Cicatrices de acné, un reto terapéutico
DOI:
https://doi.org/10.29176/2590843X.252Palabras clave:
acné, cicatrices, tratamientoResumen
Las cicatrices por acné son una complicación frecuente y con grandes implicaciones sociales y psicológicas en el individuo, por lo cual la atención debe estar dirigida al manejo oportuno y agresivo de las formas graves de acné evitando así, en lo posible, su aparición. Sin embargo, algunos de estos pacientes van a presentar dicha complicación aun con una intervención temprana; esto se debe a una alteración en la cicatrización y a la gravedad y duración del fenómeno inflamatorio. Para su tratamiento se cuenta con diferentes alternativas químicas, físicas y quirúrgicas que podrían ser una buena opción para mejorar la apariencia de la piel.
Biografía del autor/a
Nathalie Morales
Médica, residente de tercer año de Dermatología, Universidad CES, Medellín, Colombia
Ana María Aristizábal
Médica dermatóloga; docente, Universidad CES, Medellín, Colombia
Referencias bibliográficas
1. Jacob CI, Dover JS, Kaminer MS. Acne scarring: A classification system and review of treatment options. J Am Acad Dermatol. 2001;45:109-17.
2. Layton AM, Henderson CA, Cunliffe WJ. A clinical evaluation of acne scarring and its incidence. Clin Exp Dermatol. 1994;19:303-8.
3. 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.
4. 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;2010:1-13.
5. Tsao SS, Dover JS, Arndt KA, Kaminer MS. Scar management: Keloid, hypertrophic, atrophic, and acne scars. Semin Cutan Med Surg. 2002;21:46-75.
6. 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.
7. Basta-Juzbašić A. Current therapeutic approach to acne scars. Acta Dermatovenerol Croat. 2010;18:171-5.
8. Goodman GJ, Baron JA. The management of postacne scarring. Dermatol Surg. 2007;33:1175-88.
9. Grupo Colombiano de Estudio en Acné. Guías colombianas para el manejo del acné: una revisión basada en la evidencia. Rev Asoc Colomb Dermatol. 2011;19:129-58.
10. Slavin JW. Trichloroacetic acid peels. Aesthetic Surgery Journal. 2004;24:469-70.
11. Bhardwaj D, Khunger N. An assessment of the efficacy and safety of CROSS technique with 100% TCA in the management of ice pick acne scars. J Cutan Aesthet Surg. 2010;3:93-6.
12. Grimes PE. The safety and efficacy of salicylic acid chemical peels in darker racial-ethnic groups. Dermatol Surg 1999;25:18-22.
13. Landau M. Chemical peels. Clin Dermatol. 2008;26:200-8.
14. Erbağci Z, Akçali C. Biweekly serial glycolic acid peels Vs. long-term daily use of topical low-strength glycolic acid in the treatment of atrophic acne scars. Int J Dermatol. 2000;39:789-94.
15. Berardesca E, Cameli N, Primavera G, Carrera M. Clinical and instrumental evaluation of skin improvement after treatment with a new 50% pyruvic acid peel. Dermatol Surg. 2006;32:526-31.
16. Kim EK, Hovsepian RV, Mathew P, Paul MD. Dermabrasion. Clin Plast Surg. 2011;38:391-5.
17. Campbell RM, Harmon CB. Dermabrasion in our practice. J Drugs Dermatol. 2008;7:124-8.
18. Alkhawam L, Alam M. Dermabrasion and microdermabrasion. Facial Plast Surg. 2009;25:301-10.
19. Tsai RY, Wang CN, Chan HL. Aluminum oxide crystal microdermabrasion. A new technique for treating facial scarring. Dermatol Surg. 1995;21:539-42.
20. Karimipour DJ, Karimipour G, Orringer JS. Microdermabrasion: An evidence-based review. Plast Reconstr Surg. 2010;125:372-7.
21. Rivera AE. Acne scarring: A review and current treatment modalities. J Am Acad Dermatol. 2008;59:659-76.
22. Glogau RG. Fillers: From the past to the future. Semin Cutan Med Surg. 2012;31:78-87.
23. Sánchez I, Candelas D, Ruiz R. Materiales de relleno: tipos, indicaciones y complicaciones. Actas Dermosifiliogr. 2010;101:381-93.
24. Bisaccia E, Saap L, Kadry R, Scarborough D. Non-invasive procedures in cosmetic dermatology. Skin Aging. 2007;15:38-40.
