Efficacy of diamond microdermabrasion with topical vitamin C in treatment of acne scars

Abstract

Introduction: Acne scars are largely preventable complications of acne. 95% of the scars occur over the face thus impacting the quality of life. Correction of scars is the priority for acne patients. there is no single treatment modality that has been shown to be universally effective. Microdermabrasion (MDA) with infusion; A recent advances in MDA technology combine exfoliation with dermal infusion. During this process, topical products are delivered into the skin at the time of or immediately after exfoliation. Aim of the work: Evaluation of efficacy of diamond microdermabrasion with topical vitamin C in treatment of acne scars. Patients and Methods: Ten patients with post acne atrophic facial scars attending the outpatient clinic of Dermatology in Sohag University Hospitals between April 2018 to September 2018 were offered six diamond microdermabrasion sessions plus topical vit. C (during the session of diamond microdermabrasion and daily topical application in between sessions) diamond microdermabrasion sessions were two weeks apart. They were evaluated at each session and one month after completion of sessions for both efficacy and safety of the procedure. Results: The mean ± SD of the patients' age in the study population were26.00 ±5.81years old nine females and one males with mean acne scars duration ± SD7.45±4.73 years , 80%% of patients had psychological distress from their acne scars. At the end of study duration none of the patients achieved grade reduction in their Goodman and Baron qualitative grading score and 100% of patients had poor (<25%) satisfaction. Conclusion: Multiple diamond microdermabrasion sessions with topical vitamin C during sessions and daily application is an ineffective treatment for post-acne atrophic scars