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A differentiated approach to the treatment and prevention of post-acne atrophic scars based on improved criteria
https://doi.org/10.33667/2078-5631-2025-8-111-115
Abstract
In the structure of all post-acne, atrophic scars (AR) and stagnant post-inflammatory erythema, which is essentially the initial stage of scar formation, make up the main part. According to our observations, post-inflammatory hyperpigmentation, described in the literature as one of the common symptoms of post-acne, is much less common. Therefore, the issues of therapy and prevention of AR are still relevant and require an individual approach, taking into account, among other things, anamnestic, morphological and clinical signs of scar tissue. Taking into account the heterogeneity of the clinical manifestations of post-acne atrophic scars and the fact that they often occur against the background of inflammatory acne, treatment should include classical dermatotherapy, including the use of systemic retinoids in various dosages and several types of laser exposure in parallel or alternating sessions. A combination of «vascular» and fractional ablative lasers is promising from the point of view of the effectiveness of acne therapy and the prevention of the appearance of new post-acne, which is confirmed by a series of our observations. The article proposes a methodology for choosing treatment tactics and preventive measures for acne and post-acne atrophic scars based on the analysis of clinical and anamnestic correlations and improved criteria.
About the Authors
V. V. Bondarenko
JSC “LINLINE Laser Cosmetology Clinic”
Russian Federation
Russian Federation
Bondarenko Valeria V., dermatovenerologist, cosmetologist, physiotherapist
Moscow
A. V. Igoshina
JSC “LINLINE Laser Cosmetology Clinic”
Russian Federation
Russian Federation
Igoshina Anastasia V., PhD Med, dermatovenerologist, cosmetologist, chief physician
Moscow
A. N. Lvov
Central State Medical Academy of the Administrative Department of the President of Russia; Medical Scientific and Educational Center of Lomonosov Moscow State University, Moscow
Russian Federation
Russian Federation
Lvov Andrey N., DM Sci (habil.), professor, head of Residency and Postgraduate Dept; chief researcher
Moscow
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Review
For citations:
Bondarenko V.V., Igoshina A.V., Lvov A.N. A differentiated approach to the treatment and prevention of post-acne atrophic scars based on improved criteria. Medical alphabet. 2025;(8):111-115. (In Russ.) https://doi.org/10.33667/2078-5631-2025-8-111-115
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