Abstract

Background: This study is aimed the therapeutic efficacy of the glycolic acid peeling, salicylic acid peeling and micro-dermabrasion in the treatment of melasma.
 Methods: The present study was carried out in the department of dermatology in a teaching institute. A total of 90 patients were enrolled for the study over a period of one year.
 Results: In those who were treated with GA peeling; 20.00 % had excellent response, 30.00 % had good response, 36.67% had fair response and only 13.33% had poor response. Out of total 30 patients treated with SA peeling 16.67% had excellent response, 20.00% had good response, 40.00% had fair response and 23.33% had poor response. In this group no patient had excellent response while good response was seen in 26.67%, fair response in 36.67% and poor response in another 36.67% patients.
 Conclusion: all three agents were effective and safe in Indian patients, with Glycolic Acid Peel being better effect on melasma patients.
 Keywords: Therapeutic , Melasma,Pregnancy.

Highlights

  • It is a chronic and recurrent disorder which has been under-diagnosed and under-treated due to lack of effective therapies and the perception that it is merely a cosmetic nuisance

  • The present study comprises of 90 patients of melasma. Out of these 30 patients were treated with GA peel, 30 with SA peel and the remaining 30 were treated with micro-dermabrasion.Patients were evaluated and analyzed after 6 sittings [3 months] each of which was carried out 2 weeks apart. In those who were treated with GA peeling; 20.00 % had excellent response, 30.00 % had good response, 36.67% had fair response and only 13.33% had poor response

  • Out of total 30 patients treated with SA peeling 16.67% had excellent response, 20.00% had good response, 40.00% had fair response and 23.33% had poor response

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Summary

Introduction

It is a chronic and recurrent disorder which has been under-diagnosed and under-treated due to lack of effective therapies and the perception that it is merely a cosmetic nuisance. Melasma is a very common cutaneous disorder, accounting for 0.25 to 4% of the patients seen in Dermatology Clinics in South East Asia, and is the most common pigment disorder among Indians[1]. This study is aimed the therapeutic efficacy of the glycolic acid peeling, salicylic acid peeling and microdermabrasion in the treatment of melasma. Results: In those who were treated with GA peeling; 20.00 % had excellent response, 30.00 % had good response, 36.67% had fair response and only 13.33% had poor response. Out of total 30 patients treated with SA peeling 16.67% had excellent response, 20.00% had good response, 40.00% had fair response and 23.33% had poor response.

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