Use of blunted needle of insulin syringe as a simple method for precise delivery of drug during chemical reconstruction of skin scars (CROSS)

Vishwanath, Tejas; Barve, Ajit; Farande, Pranit; Ghate, Sunil; Shinde, Geeta; Nagpal, Angela

doi:10.1016/j.jaad.2019.08.065

Cited by 1 publication

(3 citation statements)

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“…9 In 2019, Vishwanath et al described the use of a blunted insulin syringe dipped in the TCA solution for amplified precision. 7 Since 2017, we have been implementing in our institution a modified technique, using a 30-gauge needle bevel of an insulin syringe to gently paint the base of the scar (Video S1). This modification offers higher selectivity toward the base with better control of the scar edges and facilitates treatment of deeper boxcar scars and even some rolling scars with higher success rates.…”

Section: Discussionmentioning

confidence: 99%

“…Subsequent authors have emphasized stretching the skin to reach the bottom of the scar 6 and applying the toothpick to the base of boxcar and rolling scars with sparing of the edges 9 . In 2019, Vishwanath et al described the use of a blunted insulin syringe dipped in the TCA solution for amplified precision 7 …”

Section: Discussionmentioning

confidence: 99%

“…6 In 2019, Vishwanath et al described the use of a blunted insulin syringe for the application of the TCA solution. 7 We have been using a similar technique in our institution, with further modifications.…”

Section: Backg Rou N Dmentioning

confidence: 99%

See 2 more Smart Citations

Painting CROSS TCA technique: Modification of the CROSS method for the treatment of atrophic acne scars—Case series

Horovitz

Salameh

Shehadeh

et al. 2021

J of Cosmetic Dermatology

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Background The Chemical Reconstruction of Skin Scars (CROSS) technique was first described in 2002 and has since demonstrated safety and efficacy in multiple studies. We describe the treatment of six patients with a modified version of the CROSS method—the Painting CROSS trichloroacetic acid (TCA) technique. This technique has the advantage of offering even higher tissue selectivity and better control of the scar edges, enhancing both safety and efficacy. Methods We retrospectively evaluated 31 scars of six patients who underwent a single treatment by the Painting CROSS TCA method. A 0.3 ml insulin syringe with a 30‐gauge needle was filled with 0.05 ml of 85% TCA solution and then applied to the scar base with slight pressure until frosting was achieved. Patients were evaluated before and 3 months after treatment for scar volume deficit by a high‐resolution three‐dimensional imaging system. Results The average volume of the 31 scars assessed in our study was 2.71 mm3 before treatment and 1.96 mm3 after treatment. There was a 26.3% average decrease in the volume of the scars after one treatment. Transient mild hyperpigmentation was noted in two patients after the treatment. Conclusion Painting CROSS TCA technique has demonstrated efficacy in the treatment of acne scars after a single treatment.

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Section: Discussionmentioning

confidence: 99%