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Acne scar surgeries. Acne Scar Surgery: Effective Treatments and Recovery Tips

How do dermatologists diagnose acne scars. What are the most effective surgical treatments for acne scars. How long does recovery from acne scar surgery typically take. What are the potential risks and complications of acne scar treatments. How can patients prepare for acne scar surgery.

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Understanding Acne Scars: Types and Formation

Acne scars are a common aftermath of severe acne, leaving lasting marks on the skin long after the initial breakouts have healed. These scars can vary significantly in appearance and depth, impacting an individual’s self-esteem and confidence.

Common Types of Acne Scars

  • Icepick scars: Deep, narrow scars that extend into the dermis
  • Boxcar scars: Round or oval depressions with steep, defined edges
  • Rolling scars: Wave-like depressions that give the skin a rolling appearance
  • Hypertrophic scars: Raised scars that occur when the body produces too much collagen during healing

The formation of acne scars is a complex process involving inflammation, collagen production, and tissue remodeling. When acne lesions penetrate deep into the skin, they damage the underlying tissues. As the body attempts to repair this damage, it may produce too little or too much collagen, resulting in different types of scars.

Diagnostic Approaches for Acne Scars

Accurate diagnosis is crucial for effective treatment of acne scars. Dermatologists employ various methods to assess the type, severity, and extent of scarring.

Visual Examination and Grading Systems

The primary diagnostic tool for acne scars is a thorough visual examination by a skilled dermatologist. They assess the scar type, depth, and overall impact on the skin’s texture. Several grading systems exist to categorize the severity of acne scarring, including the Goodman and Baron Qualitative and Quantitative grading systems.

Advanced Imaging Techniques

In some cases, dermatologists may use advanced imaging techniques to gain a more detailed understanding of scar morphology:

  • Dermoscopy: A non-invasive technique that allows for close examination of skin structures
  • 3D imaging: Provides a three-dimensional view of scar topography
  • Optical coherence tomography (OCT): Offers high-resolution cross-sectional images of the skin

These diagnostic approaches help dermatologists tailor treatment plans to individual patients, ensuring the most effective intervention for each unique case.

Non-Surgical Treatment Options for Acne Scars

Before considering surgical interventions, many patients and dermatologists explore non-surgical options for treating acne scars. These treatments can be effective for mild to moderate scarring and often serve as a first-line approach.

Topical Treatments

Various topical treatments can help improve the appearance of acne scars:

  • Retinoids: Promote cell turnover and collagen production
  • Hydroquinone: Helps fade post-inflammatory hyperpigmentation
  • Silicone-based gels: May improve the appearance of hypertrophic scars

Chemical Peels

Chemical peels involve applying a solution to the skin to remove the outer layers, promoting new skin growth. Different strengths of peels can target various scar depths:

  • Superficial peels: For mild scarring and skin texture improvement
  • Medium-depth peels: Target moderate scarring
  • Deep peels: For more severe scarring (less commonly used due to potential risks)

Microneedling

Microneedling, also known as collagen induction therapy, involves creating tiny punctures in the skin to stimulate collagen production. This technique can be effective for various scar types and is often combined with other treatments for enhanced results.

Surgical Interventions for Acne Scars

When non-surgical treatments prove insufficient, surgical interventions may be necessary to address more severe or persistent acne scars. These procedures are typically performed by experienced dermatologists or plastic surgeons.

Subcision

Subcision is a minimally invasive procedure used primarily for rolling and tethered scars. The technique involves:

  1. Inserting a special needle beneath the scar
  2. Breaking up fibrous bands that pull down on the skin
  3. Allowing the depressed scar to rise, creating a smoother surface

Subcision can be combined with other treatments like dermal fillers for enhanced results.

Punch Excision and Elevation

These techniques are particularly effective for icepick and deep boxcar scars:

  • Punch excision: The scar is cut out and the wound is closed with sutures
  • Punch elevation: The scar is cut out, but the base is left attached and elevated to sit flush with surrounding skin

Both procedures aim to replace noticeable scars with less visible surgical scars that fade over time.

