Attia Enas
Department of Dermatology, Venereology, and Andrology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Department of Dermatology, Ain Al Khaleej Hospital, Abu Dhabi, United Arab Emirates.
JMIR Dermatol. 2024 Feb 21;7:e49954. doi: 10.2196/49954.
Acne scarring is a frequent complication of acne. Scars negatively impact psychosocial and physical well-being. Optimal treatments significantly improve the appearance, quality of life, and self-esteem of people with scarring. A wide range of interventions have been proposed for acne scars. This narrative review aimed to focus on facial atrophic scarring interventions. The management of acne scarring includes various types of resurfacing (chemical peels, lasers, and dermabrasion); the use of injectable fillers; and surgical methods, such as needling, punch excision, punch elevation, or subcision. Since the scarred tissue has impaired regeneration abilities, the future implementation of stem or progenitor regenerative medical techniques is likely to add considerable value. There are limited randomized controlled trials that aimed to determine which treatment options should be considered the gold standard. Combining interventions would likely produce more benefit compared to the implementation of a single method.
痤疮瘢痕是痤疮常见的并发症。瘢痕会对心理社会和身体健康产生负面影响。最佳治疗方法能显著改善有瘢痕者的外观、生活质量和自尊。针对痤疮瘢痕已提出了多种干预措施。本叙述性综述旨在聚焦面部萎缩性瘢痕的干预措施。痤疮瘢痕的治疗包括各种类型的皮肤磨削术(化学剥脱、激光和磨皮术);使用可注射填充剂;以及手术方法,如针刺、打孔切除、打孔提升或皮下分离术。由于瘢痕组织的再生能力受损,未来干细胞或祖细胞再生医学技术的应用可能会带来相当大的价值。旨在确定哪种治疗方案应被视为金标准的随机对照试验有限。与单一方法的应用相比,联合干预可能会产生更多益处。