25. Sadove R. Injectable poly-L-lactic acid: A novel sculpting agent for the treatment of dermal fat atrophy after severe acne. Aesthetic Plast Surg. 2009;33:113-6.
26. Sadick NS, Palmisano L. Case study involving use of injectable poly-L-lactic acid (PLLA) for acne scars. Journal of Dermatological Treatment. 2009;20:302-7.
27. Pinski KS, Roenigk HH Jr. Autologous fat transplantation. Longterm follow-up. J Dermatol Surg Oncol. 1992;18:179-84.
28. Barnett JG, Barnett CR. Treatment of acne scars with liquid silicone injections: 30-year perspective. Dermatol Surg. 2005;31:1542-9.
29. Prather CL, Jones DH. Liquid injectable silicone for soft tissue augmentation. Dermatol Ther. 2006;19:159-68.
30. Carniol PJ, Meshkov L, Grunebaum LD. Laser treatment of facial scars. Curr Opin Otolaryngol Head Neck Surg. 2011;19:283-8.
31. Alexiades-Armenakas MR, Dover JS, Arndt KA. The spectrum of laser skin resurfacing: Nonablative, fractional, and ablative laser resurfacing. J Am Acad Dermatol. 2008;58:719-37.
32. Walia S, Alster TS. Prolonged clinical and histologic effects from CO2 laser resurfacing of atrophic acne scars. Dermatol Surg. 1999;25:926-30.
33. Tanzi EL, Alster TS. Single-pass carbon dioxide versus multiplepass Er:YAG laser skin resurfacing: A comparison of postoperative wound healing and side-effect rates. Dermatol Surg. 2003;29:80-4.
34. Chua SH, Ang P, Khoo LS, Goh CL. Nonablative 1450-nm diode laser in the treatment of facial atrophic acne scars in type IV to V Asian skin: A prospective clinical study. Dermatol Surg. 2004;30:1287-91.
35. Lee DH, Choi YS, Min SU, Yoon MY, Suh DH Comparison of a 585-nm pulsed dye laser and a 1064-nm Nd:YAG laser for the treatment of acne scars: A randomized split-face clinical study. J Am Acad Dermatol. 2008;60:801-7.
36. Min SU, Choi YS, Lee DH, Yoon MY, Suh DH. Comparison of a longpulse Nd:YAG laser and a combined 585/1,064-nm laser for the treatment of acne scars: A randomized split-face clinical study. Dermatol Surg 2009;35:1720-7
37. Hasegawa T, Matsukura T, Mizuno Y, Suga Y, Ogawa H, Ikeda S. Clinical trial of a laser device called fractional photothermolysis system for acne scars. J Dermatol. 2006;33:623-7.
38. Manstein D, Herron GS, Sink RK, Tanner H, Anderson RR. Fractional photothermolysis: A new concept for cutaneous remodeling using microscopic patterns of thermal injury. Lasers Surg Med. 2004;34:426-38.
39. Chandrashekar B, Nandini A. Acne scar subcision. J Cutan Aesthet Surg. 2010;3:125-6.
40. Al-Dhalimi MA, Arnoos AA. Subcision for treatment of rolling acne scars in Iraqi patients: A clinical study. J Cosmet Dermatol. 2012;11:144-50.
41. Aalami S, Balighi K, Lajevardi V, Akbari E. Subcision-suction method: A new successful combination therapy in treatment of atrophic acne scars and other depressed scars. J Eur Acad Dermatol Venereol. 2011;25:92-9.
42. Khunger N. Standard guidelines of care for acne surgery. Indian J Dermatol Venereol Leprol. 2008;74:28-36.
43. AlGhamdi KM, AlEnazi MM. Versatile punch surgery. J Cutan Med Surg. 2011;15:87-96.
44. Khunger N; IADVL Task Force. Standard guidelines of care for acne surgery. Indian J Dermatol Venereol Leprol. 2008;74:28-36.
45. Johnson WC.Treatment of pitted scars. Punch transplant technique. J Dermatol Surg Oncol. 1986;12:260.
46. de Almeida AR, de Oliveira NI, Kadunc BV, de Almeida Prado Sampaio S. Surgical pearl: Lubricating jelly as a dressing in punch grafts for pitted acne scars. J Am Acad Dermatol. 1998;38:613-5.
