Outcome of CROSS technique with 100% trichloroacetic acid in the management of atrophic icepick acne scars
Keywords:
Outcome, CROSS technique with 100% Trichloroacetic acid, atrophic icepick acne scarsAbstract
Objective To assess the outcome of CROSS technique with 100% trichloroacetic acid (TCA) on atrophic icepick acne scars. Methods It was a quasi-experimental study held at dermatology department, Sir Ganga Ram Hospital, Lahore on 20th November 2013 till 19th April 2014. A total number of 60 patients were included in this study. There were 40 female (66.7%) patients and 20 male (33.3%) patients. After informed consent, four sessions of 100% TCA focal application on atrophic icepick acne scars by CROSS (chemical reconstruction of skin scars) technique were done at two weekly intervals and final outcome was assessed at three months after the last session. Results In our study 41.7% patients showed excellent (>70% reduction of acne scars) response, 45% patients showed good (51-70% reduction of acne scars) response, 13.3% patients showed fair (30-50% reduction) response and no patient showed poor (<30% reduction) response. Conclusion Chemical reconstruction of skin scars (CROSS) technique with 100% TCA is a safe, minimally invasive and cost-effective technique for the treatment of icepick acne scars .References
Fabbrocini G, Padova MP. Acne. In: Tosti A, Grimes PE, Padova MP (eds.) Color Atlas of Chemical Peels. 2nd ed. London: Springer Heidelberg;2012. P. 95.
Thiboutot DM. Overview of acne and its treatment. Cutis. 2008;81:3-7.
Levy LL, Zeichner JA. Management of acne scarring, part II: a comparative review of non-laser based, minimally invasive approaches. Am J Clin Dermatol. 2012;13:331-40.
Fabbrocini G, Annunziata MC, D'Arco V, De Vita V, Lodi G, Mauriello MC et al. Acne Scars: Pathogenesis, Classification And Treatment. Dermatol Res Pract. 2010;2010:893080.
Handog EB, Datuin MS, Singzon IA. Chemical peels for acne and acne scars in Asians: evidence based review. J Cutan Aesthet Surg. 2012;5:239-46.
Lee JB, Chung WG, Kwahck H, Lee KH. Focal treatment of acne scars with trichloroacetic acid: chemical reconstruction of skin scars method. Dermatol Surg. 2002;28:1017-21.
Fife D. Practical Evaluation and Management of Atrophic Acne Scars. J Clin Aesthet Dermatol. 2011;4:50-7.
Rivera AE. Acne scarring: A review and current treatment modalities. J Am Acad Dermatol. 2008;59:659-76.
Khunger N, Bhardwaj D, Khunger M. Evaluation of CROSS technique with 100% TCA in the management of ice-pick acne scars in darker skin types. J Cosmet Dermatol. 2011;10:51-7.
Yug A, Lane JE, Howard MS, Kent DE. Histologic study of depressed acne scars treated with serial high concentration (95%) trichloroacetic acid. Dermatol Surg. 2006;32:985-90.