Laser Resurfacing

Laser treatments use focused light energy to remove damaged skin and stimulate collagen production. Two main types of laser resurfacing are used for acne scars:

  • Ablative lasers: Remove the outer layers of skin for significant resurfacing
  • Non-ablative lasers: Target deeper skin layers without removing the surface, resulting in less downtime

Fractional laser technology, which treats only a fraction of the skin at a time, has become increasingly popular due to its effectiveness and reduced recovery time.

Preparing for Acne Scar Surgery

Proper preparation is key to ensuring the best possible outcomes from acne scar surgery. Patients should follow their dermatologist’s instructions carefully in the weeks leading up to the procedure.

Pre-Surgery Consultation

During the initial consultation, patients should:

  • Discuss their medical history and any current medications
  • Clearly communicate their expectations and goals
  • Ask questions about the procedure, recovery, and potential risks

Lifestyle Adjustments

To optimize healing and minimize complications, patients may need to make certain lifestyle adjustments:

  • Stop smoking at least two weeks before surgery
  • Avoid alcohol consumption in the days leading up to the procedure
  • Stay well-hydrated and maintain a balanced diet

Medication Management

Some medications and supplements can increase the risk of bleeding or interfere with healing. Patients may need to:

  • Discontinue blood-thinning medications (under doctor’s guidance)
  • Stop taking certain vitamins and herbal supplements
  • Begin prophylactic antibiotics if prescribed

Recovery and Aftercare Following Acne Scar Surgery

The recovery process following acne scar surgery varies depending on the specific procedure performed. Proper aftercare is crucial for optimal healing and results.

Immediate Post-Operative Care

In the first few days after surgery, patients should:

  • Keep the treated area clean and dry
  • Apply prescribed ointments or dressings as directed
  • Take pain medication if necessary
  • Avoid touching or scratching the treated area

Long-Term Care and Sun Protection

As the skin heals, ongoing care is essential:

  • Use gentle, non-irritating skincare products
  • Apply broad-spectrum sunscreen daily to protect healing skin
  • Avoid direct sun exposure for several weeks to months
  • Attend all follow-up appointments with the dermatologist

The full results of acne scar surgery may not be apparent for several months as the skin continues to heal and remodel.

Potential Risks and Complications of Acne Scar Treatments

While acne scar treatments can provide significant improvements, they are not without risks. Patients should be aware of potential complications and discuss them thoroughly with their dermatologist.

Common Side Effects

Most patients experience some temporary side effects, which typically resolve on their own:

  • Redness and swelling
  • Mild pain or discomfort
  • Itching or skin sensitivity
  • Temporary changes in skin color

More Serious Complications

Though rare, more serious complications can occur:

  • Infection
  • Scarring or worsening of existing scars
  • Prolonged hyperpigmentation or hypopigmentation
  • Allergic reactions to medications or materials used

Choosing an experienced, board-certified dermatologist or plastic surgeon can significantly reduce the risk of complications.

Combining Treatments for Optimal Results

Many dermatologists advocate for a multi-modal approach to acne scar treatment, combining different techniques to address various aspects of scarring.

Synergistic Treatment Combinations

Common combination approaches include:

  • Subcision followed by dermal fillers for rolling scars
  • Laser resurfacing combined with chemical peels for overall skin texture improvement
  • Microneedling with platelet-rich plasma (PRP) for enhanced collagen stimulation

These combination therapies often yield superior results compared to single modality treatments, particularly for patients with multiple types of acne scars.

Staged Treatment Plans

In some cases, dermatologists may recommend a staged approach to treatment:

  1. Initial treatment to address the most prominent scars
  2. Follow-up procedures to refine results
  3. Maintenance treatments to preserve and enhance outcomes

This approach allows for gradual improvement while minimizing downtime and potential complications.

