284 KAUFMANN: INDUSTRIALEYE INJnURIE'S
Canad. M. A. J.
been successfully treated. In a personal com-
munication Dr. Kurtin reported excellent results
in four out of six cases of neevus flammeus. Each
required two treatments and the best results were
obtained in those patients in their twenties whose
navi no longer had any growth potential. The
planing was done rather superficially in these
Although all patients who present themselves
with a request for planing can likely be helped,
the amount of improvement varies coinsiderably
from case to case. The fairly sharp, well-defined,
discrete, punched-out acne pit usually lends
itself to good planing results, whereas the deep,
poorly defined, contracture-type of pit which
appears to involve and exert traction on deeper
layers of corium usually is much harder to
eradicate. The same is also true of the narrow
icepick type of lesion. As previously stated,
almost all of these patients have a psychological
scar as well as a physical one. It is therefore
very important that the dermatologist be very
understanding in taking the patient's history, and
frank in discussing the expected results. Exag-
gerated claims must never be made. The pro-
cedure should always be undersold. There will
be an "improvement" but not a "cure". I make
no claim that this is the be-all and end-all of
cosmetic dermatology, but there is no doubt in
my mind that the surgical planing procedure is
the best method to date, for correcting the post-
acne scar as well as many of the other superficial
skin lesions mentioned. I hope that all derma-
tologists will take up and learn this technique
as a common, everyday office procedure.
1. KURTIN, A.: A. M. A. Arch. Dermat. & Syph., 68: 389,
2. KROMAYER, E.: Dermat. Ztschr. Berl., 12: 26, 1905.
3. IVERSON, P. C.: Plast. & Reconstruct. Surg., 2: 427,
Idem: Ibid., 12: 27, 1953.
4. McEvITT, W. G.: J. A. M. A., 142: 647, 1950.
5. LEIDER, M. AND BUNCKE, C. M.: A. M. A. Arch. Dermat.
& Syph., 69: 563, 1954.
6. GILLMAN, T. et al.: Brit. J.