Salicylic acid chemical peels as therapeutic modality in treatment of melasma in comparison to Jessner’s solution peel

Abstract

Background and objectives: Many chemicals have been used in the skin peeling for melasma such as Jessner’s solution, trichloracetic acid, glycolic acid, lactic acid and salicylic acid which is beta-hydroxy acid used topically in different dermatoses. This study was done to investigate the efficacy and safety of superficial chemical peel with salicylic acid in treatment of melasma in comparison to Jessner’s solution peel.Method: forty-eight cases with melasma , were divided into group-A and group-B. Treatment is performed by using superficial chemical peel with salicylic acid solution (30%) once every 2 weeks in group –A while Jessner’s solution peel used in group -BResults: Most of the patients in both groups showed significant improvement in their melasma with the use of treatment and adequate sun protection as assessed by clinical appearance and MASI scores (Melasma Area and Severity Index) ,the results was better in group-AConclusion: Superficial chemical peel with salicylic acid for melasma is an easy, cheap and effective treatment in comparison to Jessner’s solution peel. Results were much better in epidermal type with few side effects.