47. Goodman GJ. Management of post-acne scarring. What are the options for treatment? Am J Clin Dermatol. 2000;1:3-17.
48. Fabbrocini G, Fardella N, Monfrecola A, Proietti I, Innocenzi D. Acne scarring treatment using skin needling. Clin Exp Dermatol. 2009;34:874-9.
49. Majid I. Microneedling therapy in atrophic facial scars: An objective assessment. J Cutan Aesthet Surg. 2009;2:26-30.
50. Doddaballapur S. Microneedling with dermaroller. J Cutan Aesthet Surg. 2009 l;2:110-1.
51. Fife D. Practical evaluation and management of atrophic acne scars: Tips for the general dermatologist. J Clin Aesthet Dermatol. 2011;4:50-7.
52. Ayhan S, Baran CN, Yavuzer R, Latifoglu O, Cenetoglu S, Baran NK. Combined chemical peeling and dermabrasion for deep acne and post-traumatic scars as well as aging face. Plast Reconstr Surg. 1998;102:1238-46.
53. O'Daniel TG. Multimodal management of atrophic acne scarring in the aging face. Aesthetic Plast Surg. 2011;35:1143-50.
54. Sharad J. Combination of microneedling and glycolic acid peels for the treatment of acne scars in dark skin. J Cosmet Dermatol. 2011;10:317-23.
55. Kang WH, Kim YJ, Pyo WS, Park SJ, Kim JH. Atrophic acne scar treatment using triple combination therapy: Dot peeling, subcision and fractional laser. J Cosmet Laser Ther. 2009;11:212-5.
56. Rodríguez J, Palomar MA, Torres J. Plasma rico en plaquetas: fundamentos biológicos y aplicaciones en cirugía maxilofacial y estética facial. Rev Esp Cir Oral Maxilofac. 2012;34:8-17.
57. Kim DH, Kim JY, Seo SH, Ahn HH, Kye YC, Choi JE. Recalcitrant cutaneous ulcer of comorbid patient treated with platelet rich plasma: A case report. J Korean Med Sci. 2012;27:1604-6.
58. Lee JW, Kim BJ, Kim MN, Mun SK. The efficacy of autologous platelet rich plasma combined with ablative carbon dioxide fractional resurfacing for acne scars: A simultaneous split-face trial. Dermatol Surg. 2011;37:931-8.
59. Juckett G, Hartman-Adams H. Management of keloids and hypertrophic scars. Am Fam Physician. 2009;80:253-60.
2. Layton AM, Henderson CA, Cunliffe WJ. A clinical evaluation of acne scarring and its incidence. Clin Exp Dermatol. 1994;19:303-8.
3. 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.
4. 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;2010:1-13.
5. Tsao SS, Dover JS, Arndt KA, Kaminer MS. Scar management: Keloid, hypertrophic, atrophic, and acne scars. Semin Cutan Med Surg. 2002;21:46-75.
6. 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.
7. Basta-Juzbašić A. Current therapeutic approach to acne scars. Acta Dermatovenerol Croat. 2010;18:171-5.
8. Goodman GJ, Baron JA. The management of postacne scarring. Dermatol Surg. 2007;33:1175-88.
9. Grupo Colombiano de Estudio en Acné. Guías colombianas para el manejo del acné: una revisión basada en la evidencia. Rev Asoc Colomb Dermatol. 2011;19:129-58.
10. Slavin JW. Trichloroacetic acid peels. Aesthetic Surgery Journal. 2004;24:469-70.
11. Bhardwaj D, Khunger N. An assessment of the efficacy and safety of CROSS technique with 100% TCA in the management of ice pick acne scars. J Cutan Aesthet Surg. 2010;3:93-6.
12. Grimes PE. The safety and efficacy of salicylic acid chemical peels in darker racial-ethnic groups. Dermatol Surg 1999;25:18-22.
13. Landau M. Chemical peels. Clin Dermatol. 2008;26:200-8.
14. Erbağci Z, Akçali C. Biweekly serial glycolic acid peels Vs. long-term daily use of topical low-strength glycolic acid in the treatment of atrophic acne scars. Int J Dermatol. 2000;39:789-94.
15. Berardesca E, Cameli N, Primavera G, Carrera M. Clinical and instrumental evaluation of skin improvement after treatment with a new 50% pyruvic acid peel. Dermatol Surg. 2006;32:526-31.
