Abstract

Trichostasis spinulosa is an uncommon midfacial disease with negative impact on self esteem and appearance. Many available treatments provide only short time improvement. We report a 36-year-old female treated with a series of four capryloyl salicylic acid peelings with significant improvement for at least 24 months.

Highlights

  • Trichostasis spinulosa is an uncommon midfacial disease with negative impact on self esteem and appearance

  • A 36-year old woman, Fitzpatrick skin type III, with multiple papules with black heads on the cheeks was referred to our department

  • We used a medical peeling with Capryloyl Salicylic Acid (CSA) peel 10% every second week for a total of four treatments

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Summary

Introduction

Trichostasis spinulosa is an uncommon midfacial disease with negative impact on self esteem and appearance. A 36-year old woman, Fitzpatrick skin type III, with multiple papules with black heads on the cheeks was referred to our department. She was seeking medical therapy for this disfiguring disease (Figure 1a). We used a medical peeling with Capryloyl Salicylic Acid (CSA) peel 10% every second week for a total of four treatments. One to two days after the peeling, a temporary erythema with increased scaling was noted.

Results
Conclusion
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