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What’s the best treatment for acne scars?
Acne scars can be unyielding, there is no single treatment is best for everyone. Various methods may help enhance your complexion. Your physician may recommend one or a mixture of these.
Home skin care. The appearance of scars that augments your skin color may be developed with over-the-counter bleaching agents and use of sunscreen to curb contrast.
Soft tissue features. Inserting collagen or fat beneath the skin and into indented scars can fill out or expand the surface. This causes the wounds less visible. Results are momentary, so you would require to repeat the shots regularly.
Laser resurfacing. This is a skin procedure that utilizes a laser to enhance the features of your skin.
Other light and energy-focused procedures. Pulsed light sources and radiofrequency devices aids to make scars less evident without destroying the outer layer of skin. Results are subtle, and you may require to repeat the procedure.
Dermabrasion. This procedure is typically reserved for more severe scarring. It involves separating the top layer of skin with a quickly rotating wire brush. Surface scars may be entirely removed, and deeper acne scars may look less visible.
Chemical Peeling. High-potency acid is employed to your skin to remove the top layer and minimize deeper scars.
Needling or rolling. This includes running a needle-studded device over the skin to animate underlying tissue. It’s a simple, safe, and potentially useful method for acne scarring. The outcome is subtle, and you may need to repeat treatments.
Surgery. Using a minor procedure referred to as the punch excision, your doctor makes an incision on individual acne scars and patches the wound with stitches or a skin graft. Another technique related to subcision involves your physicians inserting needles underneath the skin to loosen fibers beneath a scar, to help improve its appearance.
Botox injections. Occasionally the skin is encompassing acne scars puckers. Relaxing the region with an infusion of botulinum toxin (Botox) assists to improve the skin’s condition. You’d need to repeat the doses regularly.
To determine what’s best for you, review the pros and cons of each method of treatment with your physician or dermatologist.
The Best Acne Scar Treatment for Even the Toughest Scars
As much as you’d like to forget your pimpled past, your face remembers—in the form of scars. Whether they’re raised and red, flat, or depressed, acne scars don’t stand a chance against these newer skin-smoothing treatments.
Ice pick scars
As the name implies, ice pick scars are extremely deep holes in the skin that resemble l punctured holes in them as if there were poked with… an ice pick. When the body forms too little collagen in reaction to an injury, sunken scars such as ice picks can develop. Ice pick scars signify the result of infected sebaceous gland holes on the skin. They are usually the most challenging to correct.
Acne scar treatment: Treatment may involve removing the scar with a small ‘punch,’ and suturing the hole closed, but this only works for hidden ice pick scars. We can also do skin grafts and take skin from behind the ear to fill the injury, and then we can utilize a laser or radiofrequency device to level it out.
If there are many ice pick scars, acne scar treatment devices that use radiofrequency energy may be good choices. These treatments help develop collagen from the inside out, and collagen helps to saturate the scars from within. Several treatments are usually required. The procedures are completed using local anesthesia, and it’s useful in all skin types. Research published in a 2015 issue of the Journal of Cosmetics, Dermatological Sciences, and Applications. Around four treatments with a radiofrequency device produced significant development in the depth of the scars. A follow-up study recorded that these outcomes held for up to two years, even though some people had touch-ups.
Boxcar scars are also sunken, but they tend to be broader and boxier than ice picks. Everyone recovers uniquely, and depressed scars like boxcars form when too little collagen is created during wound healing.
Acne scar treatment: Energy-based skin resurfacing with a laser, radiofrequency, or an ultrasound device can help treat boxcar scars, They all operate by developing new collagen underneath the surface of the skin. A series of therapy is likely wanted based on the degree of scarring. Chemical peels can also benefit but to a lesser extent. With either procedure, applying a retinoid to increase cell turnover and additionally increase collagen can help improve results
Bellafill and other injectable fillers are also an option, incorporating fat, for some indented scars. Bellafill is currently the only filler that’s recognized by the U.S. Food and Drug Administration to raise depressed scars further. It packs a one-two punch by combining volume, and also encouraging collagen formation beneath the surface by creating a supportive scaffold. “Bellafill and other injectables can fill in scars, but these serve to be better for one scar. Filler effects can last up to 18 months. If you have a cheek full of depressed scars, it’s better to resurface the face with a laser, radiofrequency, or another energy-based treatment,” she adds.
