 4,5 Given the psychological, social and emotional impact of disfigurement caused due to acne scars, dermatologists are frequently presented with the challenge of evaluating and providing treatment for the same. [6][7][8] The variation seen in development of scars is not As such, there are multiple modalities of treatment for acne scars.…”

Microdermabrasion for treatment of acne scars in South Indian patients: a clinical study

“…Most patients had mixed type of acne scars compared to the study by Layton et al which showed more of ice pick scars. 8,9 In the study, improvement of scarring was assessed objectively along with photographs when compared to the studies done by Shim et al and Tsai et al where no grading was done. 5,10 Microdermabrasion showed good response in 9 patients with mild to moderate acne scars while remaining 31 patients failed to show any significant response.…”

A Study of the Efficacy of Skin Needling and Platelet Rich Plasma in the Treatment of Acne Scars

“…Atrophic acne scars are by far the most common type. 4 Facial scars not only lead to cosme c problems, but also have psychological eff ects such as emo onal debilita on, embarrassment, poor self-esteem, and social isola on. 5 Many techniques are available for the correc on of atrophic acne scars, including subcision, dermabrasion, chemical peeling, laser technology, fat gra ing, and use of fi llers; however, these techniques have resulted in varying degrees of success and associated adverse eff ects.…”