A comparative study of the resurfacing effect of microdermabrasion versus glycolic acid peel in the management of acne scars
DOI:
https://doi.org/10.66344/jpad.v18i2.1068Keywords:
Acne vulgaris, glycolic acid peeling, postacne scars, microdermabrasionAbstract
Objective To compare the resurfacing effect of microdermabrasion versus glycolic acid peeling in the treatment of acne scars.
Methods A total of 80 patients were selected randomly and divided into two groups A (treated with microdermabrasion) and B (treated with glycolic acid peeling). Data were coded and analyzed.
Results Of the 80 participants, 56 completed all 6 sessions. Among those 56 patients, 24 patients belonged to group A and 32 patients belonged to group B. In group A, good improvement was noted in 16.7% of the patients, 67% showed fair improvement, 12.5% showed poor improvement and 4.2% had no change after 6 sessions. In group B, 3% of the patients showed excellent improvement, 3% showed good improvement, 81.3% showed fair improvement, 6.25% showed poor improvement and no change was noted in 6.25% of the patients.
Conclusion This study infers that superficial scars showed greater improvement with microdermabrasion while reduction in active acne lesions was much more with glycolic acid peel. However, no statistically significant differences were found between the outcomes of both therapeutic modalities.
References
1. Zaenglein AL, Graber EM, Thiboutot DM. Acne vulgaris and acneiform eruptions. In: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K, eds. Fitzpatrick’s Dermatology in General Medicine. 8th ed. New York: McGraw-Hill; 2012. P. 897-916.
2. Lekakh O, Mahoney AM, Novice K, Kamalpour J, Sadeghian A, Mondo D et al. Treatment of acne vulgaris with salicylic acid chemical peel and pulsed dye laser: a split face, rater-blinded, randomized controlled trial. J Lasers Med Sci. 2015;6:167-70. doi:10.15171/jlms.2015.13
3. Gollnick H, Cunliffe W, Berson D, Dreno B, Finlay A, Leyden JJ et al. Global alliance to improve outcomes in acne, management of acne: A report from a global alliance to improve outcomes in acne. J Am Acad Dermatol. 2003;49:S1-37.
4. Holland DB, Jeremy AH, Roberts SG, Seukeran DC, Layton AM, Cunliffe WJ. Inflammation in acne scarring: A comparison of the responses in lesions from patients prone and not prone to scar. Br J Dermatol. 2004;150:72-81.
5. Spencer JM, Kurtz ES. Approaches to document the efficacy and safety of microdermabrasion procedure. Dermatol Surg. 2006;32:1353-7.
6. Spencer JM. Microdermabrasion. Am J Clin Dermatol. 2005;6:89-92.
7. Khunger N; IADVL Task Force. Standard guidelines of care for chemical peels. Indian J Dermatol Venereol Leprol. 2008;74:S5-12.
8. Tutakne MA, Chari KUR. Acne rosacea and perioral dermatitis. In: Valia RG, Valia AR, eds. IADVL Textbook and Atlas of Dermatology, Vol 1, 2nd edn. Mumbai: Jaypee Brothers Medical Publishers; 2001. P. 685-710.
9. Tsai RY, Wang CN, Chan HL. Aluminum oxide crystals microdermabrasion: A new technique for treating facial scarring. J Dermatol Surg. 1995;31:539-42.
10. Lloyd J. The use of microdermabrasion for acne: a pilot study. Dermatol Surg. 2001;27:329-31.
11. Chivot M, Pawin H, Beylot C, Chosidow O, Dreno B, Faure M et al. Cicatrices d'acnι: ιpidemiologie, phusiopathologie, clinique, traitment. Ann Dermatol Venereol. 2006;133:813-24.
12. Al-Ameer AM, Al-Akloby OM. Demographic features and seasonal variations in patients with acne vulgaris in Saudi Arabia: A hospital-based study. Int J Dermatol. 2002;41:870-1.
13. Kane A, Niang SO, Diagne AC, Ly F, Ndiaye B. Epidemiological, clinical, and therapeutic features of acne in Dakar, Senegal. Int J Dermatol. 2007;46:36-8.
14. Salomone C, Nicklas C, Navarrete-Dechent C, Droppelmann K, Pérez-Cotapos ML. Comparative study of dietary habits between acne patients and a healthy cohort. Indian J Dermatol Venereol Leprol. 2012;78:99-101.
15. Kaimal S, Thappa DM. Diet in dermatology: Revisited. Indian J Dermatol Venereol Leprol. 2010;76:103-15.
16. Spencer EH, Ferdowsian HR, Barnard ND. Diet and acne: A review of the evidence. Int J Dermatol. 2009;48:339-47.
17. Williams M, Cunliffe WJ. Explanation for premenstrual acne. Lancet. 1973;2:1055-7.
18. Stoll S, Shalita AR, Webster GF, Kaplan R, Danesh S, Penstein A. The effect of the menstrual cycle on acne. J Am Acad Dermatol. 2001;45:957-60.
19. Khanna VN, Pandhi KR. Relationship of acne with menstrual period. Indian J Dermatol Venereol Leprol. 1991;57:138-40.
20. Sardana K, Sharma RC, Sarkar R. Seasonal variation in acne vulgaris-myth or reality. J Dermatol. 2002;29:484-8.
21. Plewig G, Jansen T. Seborrheic dermatitis. In: Wolff K, Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, editors. Fitzpatrick's Dermatology in General Medicine, 7th edn. New York: McGraw-Hill; 2008. p. 219-25.
22. Peyrν J, Lleonart M; Grupo espaρol del Estudio SEBDERM. Clinical and therapeutic profile and quality of life of patients with seborrheic dermatitis. Actas Dermosifiliogr. 2007;98:476-82.
23. Layton AM, Henderson CA, Cunliffe WJ. A clinical evaluation of acne scarring and its incidence. Clin Exp Dermatol. 1994;19:303-8.
24. Simpson NB, Cunliffe WJ. Disorders of the sebaceous glands. In: Burns T, Breathnach S, Cox N, Griffiths C, editors. Rook's Textbook of Dermatology, 7th edn. Oxford: Blackwell Science; 2004. p. 43.1-43.7.
25. Yeung CK, Teo LH, Xiang LH, Chan HH. A community-based epidemiological study of acne vulgaris in Hong Kong adolescents. Acta Dermatol Venereol. 2002;82:104-7.
26. Taylor SC, Cook-Bolden F, Rahman Z, Strachan D. Acne vulgaris in skin of color. J Am Acad Dermatol. 2002;46:S98-106.
27. Tan M-H, Spencer JM, Pires LM, Ajmeri J, Skover G. The evaluation of aluminum oxide crystal microdermabrasion for photodamage. Dermatol Surg. 2001;27:943-9.
28. Grover C, Reddu BS. The therapeutic value of glycolic acid peels in dermatology. Indian J Dermatol Venereol Leprol. 2003;69:148-50.
29. Wang CM, Huang CL, Hu CTS, Chan HL. The effect of glycolic acid on treatment of acne in Asian skin. Dermatol Surg. 1997;23:23-9.
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