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

Badheka, Ami D; Mansuri, Uzzaif U.; Solanki, Rekha

doi:10.18203/2320-6012.ijrms20161921

Cited by 4 publications

(7 citation statements)

References 15 publications

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“…This shows the efficacy of this combination in atrophic acne scars, which was shown in previous studies. 13,14 All the patients tolerated the procedure well with mild stinging and burning during TCA CROSS alone. Post-procedure complication is seen in only one patient followed subcision.…”

Section: Discussionmentioning

confidence: 95%

Combined treatment modalities in atrophic acne scars: a prospective study

Narayanan¹,

Nallu²,

Venu³

et al. 2019

Int J Res Dermatol

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Background: Atrophic acne scars are one of the sequalae that follows acne vulgaris. These scars are big cosmetic concern presenting with varied morphology like ice-pick, rolling and boxcar scars and it needs multimodal approach to treat effectively rather than a single modality. Our main aim is to study the efficacy of combination therapy using subcision, micro-needling and trichloro acetic acid chemical reconstruction of skin scars (TCA CROSS) in a sequential manner for the management of atrophic acne scars.Methods: Total 30 patients of either sex with grade 2, 3, and 4 atrophic acne scars were graded using Goodman and Baron qualitative grading and were enrolled in the study. After single sitting of subcision, micro-needling and 50% TCA CROSS were performed alternatively at 3 weeks interval for a total of 3 sessions of each. Grading of acne scars were done by taking photographs at pre-treatment, post treatment, 1st and 3rd month after last treatment session.Results: Out of 14 patients with grade 4 acne scars, 9 (64.3%) patients improved to grade 2 and 5 (35.7%) patients improved to Grade 3. Out of 10 patients with Grade 3 scars, 6 (60%) patients improved to grade 1, and 4 (40%) patients were improved to grade 2 at the end of study. All 5 patients with Grade 2 scars showed significant improvement from baseline.Conclusions: Subcision, micro-needling and TCA CROSS, if they are combined and adequately done in proper manner will have excellent response in all types of atrophic acne scars.

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Section: Discussionmentioning

confidence: 95%

Combined treatment modalities in atrophic acne scars: a prospective study

Narayanan¹,

Nallu²,

Venu³

et al. 2019

Int J Res Dermatol

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“…Because atrophic acne scars can manifest in different ways, there is no one new treatment that works for everyone. [11][12][13] . Shashank Bhargava's study, which included both microneedling and subcision, had a mean age of 24.2 years.…”

Section: Resultsmentioning

confidence: 99%

A study comparing the effectiveness of microneedling and subcisions in treating atrophic acne scars with and without 50% TCA: A cross-sectional analysis in rural area

Satyanarayanan,

Priyadarshani

2019

Int. J. Dermatol. Venereology Leprosy Sci.

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Background: Adolescents and young adults often experience acne vulgaris, a condition affecting the sebaceous unit. Lifelong scarring from acne can take the shape of atrophic, hypertrophic, or keloid scars. No medical intervention can reverse the atrophying scars caused by acne; these scars are categorized as ice-pick, rolling, or boxcar scars. Methods: A study using a randomized controlled open-label prospective design aimed to compare the effectiveness of microneedling, subcision, and 50% TCA CROSS as a combo therapy with microneedling and subcision alone. The study was carried out in the Department of Dermatology, Sambhram Institute of Medical Sciences, located in Kolar, Karnataka, India. The investigation was conducted from January 2018 to December 2019. Results:The findings can be compared to those of prior studies that utilized diverse methodologies. Out of the 60 patients included in our study, 75 percent of them, who had an average age of 23, fell between the age ranges of 21 to 30. The majority of patients in Group 1 are between the ages ranges of 21 to 25, accounting for 77% of patients aged 21 to 30. Conversely, 71% of individuals in group 2 fell between the age ranges of 21 to 30. In a study conducted by Raza Hassan et al., the average age of the patients was 25.07 years, with the majority falling between the 26-30 year age brackets. Conclusion:Based on this study, it can be inferred that acne vulgaris is a chronic inflammatory syndrome that affects the pilo sebaceous follicular unit. This is caused by the colonization of follicles by Propionibacterium acnes, increased production of sebum, and aberrant keratinization of the follicles.

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“…He concluded that CO2 laser was better than subcission which in turn was better than dermaroller in terms of efficacy. 14 However he also concluded that time tested procedures;like subcission if done effectively and appropriately have excellent response and is analogous to newer and expensive modalities like CO2 fractional laser. 14 Our results showed that CO2 fractional laser emerged as superior treatment from efficacy point of view but at the cost of more side effects as compared to micro needling (which is similar to derma roller).…”

Section: Discussionmentioning

confidence: 99%

“…Side effects were also recorded in each group which from previous studies were expected to be prolonged erythema, photosensitivity, post-inflammatory hyperpigmentation and hypertrophic scar. 14 Characteristics of participants and the distribution of the patients in two treatment groups were recorded. Chi-square test was applied to look for the correlation of physicians grading of response, patient's satisfaction and presence of adverse effectsin both treatment groups.…”

Section: Methodsmentioning

confidence: 99%

Micro Needling Versus Carbon Dioxide Fractional Laser in Management of Acne Scars

Obaid

Iftikhar

Mashhood

et al. 2021

PAFMJ

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Objective: To compare the effectiveness of carbon dioxide fractional laser with micro needling in acne scarring. Study Design: Quasi experimental study. Place and Duration of Study: Department of Dermatology, Pak Emirates Military Hospital Rawalpindi, from Jun 2019 to Mar 2020. Methodology: Overall 40 patients with acne scars assessed by consultant dermatologist were made part of study. The patients were divided into two treatment groups through lottery method. Group A, was managed by micro needling technique, while Group B was managed by carbon dioxide fractional laser, each to be done monthly for a total of three sessions. The response was measured by the dermatologist and patients in both the groups. The side effects were also compared in both the groups. Results: Out of 40 patients with acne scars included in study, 17 (42.5%) underwent micro-needling while 23 (57.5%) underwent carbon dioxide fractional laser treatment after randomization. Thirty (75%) patients were female while 10 (25%) were male. The patients with acne scars responded better in carbon dioxide fractional laser group as compared to micro needling in opinion of dermatologists (p-value=0.01) and also patients themselves (p-value=0.03). Side effects were significantly higher in carbon dioxide fractional laser group as compared to micro needling (p-value=0.02). Conclusion: Significant number of patients respond well to carbon dioxide fractional laser treatment and the response included both expert opinion and patients own opinion, but adverse effects were seen more in same group. Therefore, better response but at the cost of more adverse effects was noted.

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

Cited by 4 publications

References 15 publications

Combined treatment modalities in atrophic acne scars: a prospective study

Combined treatment modalities in atrophic acne scars: a prospective study

A study comparing the effectiveness of microneedling and subcisions in treating atrophic acne scars with and without 50% TCA: A cross-sectional analysis in rural area

Micro Needling Versus Carbon Dioxide Fractional Laser in Management of Acne Scars

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