16. Kim EK, Hovsepian RV, Mathew P, Paul MD. Dermabrasion. Clin Plast Surg. 2011;38:391-5.
17. Campbell RM, Harmon CB. Dermabrasion in our practice. J Drugs Dermatol. 2008;7:124-8.
18. Alkhawam L, Alam M. Dermabrasion and microdermabrasion. Facial Plast Surg. 2009;25:301-10.
19. Tsai RY, Wang CN, Chan HL. Aluminum oxide crystal microdermabrasion. A new technique for treating facial scarring. Dermatol Surg. 1995;21:539-42.
20. Karimipour DJ, Karimipour G, Orringer JS. Microdermabrasion: An evidence-based review. Plast Reconstr Surg. 2010;125:372-7.
21. Rivera AE. Acne scarring: A review and current treatment modalities. J Am Acad Dermatol. 2008;59:659-76.
22. Glogau RG. Fillers: From the past to the future. Semin Cutan Med Surg. 2012;31:78-87.
23. Sánchez I, Candelas D, Ruiz R. Materiales de relleno: tipos, indicaciones y complicaciones. Actas Dermosifiliogr. 2010;101:381-93.
24. Bisaccia E, Saap L, Kadry R, Scarborough D. Non-invasive procedures in cosmetic dermatology. Skin Aging. 2007;15:38-40.
25. Sadove R. Injectable poly-L-lactic acid: A novel sculpting agent for the treatment of dermal fat atrophy after severe acne. Aesthetic Plast Surg. 2009;33:113-6.
26. Sadick NS, Palmisano L. Case study involving use of injectable poly-L-lactic acid (PLLA) for acne scars. Journal of Dermatological Treatment. 2009;20:302-7.
27. Pinski KS, Roenigk HH Jr. Autologous fat transplantation. Longterm follow-up. J Dermatol Surg Oncol. 1992;18:179-84.
28. Barnett JG, Barnett CR. Treatment of acne scars with liquid silicone injections: 30-year perspective. Dermatol Surg. 2005;31:1542-9.
29. Prather CL, Jones DH. Liquid injectable silicone for soft tissue augmentation. Dermatol Ther. 2006;19:159-68.
30. Carniol PJ, Meshkov L, Grunebaum LD. Laser treatment of facial scars. Curr Opin Otolaryngol Head Neck Surg. 2011;19:283-8.
31. Alexiades-Armenakas MR, Dover JS, Arndt KA. The spectrum of laser skin resurfacing: Nonablative, fractional, and ablative laser resurfacing. J Am Acad Dermatol. 2008;58:719-37.
32. Walia S, Alster TS. Prolonged clinical and histologic effects from CO2 laser resurfacing of atrophic acne scars. Dermatol Surg. 1999;25:926-30.
33. Tanzi EL, Alster TS. Single-pass carbon dioxide versus multiplepass Er:YAG laser skin resurfacing: A comparison of postoperative wound healing and side-effect rates. Dermatol Surg. 2003;29:80-4.
34. Chua SH, Ang P, Khoo LS, Goh CL. Nonablative 1450-nm diode laser in the treatment of facial atrophic acne scars in type IV to V Asian skin: A prospective clinical study. Dermatol Surg. 2004;30:1287-91.
35. Lee DH, Choi YS, Min SU, Yoon MY, Suh DH Comparison of a 585-nm pulsed dye laser and a 1064-nm Nd:YAG laser for the treatment of acne scars: A randomized split-face clinical study. J Am Acad Dermatol. 2008;60:801-7.
36. Min SU, Choi YS, Lee DH, Yoon MY, Suh DH. Comparison of a longpulse Nd:YAG laser and a combined 585/1,064-nm laser for the treatment of acne scars: A randomized split-face clinical study. Dermatol Surg 2009;35:1720-7
37. Hasegawa T, Matsukura T, Mizuno Y, Suga Y, Ogawa H, Ikeda S. Clinical trial of a laser device called fractional photothermolysis system for acne scars. J Dermatol. 2006;33:623-7.
38. Manstein D, Herron GS, Sink RK, Tanner H, Anderson RR. Fractional photothermolysis: A new concept for cutaneous remodeling using microscopic patterns of thermal injury. Lasers Surg Med. 2004;34:426-38.
39. Chandrashekar B, Nandini A. Acne scar subcision. J Cutan Aesthet Surg. 2010;3:125-6.
40. Al-Dhalimi MA, Arnoos AA. Subcision for treatment of rolling acne scars in Iraqi patients: A clinical study. J Cosmet Dermatol. 2012;11:144-50.