Acne scar treatment is a complex field that continues to evolve with advancements in technology and techniques. While complete eradication of acne scars may not always be possible, significant improvements can be achieved through a combination of surgical and non-surgical approaches. Patients considering acne scar treatment should consult with a qualified dermatologist to develop a personalized treatment plan that addresses their unique concerns and goals. With proper care and realistic expectations, many individuals can achieve smoother, more even-toned skin and renewed confidence in their appearance.

Acne scars: Diagnosis and treatment

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Plastic surgery for acne scars: Can they be helpful?

Surgery can improve the appearance of acne scars, but doctors often use a complementary treatment afterward for optimal results. Combining surgery and postsurgery injections is one of the most effective ways to treat raised acne scars.

The American Academy of Dermatology Association (AADA) is the source of the above information.

Surgery is also an option for treating depressed acne scars. Additionally, nonsurgical treatments — such as laser resurfacing and skin tightening — are available.

Treatment for acne scars should commence after resolving the active acne infection. This is because surgical treatments are likely to irritate the skin and may lead to flare-ups in some people. However, a dermatologist can help someone manage this.

There is no best treatment for every person. The choice depends on the type of scars someone has, along with other considerations, such as costs and recovery time.

This article examines acne scars and plastic surgery. It also discusses other treatment choices and factors to consider before undergoing a procedure and answers some frequently asked questions.

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Some types of acne can cause a raised scar, known as hypertrophic or keloid scars. Scars can also be indented, known as atrophic scars. Most surgical and nonsurgical treatments can reduce the size and visibility of acne scars.

Learn more about acne scar types.

Dermatologists consider the options safe and effective. A combination of treatments, outlined below, is usually necessary for optimal results.

Surgical acne scar treatments

Surgical removal is one of the treatments for indented and raised acne scars.

Indented acne scars

If a scar is indented, a doctor may surgically lift it closer to the skin surface to make it less noticeable. This is suitable for treating a few depressed scars.

Punch techniques are types of surgery that doctors use for very deeply indented scars. They involve removing, elevating, or replacing the scar tissue with a skin graft.

Raised acne scars

Most people with raised acne scars may experience a recurrence following surgery, so a doctor may recommend a complementary treatment to help prevent or reduce recurrence.

Complementary treatment with surgery can involve injections or radiation. Individuals who receive injections will likely have one per month for several months. The combination of surgery with injections is one of the most effective treatments for raised scars. Injection medications may entail:

  • fluorouracil (5-FU) — a chemotherapy agent
  • corticosteroids — anti-inflammatory medications
  • interferon — a substance that helps the immune system fight infections

Radiation is not a first-line treatment unless other treatments have been unsuccessful. This is likely because it carries some risks, such as the potential for the treated area to heal inadequately.

Nonsurgical acne scar treatments

Nonsurgical treatments include:

Injections

This involves injecting medication directly into the scars to flatten and soften them. A dermatologist usually administers them once every few weeks. Surgery may be necessary if someone does not receive satisfactory results after the fourth treatment. Injections can be a good choice for raised, painful scars.

Subcision

This technique requires inserting a needle below the scar and moving it in a fanning motion to produce a micro-wound. It aims to stimulate collagen production in the skin, which can help improve appearance by elevating a depressed scar.

Dermal fillers

Substances, or fillers, are injected beneath the skin to elevate indented scars. Common fillers include:

  • polymethyl-methacrylate fillers
  • hyaluronic acid fillers
  • poly-L-lactic acid fillers
  • calcium hydroxyapatite fillers

Alternatively, a person can use their own fat as a natural filler. Dermal fillers are a treatment for deeper indented scars, and a dermatologist typically combines them with skin treatments that induce collagen production.

Fillers are appropriate for improving the appearance of a few depressed scars but are less helpful for icepick scars, which are usually deep and look like an icepick has punctured the skin. The Food and Drug Administration (FDA) has approved a dermal filler — Bellafill — for acne scars in people over 21 years.

