Anjali Singh

Abstract

Objective: To evaluate the results of Diode Laser along with topical Vitamin C in management hyperpigmented lips. Materials and Methods: Two systemically healthy patients (1 male and 1 female) were chosen with hyperpigmentaed lips. Demographic record including the age, sex, duration of symptoms, nature and course of progression, history of treatment done if any, and familial predisposition of melasma was taken. All the patients were also instructed not to use any external cosmetic agent throughout the course of the therapy. A duly signed informed consent was taken after explaining the complete procedure to patient. Both cases went through Laser depigmentation session; topical anesthetic cream Prilox (2.5% lignocaine) was applied 40 minutes prior to each session. Vit C lip balm was prescribed after 3 weeks for better healing. Results: There was a significant reduction in DOPI score for both the patients. A scale 4 colour improvement at 21 days postoperatively for both which signifies “great improvement”. Pain and discomfort were measured by using VAS scale with a score 2 i.e. slight pain during the procedure and during 24 hours after the Laser ablation of the lips. Patient scored 3 which is completely satisfied on the Likert’s scale. Conclusion: Diode laser can be used as potential tool to achieve good aesthetic results for the management of lip hyperpigmentation and it is sufficiently tolerated by patients with minimal pain and lesser adverse effects.   Keywords: Ozone gel, Chlorhexidine gel, Gingivitis, Plaque

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Abstract

Introduction: Hyperpigmentation is a medical term used to describe darker patches of skin from excess melanin production. This can be caused by everything from acne scars and sun damage to hormone fluctuations. The first-line treatment for hyperpigmentation involves topical formulations of conventional agents such as hydroquinone, kojic acid, and glycolic acid followed by oral formulations of therapeutic agents such as transexamic acid, melatonin, and cysteamine hydrochloride. Despite the availability of multiple treatments for the condition, hyperpigmentation continues to present clinical management challenges for dermatologists. The study aims to compare the therapeutic efficacy, to compare the therapeutic efficacy and tolerability of glycolic acid peels and salicylic acid peels for hyperpigmentation treatment. Materials and Methods: 200 patients were selected and graded on Fitzpatrick scale. A split face peel on right side by Glycolic Acid and left side by Salicylic Acid was done and procedure was repeated after 2 week and then third sitting of PRP was done. Patients were scaled on Fitzpatrick scale at baseline and after 3 sitting (PRP). Result: Salicylic recorded a mean value of 3.10 at baseline while glycolic acid recorded 2.92 at baseline. After 3 sitting Salicylic Acid recorded a mean reduction value of 0.29 while that of Glycolic Acid mean reduction value was 0.71and this was stastically significant reduction. Conclusion: Patients with Salicylic Acid peels showed significantly better response than Glycolic Acid peels.   Keywords: Glycolic Acid peels, Salicylic Acid peels, Hyperpigmentation

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