Work

Integrated CO 2 Laser Treatment and Cognitive–Behavioral Therapy for Postadolescent Acne Excoriée: Clinical Outcomes From a Case Series

Year: 2026

Type: article

Abstract: BACKGROUND: Self-inflicted skin injury is a significant yet often underrecognized contributor to acne progression, particularly in postadolescent populations. It not only perpetuates lesions but also triggers inflammatory cascades, including sebaceous gland epithelialization and cystic transformation. Postadolescent acne excoriée poses unique therapeutic challenges due to the interplay of dermatological and psychological factors. AIMS: laser ablation and cognitive-behavioral therapy (CBT)-in managing chronic, treatment-resistant postadolescent acne excoriée. METHODS: laser ablation to remove obstructed sebaceous glands, combined with CBT targeting maladaptive excoriation behaviors. RESULTS: All patients achieved rapid and sustained clinical improvement. The combined approach disrupted the pathomimetic cycle, eliminated visible obstructed sebaceous glands, and reduced compulsive skin manipulation. CONCLUSION: laser ablation with CBT offers a dual benefit of addressing both the physical lesions and psychological drivers of acne excoriée. Multidisciplinary collaboration is essential for effective management of complex psychocutaneous disorders.

Source: Journal of Cosmetic Dermatology

DOI: 10.1111/jocd.70722

Authors: Julian Penev, Milla Balabanova, Mohammad Jafferany

Institutions: Medical University of Varna, Central Michigan University

Language: English

Topic: Acne and Rosacea Treatments and Effects

Subfield: Dermatology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $3,020