A 19-year-old man had atrophic scars on bilateral temple for several years. The atrophic scars were composed of rolling scars (three depressions, 8 × 4 mm in diameter), ice pick scars and boxcar scar. The patient was treated with chemical peeling (CP) using 20% glycolic acid (GA) (pH 3.2) and subsequent iontophoresis with vitamin C derivative at one month’s interval twice. Remarkable improvement was observed; the rolling scars almost disappeared with traces of hypopigmented macule. However, the ice pick scars and boxcar scar did not improve. CP and subsequent vitamin C iontophoresis can be an alternative non-surgical and non-invasive treatment for rolling scar in acne.
References
[1]
Jacob, C.I., Dover, J.S. and Kaminer, M.S. (2001) Acne Scarring: A Classification System and Review of Treatment Options. Journal of the American Academy of Dermatology, 45, 109-117. https://doi.org/10.1067/mjd.2001.113451
[2]
Connolly, D., Vu, H.L., Mariwalla, K. and Saedi, N. (2017) Acne Scarring—Pathogeneisis, Evaluation, and Treatment Options. Journal of Clinical and Aesthetic Dermatology, 10, 12-23.
[3]
Fabbrocini, G., Annunziata, M.C., D’Arco, V., et al. (2010) Acne Scars: Pathogenesis, Classification and Treatment. Dermatology Research and Practice, 2010, Article ID: 893080. https://doi.org/10.1155/2010/893080
[4]
Kravvas, G. and Al-Niaimi, F. (2017) A Systematic Review of Treatments for Acne Scarring. Part 1: Non-Energy-Based Techniques. Scars, Burns & Healing, 3, 1-17. https://doi.org/10.1177/2059513117695312
[5]
Donnarumma, M., Vastarella, M., Ferrillo, M., Cantelli, M., D’andrea, M. and Fabbrocini, G. (2019) An Innovative Treatment for Acne Scars With Thread-Lift Technique: Our Experience. Giornale Italiano di Dermatologia e Venereologia, Online Ahead of Print.
[6]
Committee for Guidelines of Care for Chemical Peeling (2012) Guidelines for Chemical Peeling in Japan (3rd Edition). Journal of Dermatology, 39, 321-325. https://doi.org/10.1111/j.1346-8138.2011.01362.x
[7]
Kurokawa, I., Yoshioka, M. and Ito, S. (2019) Split-face Comparative Clinical Trial Using Glyceryl-Octyl-Ascorbic Acid/Ascorbyl 2-Phosphate 6-Palmitate/DL-α-tocopherol Phosphate Complex Treatment for Postinflammatory Hyperpigmentation, Postinflammatory Erythema and Atrophic Scar in Acne Vulgaris. Journal of Dermatology, 46, e347-e348. https://doi.org/10.1111/1346-8138.14930
[8]
Moon, J., Yoon, J.Y., Yang, J.H., Kwon, H.H., Min, S. and Suh, D.H. (2019) Atrophic Acne Scar: A Process from Altered Metabolism of Elastic Fibres and Collagen Fibres Based on Transforming Growth Factor-β1 Signalling. British Journal of Dermatology, 181, 1226-1237. https://doi.org/10.1111/bjd.17851
