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February 3, 1969


JAMA. 1969;207(5):952. doi:10.1001/jama.1969.03150180082026

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To the Editor:—  Superficial abrasion for acne pitting has been advocated far beyond any reasonable anticipation of results. On the other hand, I should hate to see the trend swing too far in the opposite direction, because if done as recommended by the late Dr. Iverson, the result is of considerable value.It is most advantageous for the more severe degrees of scarring, with the patient hospitalized and a general anesthetic used. The greatest importance is not always in the abrasion itself, but in the numerous individual excisions which are done at the same time. We excise anywhere from a few to a hundred of the larger pits, and close each with a fine suture, thus reducing the large pock-mark to a flat linear scar. This is the source of the vast majority of better results which have been carelessly attributed to the abrasion.An effort should be made to