ACNE SURGERY

Acne and acne rosacea treatment results are satisfactory for both patients and physicians. Acne is one of the most common diseases with a point prevalence of up to 100% among adolescents and often persists into adulthood, with detrimental effects on self-esteem. The conception of acne has been refined towards ‘chronic disease.’ Therefore, the strategy of acne treatment is a critical intervention and maintenance. Acne medications are very efficient, but only when patients use them correctly. Newer methods include radiofrequency, light or laser, and photodynamic therapy that represent treatment alternatives for systemic medications. A treatment plan for rosacea includes avoiding triggers, using gentle skin care products, and treating the rosacea. Many skincare products can irritate skin with rosacea. While medicine or laser treatment can help reduce or clear signs of rosacea, your everyday habits may cause a new flare-up.

Acne scars lead to emotional embarrassment, poor self-esteem, social isolation, low confidence, body image alterations, unemployment, lowered academic performance, and exacerbation of the psychiatric disease of anxiety or depression. Acne scars treatment must consider the cost of treatment, the severity of lesions, physician goals, patient expectations, side-effect profiles, psychological or emotional effects to the patient, and prevention measures. Various treatment modalities range from topical therapies, chemical peelings, micro-needling, or microdermabrasion, subcision, autologous ⁄ non-autologous dermal fillers to energy-based technology such as fractioned ⁄ non-fractionated lasers, ablative/non-ablative lasers, pigment or vascular-specific lasers, and minor surgical procedures. Whatever the choice, it should be clearly understood by both physicians and patients that, at present, improvement of scarring, rather than total cure, is the goal. Any intervention or treatment aims to improve scars, not for a total cure or perfection.

There has been a 70% increase in minimally invasive cosmetic procedures and a 50% increase in dermabrasions over the past decade. Dermabrasion has many applications as a skin resurfacing technique and is used to treat fine perioral rhytids and many scars, including acne scars. It is done under local anesthesia with the option of sedation. The area to be dermabraded is marked. The appropriate diamond fraise tip is chosen, the skin is held taut, and the dermabrader is moved across the surface with constant, gentle pressure. A back-and-forth motion is used for the diamond fraise tip. The borders of the treated area are feathered to prevent any noticeable transitions. The depth of skin that is dermabraded is one of the most critical factors that will determine the outcome. Punctate bleeding is visualized when entering the papillary dermis. The papillary reticular junction is the ideal endpoint of Dermabrasion and is identified by increased, confluent bleeding. Immediately following the procedure, saline-soaked gauze moistened with dilute epinephrine may be temporarily placed on the open wounds to achieve hemostasis. A moist environment is necessary to promote wound healing. Dermabrasion is a useful skin-resurfacing tool; when performed correctly, it can achieve dramatic results and can be more effective than chemical peels or lasers, with a low risk of complications in patients with darker complexions