Ann Dermatol.  1997 Apr;9(2):87-94. 10.5021/ad.1997.9.2.87.

The Study of Surgical Treatment for Acne Scars:the Principle of a Three Staged Operation

• Whang KK
• Lee MA

• KMID: 2360396
• DOI: http://doi.org/10.5021/ad.1997.9.2.87

Abstract

BACKGROUND
Acne scars are not effectively corrected by a single treatment modality because of their widely varied depths and widths.
OBJECTIVE
This study was performed to assess the effectiveness of staged combinations of several surgical modalities in the treatment of various acne scars.
METHODS
Chemical peeling, COâ‚‚ laserbrasion, scar excision, punch grafting, and dermabrasion were included in this study as surgical modalities. Initially, chemical peeling was performed on all patients and then COâ‚‚ laserbrasion, scar excision and punch grafts were used for deep scars. Finally, dermabrasion was done for the remaining scars. Questionnaires were completed for clinical assessments by the patients and clinicians.
RESULTS
Clinicians assessed the results as "excellent and good" in 75% of patients. However, only 53% of patients gave this same result. The degree of satisfaction escalated as the followup periods and number of chemical peeling procedures increased and as the sequence of the 3 staged operation progressed.
CONCLUSION
We suggest that the principle of 3 staged operations would be effective in the treatment of patients with various types of acne scars.

Keyword

Acne scar; Chemical peeling; Dermabrasion; Laserbrasion; Punch graft; Three staged operation

MeSH Terms

Acne Vulgaris*
Cicatrix
Dermabrasion
Follow-Up Studies
Humans
Transplants