41. Aalami S, Balighi K, Lajevardi V, Akbari E. Subcision-suction method: A new successful combination therapy in treatment of atrophic acne scars and other depressed scars. J Eur Acad Dermatol Venereol. 2011;25:92-9.
42. Khunger N. Standard guidelines of care for acne surgery. Indian J Dermatol Venereol Leprol. 2008;74:28-36.
43. AlGhamdi KM, AlEnazi MM. Versatile punch surgery. J Cutan Med Surg. 2011;15:87-96.
44. Khunger N; IADVL Task Force. Standard guidelines of care for acne surgery. Indian J Dermatol Venereol Leprol. 2008;74:28-36.
45. Johnson WC.Treatment of pitted scars. Punch transplant technique. J Dermatol Surg Oncol. 1986;12:260.
46. de Almeida AR, de Oliveira NI, Kadunc BV, de Almeida Prado Sampaio S. Surgical pearl: Lubricating jelly as a dressing in punch grafts for pitted acne scars. J Am Acad Dermatol. 1998;38:613-5.
47. Goodman GJ. Management of post-acne scarring. What are the options for treatment? Am J Clin Dermatol. 2000;1:3-17.
48. Fabbrocini G, Fardella N, Monfrecola A, Proietti I, Innocenzi D. Acne scarring treatment using skin needling. Clin Exp Dermatol. 2009;34:874-9.
49. Majid I. Microneedling therapy in atrophic facial scars: An objective assessment. J Cutan Aesthet Surg. 2009;2:26-30.
50. Doddaballapur S. Microneedling with dermaroller. J Cutan Aesthet Surg. 2009 l;2:110-1.
51. Fife D. Practical evaluation and management of atrophic acne scars: Tips for the general dermatologist. J Clin Aesthet Dermatol. 2011;4:50-7.
52. Ayhan S, Baran CN, Yavuzer R, Latifoglu O, Cenetoglu S, Baran NK. Combined chemical peeling and dermabrasion for deep acne and post-traumatic scars as well as aging face. Plast Reconstr Surg. 1998;102:1238-46.
53. O'Daniel TG. Multimodal management of atrophic acne scarring in the aging face. Aesthetic Plast Surg. 2011;35:1143-50.
54. Sharad J. Combination of microneedling and glycolic acid peels for the treatment of acne scars in dark skin. J Cosmet Dermatol. 2011;10:317-23.
55. Kang WH, Kim YJ, Pyo WS, Park SJ, Kim JH. Atrophic acne scar treatment using triple combination therapy: Dot peeling, subcision and fractional laser. J Cosmet Laser Ther. 2009;11:212-5.
56. Rodríguez J, Palomar MA, Torres J. Plasma rico en plaquetas: fundamentos biológicos y aplicaciones en cirugía maxilofacial y estética facial. Rev Esp Cir Oral Maxilofac. 2012;34:8-17.
57. Kim DH, Kim JY, Seo SH, Ahn HH, Kye YC, Choi JE. Recalcitrant cutaneous ulcer of comorbid patient treated with platelet rich plasma: A case report. J Korean Med Sci. 2012;27:1604-6.
58. Lee JW, Kim BJ, Kim MN, Mun SK. The efficacy of autologous platelet rich plasma combined with ablative carbon dioxide fractional resurfacing for acne scars: A simultaneous split-face trial. Dermatol Surg. 2011;37:931-8.
59. Juckett G, Hartman-Adams H. Management of keloids and hypertrophic scars. Am Fam Physician. 2009;80:253-60.
Cómo citar
1.
Morales N, Aristizábal AM. Cicatrices de acné, un reto terapéutico. rev. asoc. colomb. dermatol. cir. dematol. [Internet]. 1 de octubre de 2013 [citado 18 de abril de 2024];21(4):328-36. Disponible en: https://revista.asocolderma.org.co/index.php/asocolderma/article/view/252
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2013-10-01
Cómo citar
1.
Morales N, Aristizábal AM. Cicatrices de acné, un reto terapéutico. rev. asoc. colomb. dermatol. cir. dematol. [Internet]. 1 de octubre de 2013 [citado 18 de abril de 2024];21(4):328-36. Disponible en: https://revista.asocolderma.org.co/index.php/asocolderma/article/view/252
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