EFFECTIVENESS OF DEEP PEELING USING PHENOL ON PATIENTS WITH ACNE SCARS
Tahra Mohamed Leheta
Faculty of medicine, Cairo University
Background: Atrophic acne scars are often permanent sequelae of inflammatory acne. Acne scars can be revised through a variety of techniques, including dermabrasion, punch-excision techniques, deep chemical peels, and ablative laser resurfacing. Deep depth peeling using phenol is one of the most effective chemical peeling methods in treating acne scars.
Aim of the study: The purpose of this study was to evaluate the safety and efficacy of deep peeling using Baker-Gordon formula for the treatment of severe facial acne scarring with strong prepeeling preparation for 8 weeks.
Patients and methods: Fifteen patients (with skin phototype III and IV) seeking treatment for post acne scars were included in this study. Each patient was subjected to prepeeling preparation for 8 weeks, followed by one session of deep peeling using Baker-Gordon phenol formula. The primary study endpoint was treatment-blinded physician assessment of scar severity as measured by digital photographs taken before and 6 months after treatment. The secondary endpoint was the side effects and the patient's assessment of treatment outcome by a questionnaire.
Results: Acne scarring improved in 100% of patients. Scar severity scores improved by a mean of 74.25% (p < 0.001). The degree of improvement was significant in 8 patients (53%), and marked in 7 patients (47%).
Conclusion: Baker-Gordon's phenol is very effective for treating the acne scars of Egyptian patients with skin phototype III and IV.