By Antonella Tosti, Maria Pia De Padova, Gabriella Fabbrocini
The seen scarring left completely at the dermis after pimples itself subsides usually reasons huge misery for the sufferers involved. the normal therapy by means of dermabrasion has now been supplemented and supplanted by means of a few leading edge remedies, usually constructed as instruments in beauty dermatology, and this article - the 1st monograph dedicated to the subject - should be welcomed by way of either normal and beauty dermatologists as an invaluable consultant during the complexities of remedy.
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Additional resources for Acne Scars: Classification and Treatment (Series in Dermatological Treatment)
Trichloracetic acid: If alone use the 30% concentration except for very superficial scars where it can be used at 25%. In combination peels, trichloracetic acid can be used at 25% to 30% as the first agent increases the penetration and, therefore, the peeling effect. Concentrations depend also on the skin areas as periocular and perioral regions require lower concentrations or milder application of the peel. Choice of formulation All the chemicals utilized for superficial peelings are on the markets as solutions.
Ghersetich I, De Padova MP. Peeling chimici, indicazioni e limiti. Dermatologia e Cosmesi. La Pelle, Anno VIII, Novembre (11) 2002: 43–5. 20. Cotellessa C, Manunta T, Ghersetich I et al. The use of pyruvic acid in the treatment of acne. J Eur Acad Dermatol Venereol 2004; 18(3): 275–8. 21. Berardesca E, Cameli N, Primavera G et al. Clinical and instrumental evaluation of skin improvement after treatment with a new 50% pyruvic Acid peel. Dermatol Surg 2006; 32(4): 526–31. 22. Tosti A, Grimes PE, De Padova MP.
The patient should regularly wear a total sun block between peeling sessions and up to 6 months after the last session. Superficial peelings may temporarily worsen papulo-pustolar acne and some patients develop active papules and pustules in the immediate postpeeling period. 9, white frosting indicates that the agent has reached the reticular dermis. Management of side effects and complications Minor side effects Minor side effects are common and include temporary swelling, burning, itching, dryness, skin hypersensitivity, transient hypo- or hyper-pigmentation.