Rolling scars have smooth edges and look like tiny hills and valleys. These are also considered depressed scars.
Acne scar treatment: “Rolling scars can be treated with micro fat injections followed by micro-needling with platelet-rich plasma (PRP),” says Dr. Imber. Microneedling produces tiny wounds or pinpricks in the skin. The body’s natural, measured healing process then kicks in to boost internal collagen production. Microneedling is also a great acne scar treatment because it opens up channels within the skin that give PRP—the healing factors in your blood—and skin care products direct passage to deeper layers of the skin where they’re needed most. PRP is developed by taking some of your blood, isolating the platelet-rich plasma, which contains proteins and other growth factors, and inserting it back into the scar. “The objective is to build up the collagen layer under the depression to raise it to the level of the surrounding skin. You’ll likely need multiple treatments, but the results are worth it. There was a recent study that found that fat plus PRP improve depressed scars alone and in combination with laser skin resurfacing. What’s more, the treatment improved the social life and relationships of people with scarring, the study showed. (These innocent habits practically guarantee your acne will scar.)
Keloids are raised scars that can be reddish, especially in lighter skin, says Dr. Elbuluk. In darker skin, they may appear pinkish.
Acne scar treatment: Injections of steroids can flatten keloid scars When Scares are red and discolored there are some active swelling and inflammation within the skin. Procedure intends to make the soreness go elsewhere, and certain lasers, such as pulsed dye laser, can improve any blemish by targeting blood vessels. Cryosurgery freezes the scar tissue, producing it to slough off, but this can create pigmentation issues of its own among people with a darker complexion, who are then at higher risk for keloids. Prevention has an essential role to play for anyone who is inclined to keloids, she says. Using a scar-minimizing treatment like Mederma and/or silicone gel scar sheets before scars can help stave off a keloid. Vitamin C serums such as Kiehl’s ‘Clearly Corrective’ Dark Spot Solution, Perricone MD Vitamin C Ester Serum, SkinCeuticals C E FERULIC® vitamin C serum, or Kiss My Face C The Change (Ester C Serum) can also reduce pigmentation around a keloid scar.
Hyperpigmentation is a dark spot or discoloration caused by acne-related inflammation.
Acne scar treatment: An excellent acne scar treatment for hyperpigmentation is with 4 percent sunblock and hydroquinone. Hydroquinone is a topical bleaching agent that you implement directly to a dark spot. Sunscreen is necessary since sun exposure can worsen hyperpigmentation. Other possible treatments incorporate glycolic acid products, which remove the upper-most layer of the skin and the dark marks, and retinoids to increase skin cell turnover. These can be used with the bleaching agent hydroquinone as well. We can also try to use glycolic acid chemical peels in the office at higher doses than you could do at home,” she says. If skins don’t solve the issue, lasers are normally the next thing we would try to correct hyperpigmentation.
Most individuals have some combination of injuries. You can have some wounds that are yellowish, reddish, others that are pale and then a box car next to an ice pick.
Acne scar treatment: You have to take all of these factors into account, and I always advise people that multiple surgeries will be needed, and even after a year or two, a 50 percent improvement may be all they get. Still, it’s important to remember that less visible or deep scars can again make a difference to a person’s self-esteem. It takes persistence, but every scar can be improved, and even if the results are not perfect.
As far as combination scars go, A go-to acne scar treatment for combination-type scars includes a series of treatments with picosecond lasers like the Picosure or using the FRAX 1550* Fractional non-ablative laser. These are newer technologies, and they have less downtime than older lasers, so for me, this means doctors can be more proactive and see results with fewer treatments. Older ablative lasers blast off the skin’s top layers, which demands significant downtime from the patient, but these newer non-ablative lasers pass through the skin’s upper layers to harmlessly heat the deeper tissues, spurring collagen and smoothing the scar’s character.
Acne Growth Prevention is key
Some people are at higher risk for scarring than others, although no certainty for sure will develop scars after acne and who will not. These scars tend to occur more regularly after inflammatory acne, primarily when it’s not treated quickly and aggressively. Additional risks arises if you pick, squeeze or pop zits. In fact you sho never, ever pop a zit in the danger triangle”) Genetics can also play a role. “The earlier that acne gets treated, the better. If somebody has actual acne at 13 or 14, we want to jump on it.” Some scar resurfacing treatments also help keep acne at bay. Ultimate Transforming Gel employed twice daily can help treat active acne and stop recurrence.