Abstract
Background: Treatment of melasma is a challenging job for dematologists. Different modalities are in practice with variable results. Superficial chemical peeling is a newly introduced way of treatment in this regard, in which a chemical solution is applied to the skin that causes exfoliation and peeling. Methods: Sixty patients of either sex, with melasma of any type having Fitzpatrick skin type 4 to 6 were enroled from outpatient department. Patients in group A were treated with 20% salicylic acid solution and in group B were treated with Jessener’s solution. Baseline melasma area and severity index (MASI) scoring was done. Result: Both the peeling agents produced a drop in MASI score, but the mean reduction compared in both the groups was not statistically significant (p>0.05). Conclusion: Both salicylic acid and Jessner’s solution are effective and safe peeling agents in treatment of melasma in Asian skin types, giving comparable results
Highlights
Treatment of Melasma is a common aesthetic fray in dermatology
A chemical peel is a method used to improve the appearance of the skin on the face, neck or hands
A chemical solution is applied to the skin that causes exfoliation and peeling
Summary
Treatment of Melasma is a common aesthetic fray in dermatology. Various topical depigmenting agents have been used alone or in combination with varying results but no agent has proved to be ideal. Superficial chemical peeling is a newly introduced modality in this regard [1]. A chemical solution is applied to the skin that causes exfoliation and peeling. Chemical peels are popular aesthetic procedures in America and superficial chemical peels have recently been demonstrated to be efficacious in Asian skin as well in various conditions [3]. Superficial chemical peeling is a newly introduced way of treatment in this regard, in which a chemical solution is applied to the skin that causes exfoliation and peeling. Result: Both the peeling agents produced a drop in MASI score, but the mean reduction compared in both the groups was not statistically significant (p>0.05). Conclusion: Both salicylic acid and Jessner’s solution are effective and safe peeling agents in treatment of melasma in Asian skin types, giving comparable results
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