Optimizing acne and hyperpigmentation treatment in patients with skin of color: A clinical experience on triple acid chemical peels

Objectives: This study aims to evaluate the effectiveness of a combined chemical peel treatment – comprising 20% salicylic acid, 5% citric acid, and 5% mandelic acid – in managing acne and post-acne dark spots in a cohort of patients with skin of color, particularly with Fitzpatrick skin types 4–5. Materials and Methods: A group of ten patients, aged between 17 and 35, with clinically diagnosed acne and post-acne hyperpigmentation, were subjected to a series of three bi-weekly chemical peel treatments. No other treatments were administered during the treatment period. Results: Post-treatment assessment showed significant improvement in the appearance of acne and reduction in hyperpigmentation. Patients reported high levels of satisfaction with the treatment outcomes, with no severe adverse effects noted. Conclusion: The combination of salicylic, citric, and mandelic acid in a chemical peel regimen demonstrates promising results in treating acne and associated hyperpigmentation for patients with Fitzpatrick skin types 4–5. This treatment protocol offers a viable option for dermatological practitioners, particularly for patients within similar demographic and skin type parameters.