Journal of Cutaneous and Aesthetic Surgery

: 2011  |  Volume : 4  |  Issue : 2  |  Page : 160--161

Author's reply

Deepali Bhardwaj, Niti Khunger 
 Department of Dermatology and STD, VM Medical College and Safdarjang Hospital, New Delhi, India

Correspondence Address:
Niti Khunger
Department of Dermatology and STD, VM Medical College and Safdarjang Hospital, New Delhi

How to cite this article:
Bhardwaj D, Khunger N. Author's reply.J Cutan Aesthet Surg 2011;4:160-161

How to cite this URL:
Bhardwaj D, Khunger N. Author's reply. J Cutan Aesthet Surg [serial online] 2011 [cited 2022 Aug 9 ];4:160-161
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Full Text


We appreciate the interest shown in our article. [1] The scars were evaluated using the method of scar counting as already mentioned in the text. The ice pick scars were counted before treatment and recounted after treatment. The Leeds scoring pattern is a numerical count of scars translated into scores. [2] The ECCA system is also a numerical scoring system and takes into account all the types of scars. [3] The Global Acne Scarring Classification is a qualitative and subjective method and takes into account all types of scars. [4] This was not required in our case since we focussed only on the ice pick scars. We did a numerical scoring before and after treatment and translated it into a quartile system. As shown in [Table 1], a reduction in scar count of >70% was excellent and a reduction in scar count between 50 and 70% was good. The assessment results of the improvement in the number of scars did not change at the end of the study period at 6 months. The table is representative of the study period. In one patient, there was reduced improvement in the subjective depth of the scars, which is mentioned in the paper. The patient who developed transient postinflammatory hyperpigmentation was Fitzpatrick type IV and improvement was in the 50-70% group.{Figure 1}

[Figure 2] and [Figure 3] are of different patients. [1] A figure with pre and post-treatment was submitted [Figure 1]. In the final publication, the post-treatment figure was inadvertently edited.


1Bhardwaj D, Khunger N. An assessment of the efficacy and safety of CROSS technique with 100% TCA in the management of ice pick acne scars. J Cutan Aesthet Surg 2010;3:93-6.
2Layton AM, Henderson CA, Cunliffe WJ. A clinical evaluation of acne scarring and its incidence. Clin Exper Dermatol 1994;19:303-8.
3Dreno B, Khammari A, Orain N, Noray C, Mérial-Kieny C, Méry S, et al. ECCA grading scale: An original validated acne scar grading scale for clinical practice in dermatology. Dermatology 2007;214:46-51.
4Goodman GJ, Baron JA. Postacne scarring: A qualitative global scarring grading system. Dermatol Surg 2006;32:1458-66.