Acne scar is disfiguring, both physically as well as psychologically. Combination of various treatment give excellent results in the treatment of atrophy acne scar in Fitzpatrick skin type IV -VI. Objectives: To evaluate the efficacy and safety of combination of skin needling, platelet-rich plasma and glycolic acid 70% chemical peeling for atrophic acne scars in Fitzpatrick's skin type IV-VI Patients and methods: Seventeen patients (7 males and 10 females) with atrophic acne scars were enrolled

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... in this study. Combination of skin needling, platelet-rich plasma and glycolic acid 70% chemical peeling were done for all patients. Patients were followed up every 3 weeks. Subjects were photographed and analyzed using the Facial Skin Image Analysis (FSIA) before and after treatment. Result: Seventeen patients completed the study and follow up period. The mean FSIA score at the baseline and at the end of the study were 22.10 and 20.16 respectively, with p<0.05. Conclusion: Based on Facial Skin Image Analysis results, also considering the efficacy and safety profile, combination of skin needling, platelet-rich plasma and glycolic acid 70% chemical peeling can be the treatment of choice for atrophic acne scars among people with Fitzpatrick Skin Type IV-VI.