Laser resurfacing

This procedure entails passing light wavelengths across the skin to stimulate the production of more collagen. It reduces the edges of acne scars and makes them less noticeable.

This is an option for treating depressed scars.

Learn more about laser resurfacing.

Microneedling

Another type of collagen-induction therapy is microneedling, which involves passing a device with tiny needles across the skin. The needles cause a micro-injury that triggers the body’s healing response. Most people need 3–6 sessions.

This is an option for treating certain depressed scars, but not icepick scars.

Chemical peels

This entails applying a solution that causes peeling of the outermost skin layer, stimulating new skin growth. It can be helpful for depressed scars.

Cryotherapy

This uses freezing to reduce the appearance of scars. It may be suitable for certain raised scars.

Skin tightening

This is a newer, more affordable procedure that uses radiofrequency to tighten the skin and makes raised scars less visible. Radiofrequency entails the use of an electromagnetic device that produces heat, which triggers collagen production and the formation of new skin cells.

Skin tightening requires a certain amount of at-home care afterward.

Learn more about lasers for skin tightening.

A one-size-fits-all best acne scar treatment does not exist, notes the American Board of Facial Cosmetic Surgery.

As the above section indicates, different treatments are more suitable for different types of scars. Side effects can occur with any or all treatments. However, the practitioner performing the procedure should notify a person of these beforehand.

Some factors to consider before undertaking any procedures for acne scars include:

  • Costs: Health insurance does not cover acne scar treatment, so costs may be a consideration.
  • Time and aftercare involved: Certain treatments require more time and aftercare, which may inconvenience some people. Treatments before and after the scar removal procedures to prep the skin and help counteract the possible side effects of the treatment itself may be necessary. For example, doctors may recommend hydroquinone cream after laser resurfacing.
  • Recovery period: As the recovery time differs among treatments, a person with a tight schedule may wish to choose one that involves a shorter period.
  • Priority rank: Some individuals experience more distress from acne scars than others, so getting treatment may be a higher priority. People do not always need to seek treatment for acne scars.
  • The person performing the procedure: Depending on the treatment or scar severity, this could be a dermatologist, aesthetician, or nurse. A person may wish to consider their expertise and experience regarding acne scar cases.

The following section includes common questions about acne scars:

Do acne scar removal creams work?

Creams and gels are available over the counter. They can help decrease discomfort and itchiness, as well as fade, flatten, or shrink raised scars.

That said, for effectiveness, a person must use these products on an ongoing basis. While acne creams have little potential for causing side effects, continuous use may result in irritated or itchy skin. Even though they help, none are likely to remove a raised scar.

Is acne scar removal permanent?

Scars can recur after surgical removal, but dermatologists may advise complementary treatment to minimize the likelihood.

Is acne laser treatment effective?

Laser therapy for acne scars comes in many varieties. The more intensive types require a longer recovery period, so a person should choose them carefully. However, just one treatment can produce noticeable results for some individuals.

Surgery is one of the treatment options that can reduce the size and visibility of acne scars. To prevent scars from returning, dermatologists often recommend a complementary treatment to follow surgery, such as injections.

Aside from surgery, other treatments are helpful. These include procedures such as laser resurfacing and microneedling. Additionally, acne scar creams may reduce discomfort and help certain types of scars fade, but long-term use may irritate the skin.

The choice of treatment can depend on the characteristics of the scar. Other factors may also be a consideration, such as costs, as health insurance does not cover acne scar procedures.

Treatment of acne, post-acne, acne in Ivanovo

Treatment of acne, post-acne, acne in Ivanovo – find out prices and sign up at the clinic “Europe”

Elimination of inflammatory processes on the skin with the help of light

Acne (or acne) – inflammation of the sebaceous glands in the face, chest and back, resulting from the multiplication of pathogens. In advanced cases, this disease can lead to a serious deterioration in the condition of the skin. The sooner you complete a course of photodynamic therapy at the Europa clinic, the better.

