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Acne scar surgeries. Acne Scar Surgery: Innovative Treatments for Smoother Skin

How do dermatologists diagnose acne scars. What are the most effective surgical treatments for acne scars. Can acne scars be completely removed. How long does recovery take after acne scar surgery. Are there non-surgical options for treating acne scars.

Understanding Acne Scars: Types and Formation

Acne scars are a common aftermath of severe acne, leaving lasting marks on the skin long after the breakouts have healed. These scars form when inflammation damages the skin’s collagen, leading to either a loss of tissue (atrophic scars) or an excess of tissue (hypertrophic scars).

There are several types of acne scars:

  • Ice pick scars: Deep, narrow scars that extend into the dermis
  • Boxcar scars: Round or oval depressions with sharp edges
  • Rolling scars: Wider depressions with sloping edges
  • Hypertrophic scars: Raised scars that extend above the skin’s surface

The formation of acne scars is influenced by various factors, including the severity of acne, genetics, and how quickly one seeks treatment. Understanding the type and extent of scarring is crucial for determining the most appropriate treatment approach.

Diagnosis and Assessment of Acne Scars

Proper diagnosis of acne scars is essential for developing an effective treatment plan. Dermatologists use various methods to assess the severity and type of scarring:

Visual Examination

A thorough visual examination is the first step in diagnosing acne scars. Dermatologists carefully inspect the skin under good lighting to identify the types of scars present and their distribution.

Skin Texture Analysis

Advanced imaging techniques, such as 3D photography and skin profilometry, can provide detailed information about skin texture and the depth of scars. These tools help in creating a precise treatment plan tailored to the individual’s needs.

Patient History

Understanding the patient’s history of acne, previous treatments, and skin type is crucial for developing a comprehensive treatment approach. This information helps dermatologists predict how the skin might respond to different interventions.

Surgical Treatments for Acne Scars

Surgical interventions can significantly improve the appearance of acne scars, especially for those with deep or extensive scarring. These procedures are typically performed by dermatologists or plastic surgeons specializing in acne scar treatment.

Subcision

Subcision is a minimally invasive procedure used to treat depressed acne scars. How does subcision work? The dermatologist uses a special needle to break up the fibrous bands beneath the scar, allowing the depressed area to rise and create a smoother skin surface. This technique is particularly effective for rolling scars.

Punch Excision

Punch excision is ideal for treating ice pick scars. During this procedure, the dermatologist uses a small, circular tool to remove the scar tissue. The resulting wound is then closed with a small suture or allowed to heal naturally, often resulting in a less noticeable scar.

Laser Resurfacing

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

  • Ablative lasers: Remove the top layer of skin, promoting new skin growth
  • Non-ablative lasers: Target deeper skin layers without removing the surface, stimulating collagen production

Laser treatments can be highly effective for various types of acne scars, but may require multiple sessions for optimal results.

Non-Surgical Options for Acne Scar Treatment

While surgical interventions can provide dramatic improvements, non-surgical treatments offer effective alternatives with less downtime and lower risk of complications.

Chemical Peels

Chemical peels involve applying a solution to the skin that causes controlled exfoliation of the top layers. This process can help improve the appearance of superficial acne scars and promote overall skin renewal. The strength of the peel can be adjusted based on the severity of scarring and desired results.

Microneedling

Microneedling, also known as collagen induction therapy, uses tiny needles to create controlled micro-injuries in the skin. This process stimulates the body’s natural healing response, promoting collagen production and improving scar appearance. Microneedling can be combined with other treatments, such as platelet-rich plasma (PRP), for enhanced results.

Dermal Fillers

Dermal fillers can be used to temporarily fill depressed acne scars, providing immediate improvement in skin texture. While not a permanent solution, fillers can offer significant aesthetic benefits and can be repeated as needed. The choice of filler depends on the type and location of scars being treated.

Combination Therapies for Optimal Results

Many dermatologists advocate for a multi-modal approach to acne scar treatment, combining different techniques to address various aspects of scarring. This comprehensive strategy can lead to superior outcomes compared to single-treatment approaches.

Staged Treatment Plans

A staged treatment plan might involve initial subcision or punch excision procedures, followed by laser resurfacing or microneedling sessions. This approach allows for gradual improvement and can be tailored to the patient’s recovery time and budget.

Synergistic Treatments

Certain treatments work synergistically when combined. For example, combining subcision with dermal fillers can provide both immediate volume replacement and long-term collagen stimulation. Similarly, laser treatments followed by PRP application can enhance healing and collagen production.

Recovery and Aftercare Following Acne Scar Treatments

The recovery process and aftercare requirements vary depending on the type of treatment performed. Understanding and following proper post-treatment care is crucial for achieving optimal results and minimizing complications.

Immediate Post-Treatment Care

After surgical or invasive procedures, patients may experience redness, swelling, and mild discomfort. Cold compresses and prescribed medications can help manage these symptoms. It’s essential to keep the treated area clean and protected from sun exposure.

Long-Term Skincare

Maintaining results and preventing further skin damage requires a consistent skincare routine. This typically includes:

  • Daily sun protection with broad-spectrum SPF
  • Gentle cleansing and moisturizing
  • Use of prescribed topical treatments to support skin healing and collagen production

Patients should follow their dermatologist’s specific aftercare instructions to ensure the best possible outcome from their acne scar treatment.

Emerging Technologies in Acne Scar Treatment

The field of acne scar treatment is constantly evolving, with new technologies and techniques emerging to provide even better results with less downtime.

Fractional Radiofrequency

Fractional radiofrequency treatments use heat energy to stimulate collagen production and remodel scar tissue. This technology can be effective for various scar types and is often well-tolerated by patients with minimal downtime.

Stem Cell Therapy

Research into stem cell therapies for acne scar treatment shows promising results. Stem cells have the potential to regenerate damaged skin tissue and improve overall skin quality. While still in experimental stages, this approach could revolutionize acne scar treatment in the future.

Nanotechnology in Skincare

Advances in nanotechnology are leading to the development of more effective topical treatments for acne scars. Nanoparticles can enhance the delivery of active ingredients deep into the skin, potentially improving the efficacy of non-invasive treatments.

Psychological Impact and Support for Acne Scar Patients

The psychological impact of acne scars can be significant, affecting self-esteem and quality of life. Addressing these aspects is an important part of comprehensive acne scar treatment.

Counseling and Support Groups

Many dermatology practices offer counseling services or can refer patients to support groups. These resources can help individuals cope with the emotional challenges of living with acne scars and navigate the treatment process.

Setting Realistic Expectations

It’s crucial for patients to have realistic expectations about treatment outcomes. While significant improvements are often possible, complete elimination of acne scars may not be achievable in all cases. Open communication between patients and their healthcare providers is essential for managing expectations and ensuring satisfaction with treatment results.

Acne scar treatment is a complex field that continues to advance, offering hope to those affected by this condition. From surgical interventions to non-invasive therapies and emerging technologies, there are numerous options available to improve the appearance of acne scars. By working closely with experienced dermatologists and following comprehensive treatment plans, individuals can achieve smoother, more even-textured skin and regain their confidence. As research progresses, we can expect even more innovative and effective treatments to become available, further enhancing our ability to address this challenging skin condition.

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.

Share on PinterestDesign by MNT; Photography by Boy_Anupong/Getty Images & Morsa Images/Getty Images

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
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  • Operation and rehabilitation
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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.