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Open AccessJournal Article

Practical Evaluation and Management of Atrophic Acne Scars: Tips for the General Dermatologist

Douglas Fife
- 01 Aug 2011 - 
- Vol. 4, Iss: 8, pp 50-57
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TLDR
A practical, step-by-step approach to evaluating the patient with atrophic acne scars is presented and an algorithm for providing treatment options is presented, along with pitfalls to avoid.
Abstract
Atrophic acne scarring is an unfortunate, permanent complication of acne vulgaris, which may be associated with significant psychological distress. General dermatologists are frequently presented with the challenge of evaluating and providing treatment recommendations to patients with acne scars. This article reviews a practical, step-by-step approach to evaluating the patient with atrophic acne scars. An algorithm for providing treatment options is presented, along with pitfalls to avoid. A few select procedures that may be incorporated into a general dermatology practice are reviewed in greater detail, including filler injections, skin needling, and the punch excision.

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Platelet-Rich Plasma Versus CROSS Technique With 100% Trichloroacetic Acid Versus Combined Skin Needling and Platelet Rich Plasma in the Treatment of Atrophic Acne Scars: A Comparative Study

TL;DR: This is the first study to use intradermal injection of PRP alone and combined skin needling plus topical PRP plus chemical reconstruction of skin scars technique with TCA for the treatment of atrophic acne scars.
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Microneedling Therapy for Atrophic Acne Scars: An Objective Evaluation.

TL;DR: Multiple minimally invasive sessions of skin microneedling are an effective treatment for post-acne atrophic scars as it stimulates the repair processes with the advantage of being a relatively risk-free, in-office procedure with minimal patient recovery time.
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Acne Scarring-Pathogenesis, Evaluation, and Treatment Options.

TL;DR: The cellular sequelae that lead to scar formation and the initial evaluation of patients with acne scars are addressed, and an algorithmic approach to the treatment of acne scarring based on the classification of scars into erythematous and atrophic types is discussed.
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Effective treatments of atrophic acne scars.

TL;DR: The authors review the different treatment options of atrophic acne scars to help select the best therapeutic strategy, whether it be single or combined therapy, in the treatment of atrophe acne scars while reducing or avoiding the side effects and complications.
References
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Journal ArticleDOI

Acne scarring: A classification system and review of treatment options

TL;DR: A descriptive, simple, universally applicable acne scar classification system that includes 3 scar types: icepick, rolling, and boxcar is proposed that enables the physician to more precisely identify scar subtypes.
Journal ArticleDOI

A clinical evaluation of acne scarring and its incidence.

TL;DR: Results indicate that facial scarring affects both sexes equally and occurs to some degree in 95% of cases, and emphasizes the need for earlier adequate therapy in an attempt to minimize the subsequent scarring caused by acne.
Journal ArticleDOI

Acne Scars: Pathogenesis, Classification and Treatment

TL;DR: This paper summarizes acne scar pathogenesis, classification and treatment options for hypertrophic and keloidal lesions, and describes numerous treatments for atrophic and hypertrophic scars.
Journal ArticleDOI

Prevalence of facial acne in adults.

TL;DR: This study shows a prevalence of clinical facial acne in women of 12%, which is likely to persist into middle age, similar to other studies on the prevalence of acne in the adult population.
Journal ArticleDOI

Suicide in dermatological patients

TL;DR: Patients with dermatological non‐disease, and particularly women with facial complaints, may be extremely depressed and at risk of suicide, and facial scarring may be an ‘at risk’ factor for suicide, emphasizing the positive early therapeutic role of isotretinoin.
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