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JKM > Volume 36(3); 2015 > Article
Le Min, Lee, and Go: A Clinical Report on Facial Atrophic Scars treatment with Acupotomy



The purpose of this study is to evaluate the clinical effectiveness of acupotomy in the treatment of various facial atrophic scars except acne scars.


Four patients with facial atrophic scars were treated by superficial dermal undermining with acupotomy. They were treated six times, and evaluated by comparing before and after photos, PGA(Physician’s Global assessment), SESES(The Stony Brook Scar Evaluation Score) and patient satisfaction.

Results and Conclusions:

After observing case photos, PGA, SBSES, patient’s satisfaction, it can be considered that acupotomy is an effective treatment modality for facial atrophic scars and it has no significant side effects.

Fig. 1.
Before and after treatment of case 1 patient
Fig. 2.
Before and after treatment of case 2 patient
Fig. 3.
Before and after treatment of case 3 patient
Fig. 4.
Before and after treatment of case 4 patient
Fig. 5.
SBSES change before and after scar treatment
Table 1.
Physician’s Global Assessment(PGA)
Evaluation of improvement Points
None 0
Slight 1
Average 2
Good 3
Very good 4
Table 2.
The Stony Brook Scar Evaluation Score
Scar category No. of*Points
Width > 2mm 0
≤ 2mm 1

Height Elevated or depressed in relation to surrounding skin 0
Flat 1

Color Darker than surrounding skin (red, purple, brown, or black) 0
Same color or lighter than surrounding skin 1

Hatch marks or suture marks Present 0
Absent 1

Overall appearance Poor 0
Good 1

* Total score=sum of individual scores; range, 0 (worst) to 5 (best)

Table 3.
The Results of Scar Treatment
Case Sex Age PGA SBSES Satisfaction Recommendation Re-treatment
before after
1 F 21 4 0 (0-0-0-0-0) 3 (0-1-0-1-1) Good 7 7
2 F 22 4 0 (0-0-0-0-0) 5 (1-1-1-1-1) Very good 10 10
3 F 29 3 0(0-0-0-0-0) 3 (0-1-1-0-1) Very good 8 10
4 F 30 4 0(0-0-0-0-0) 4 (1-1-0-1-1) Very good 10 10


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