Single Session Treatment of Rolling Acne Scars Using Tumescent Anesthesia, 20% Trichloracetic Acid Extensive Subcision, and Fractional CO2 Laser

Taylor, Mark B.; Zaleski-Larsen, Lisa; McGraw, Timothy A.

doi:10.1097/dss.0000000000000895

Cited by 21 publications

(27 citation statements)

References 11 publications

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“…Studies that only used the PROM as an outcome measurement instrument were excluded, but study details were tabulated, per protocol. We identified 188 studies that reported treatment satisfaction as an outcome: 91 on treatment of acne 68–158 and 97 on treating acne scars (a possible sequela of acne) 159–255 . These numbers show that clinicians and researchers do consider treatment satisfaction as an important outcome.…”

Section: Resultsmentioning

confidence: 99%

Identifying and appraising patient‐reported outcome measures on treatment satisfaction in acne: a systematic review*

Zuuren

Arents²,

Miklas

et al. 2020

Br J Dermatol

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Background After dermatitis, acne is the next skin disease to contribute most to the burden of skin diseases worldwide. Recently, seven core outcome domains have been identified, which together form an Acne Core Outcome Set (ACORN). One of these was satisfaction with acne treatment. Objectives To identify studies that described the development of patient-reported outcome measures (PROMS), evaluated one or more measurement properties of a PROM, or evaluated the interpretability of a PROM in patients with acne regarding treatment satisfaction. Methods The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) search strategy for identifying PROMS on acne treatment satisfaction was used. We searched PubMed, MEDLINE, Embase, LILACS, Web of Science, Cochrane Library, Emcare, PsycINFO and Academic Search premier (June 2020). Study selection, data extraction and assessment of methodological quality according to COSMIN guidance were carried out independently by two authors. Results Only one study could be included, describing the development of a treatment satisfaction measure in patients with acne. The development was assessed as inadequate and data on measurement properties were lacking. Additionally, we found 188 studies reporting treatment satisfaction solely as an outcome, using a wide variety of methods, none of them standardized or validated. Conclusions We could not find a PROM on treatment satisfaction to recommend for a core outcome set in acne. There is an unmet need for a PROM on treatment satisfaction in acne that is robustly developed, designed and validated.What is already known about this topic?• Core outcome sets are consensus-based minimum outcome measures that should be reported in clinical trials of a specific disease or target condition.

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Section: Resultsmentioning

confidence: 99%

Identifying and appraising patient‐reported outcome measures on treatment satisfaction in acne: a systematic review*

Zuuren

Arents²,

Miklas

et al. 2020

Br J Dermatol

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“…There was improvement of 2.9 on a scale of 1 to 4 and few complications; 90% of the patients were satisfied. 122 A recent systematic review concluded that there is no evidence of high quality for the various interventions proposed for the treatment of acne scars due to poor methodology, lack of statistical power, lack of standardization of efficacy data and variables evaluated before the interventions. There is moderate evidence for fillers, but there is a lack of studies with prolonged follow-up (the largest was 48 weeks) and comparative with placebo or false intervention.…”

Section: Systemic Treatmentmentioning

confidence: 99%

Adult female acne: a guide to clinical practice

Bagatin

Freitas

Machado

et al. 2019

An. Bras. Dermatol.

111

124

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BackgroundAcne in women is often associated with anxiety and depression, and may persist from adolescence as well as manifest for the first time in adulthood. Genetic and hormonal factors contribute to its etiopathogenesis, and maintenance treatment is required, usually for years, due to its clinical evolution.ObjectiveTo develop a guide for the clinical practice of adult female acne.MethodsA team of five experts with extensive experience in acne conducted a literature review of the main scientific evidence and met to discuss the best practices and personal experiences to develop a guide containing recommendations for the clinical practice of adult female acne.ResultsThe group of specialists reached consensus on the main guidelines for clinical practice, providing detailed recommendations on clinical picture, etiopathogenesis, laboratory investigation and treatment of adult female acne.ConclusionDifferent from teenage acne, adult female acne presents some characteristics and multiple etiopathogenic factors that make its management more complex. This guide provides recommendations for best clinical practices and therapeutic decisions. However, the authors consider that additional studies are needed in order to provide more evidence for adult female acne to be better understood.

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“… 45 Taylor et al, for instance, recently developed a novel surgical instrument consisting of a long metal rod with a “W-shaped” blunt end. 55 The sharp notches at the tip are effective at capturing the fibrotic tethers in rolling scars and severing them as the rod is advanced through the subdermal plane. 55 , 56 While this improves the overall efficacy of subcision and limits the need for multiple sessions, risk of damage to deep facial structures is higher.…”

Section: Subcisionmentioning

confidence: 99%

A Comprehensive Review of Non-Energy-Based Treatments for Atrophic Acne Scarring

Tam¹,

Khong²,

Tam³

et al. 2022

CCID

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Scarring is a dire consequence of acne vulgaris. Particularly, atrophic acne scarring is highly prevalent among young adults, and its physical and psychological effects can persist throughout their lives if left untreated. This literature review will analyze various non-energy-based approaches to treating atrophic acne scarring, emphasizing recent advances within the last 5 to 10 years. To accomplish this, we performed a PubMed search for various acne scar treatments such as chemical peels, dermabrasion, microdermabrasion, subcision, microneedling, punch techniques, dermal fillers, and thread lifting. Our findings and analysis show that there is no panacean solution to treating atrophic acne scars, which explains the evolving trend towards developing unique combinatorial treatments. Although a fair comparison of each treatment approach is difficult to achieve due to the studies’ varying sample sizes, strength of evidence, treatment execution, etc, there still remains a level of consensus on what treatments are well suited for particular scar types.

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Single Session Treatment of Rolling Acne Scars Using Tumescent Anesthesia, 20% Trichloracetic Acid Extensive Subcision, and Fractional CO2 Laser

Abstract: The combination of a trichloracetic acid 20% chemical peel, subcision, and fractional CO2 laser resurfacing combined with tumescent anesthesia is both safe and effective in the treatment of rolling acne scars.

Cited by 21 publications

References 11 publications

Identifying and appraising patient‐reported outcome measures on treatment satisfaction in acne: a systematic review*

Identifying and appraising patient‐reported outcome measures on treatment satisfaction in acne: a systematic review*

Adult female acne: a guide to clinical practice

A Comprehensive Review of Non-Energy-Based Treatments for Atrophic Acne Scarring

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