作者: Greg J. Goodman
DOI: 10.2165/00128071-200001010-00001
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摘要: Post-acne scarring is a very distressing and difficult problem for physician patient alike. Recently, newer techniques modifications to older ones may make this hitherto refractory more manageable. Options dealing with post-acne are explored. The patient, his or her overall appearance the morphology of each scar must be assessed treatment designed accordingly. To adequately address scarring, thorough knowledge pathophysiology anatomy different types scars should sought. Once an understanding what pathology where it occurring attained, most pertinent that devised. A variety produced including superficial macules, dermal troughs, ice picks, multi-channelled fistulous tracts subcutaneous atrophy. wide new methods includes resurfacing tools such as CO2 erbium infrared lasers, dermasanding possibly some future non-ablative radiofrequency resurfacing. Dermal augmentation autologous nonautologous tissue advent undermining have greatly improved atrophic scars. Use punch sharply marginated (such picks) necessary if treated well. One attempt match against available far possible. Many these performed in single session but repeat treatments often necessary. hypertrophic acne remains difficult, silastic sheeting, vascular laser, intralesional cytotoxics interesting developments. Most extra-facially males require multiple modalities before adequate improvement achieved.