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Even ancient Egyptian healers were engaged in the treatment of acne and other aesthetic defects. They used for this the sun’s rays and pomace of certain plants. Modern dermatologists have improved the technique by developing a special apparatus and photosensitizer substances (compositions based on transformed E6 chlorin and cyanobacteria chlorophyll).

Course of the procedure:

  1. The first stage is the application of the gel to the patient’s skin.
  2. The next stage is exposure of tissues to equipment emitting light waves with precisely calculated wavelength (660±2 nm).
  3. Third phase – intracellular processes: synthesis of ATP – energy carrier; normalization of blood and lymph flow.

Photodynamic therapy has a lot of advantages, the main one being painlessness. Course treatment is indicated for people of different ages. The only contraindication is pregnancy and lactation.

PDT effect

The results of this procedure are: narrowing of pores, elimination of puffiness, a noticeable reduction in the manifestations of acne, improvement in complexion, partial removal of acne symptoms. If you go through several sessions under the supervision of an experienced dermatologist of the clinic “Europe”, you can achieve a great aesthetic effect. The skin will shine again with beauty and health.

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Photodynamic therapy for skin diseases (acne, dermatitis). 6,500
Photodynamic therapy for skin diseases (cheek area). 5,500
Photodynamic therapy for skin diseases (nose/chin area). 1800

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Laser acne treatment in Kazan.

Remove pimples on face

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Laser treatment of acne

Laser treatment of acne

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Acne Laser Treatment

  • Description
  • Readings
  • Contraindications
  • Operation and rehabilitation
  • Specialists

This is an innovative and effective direction in the treatment of acne, which provides an excellent alternative to traditional methods of treating acne. Acne is the most common condition among teenagers, although for some, this problematic condition can manifest itself not only in 20 years, but also in adulthood.

People mask the traces of acne, and this can cause inflammation, often the consequences of acne remain on the face in the form of scars and post-acne scars. Acne and acne scars are a big psychological problem and discomfort for most people.

Fortunately, with the help of laser technology, the specialists of Dr. Obydennov’s Clinic of Aesthetic Medicine are ready to offer you a quick, effective and long-term solution to the problem of acne and post-acne scarring.

Indications

It must be understood that acne is not just a temporary nuisance. Even a small amount of acne is a manifestation of acne. And acne, like any other, requires professional treatment

Acne can be manifestations of various diseases. A professional approach is to find out the cause of acne and blackheads and then rid the patient of acne. Only with the right diagnosis can you find a suitable way to get rid of acne on your face.

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Contraindications

  • diabetes mellitus;
  • severe forms of varicose veins;
  • oncological diseases;
  • diseases of the cardiovascular system in the stage of decompensation;
  • skin diseases in the acute stage;
  • acute infectious diseases;
  • pregnancy, lactation;
  • intense tan less than 2 weeks;

How the procedure works

The basic principle of is that the laser beam passes 0. 4 cm deep into the skin – to the main level of the sebaceous glands, which are the main ones in the treatment of acne to the root cause of the disease. Getting on the skin, the laser creates a mechanical and thermal effect, while there is a partial destruction of the cells that line the excretory ducts of the sebaceous glands. Such laser treatment reduces the production of sebum, in parallel, the producing bacteria and fungi that cause local acne die.

Also, the effect of the laser leads to an improvement in blood flow to the foci of inflammation, which leads to the resorption of redness after the formation of (pimples) red spots after acne (post-acne) and an increase in skin immunity.

Make an appointment for a consultation

You can make an appointment with a specialist by phone

8(843)298-92-04

Result

During the course of laser treatment, the effect of skin remodeling is achieved.

Narrowing of skin pores occurs, smoothing of the skin relief, pigmentation of the skin disappears, scars are eliminated, and their formation is prevented.