How do different types of acne scars form. What are the most effective treatments for acne scars. Can over-the-counter products help with acne scarring. When should you consult a dermatologist for acne scar treatment. Which professional treatments offer the best results for severe acne scars.

Understanding Acne and Its Lasting Impact

Acne is a prevalent skin condition that affects millions of individuals worldwide. While often associated with adolescence, it can persist well into adulthood, leaving behind lasting reminders in the form of scars. These scars not only affect the skin’s appearance but can also have a significant impact on one’s self-esteem and confidence.

Dr. E. Victor Ross, a respected laser and cosmetic dermatologist at Scripps Clinic, emphasizes the importance of treating active acne before addressing scars: “Acne scars result from inflammation, so it’s best not to do anything that can increase it. This means no picking, popping or squeezing pimples since that increases the risk of scarring.”

The Prevalence of Acne

• Affects up to 50 million Americans annually
• Most common skin condition in the United States
• Usually begins in puberty but can continue into 30s and 40s
• Typically appears on face, neck, chest, back, and shoulders

How Acne Forms

Acne occurs when pores become clogged with dead skin cells and sebum, an oil that helps keep skin moisturized. In some cases, bacteria living on the skin can enter these clogged pores, leading to inflammation and the formation of various types of acne lesions.

Types of Acne Blemishes and Resulting Scars

Understanding the different types of acne blemishes is crucial for effective treatment and prevention of scarring. Here’s a breakdown of common acne lesions:

• Blackheads
• Whiteheads
• Papules (small red, tender bumps)
• Pustules (pimples with pus at their tips)
• Cysts
• Nodules

Most acne scars result in depressions or pits on the skin, often on the face, due to tissue loss. These are known as depressed or atrophic scars and are further classified into three main types:

1. Ice pick scars
2. Rolling scars
3. Boxcar scars

Over-the-Counter Treatments for Mild Acne and Scarring

For individuals with mild acne, over-the-counter (OTC) medications can be an effective first line of defense. Dr. Ross notes, “Anything that reduces inflammation can help the healing process.” However, it’s essential to consult with a healthcare professional if you have concerns about potential side effects.

Do OTC products effectively treat acne scars? While they may help prevent new scars from forming by treating active acne, most OTC products are not potent enough to significantly reduce existing acne scars. They can, however, be beneficial in maintaining overall skin health and preventing future breakouts.

Common OTC Ingredients for Acne Treatment

• Benzoyl peroxide
• Salicylic acid
• Alpha-hydroxy acids (AHAs)
• Retinol
• Tea tree oil

Professional Treatments for Acne Scars

When OTC treatments prove insufficient, especially for more severe acne and resulting scars, it’s time to consult a dermatologist. Professional treatments can offer more dramatic results in reducing the appearance of acne scars.

Topical Medications

Dermatologists can prescribe stronger topical medications that target various aspects of acne formation and scarring. These may include:

• Prescription-strength retinoids
• Antibiotics to kill bacteria
• Benzoyl peroxide in higher concentrations
• Azelaic acid

Laser Resurfacing

Laser treatments have become increasingly popular for treating acne scars due to their effectiveness and precision. Dr. Ross explains, “The intent of these therapies is to make the scarred skin look less conspicuous, and normalize the overall skin appearance.”

Are all laser treatments for acne scars the same? No, there are two main categories of laser treatments for acne scars:

1. Ablative lasers: These remove the top layer of skin, including the scar tissue. As the skin heals, it appears smoother and more even.
2. Non-ablative lasers: These stimulate collagen production without removing skin layers, making them less invasive with quicker healing times.

Dr. Ross notes that fractional lasers, available in both ablative and non-ablative forms, are the most common types used for acne scarring. Additionally, green and yellow light lasers can help reduce redness and brown discoloration associated with early acne scarring.

Micro-needling: A Promising Treatment for Acne Scars

Micro-needling, also known as collagen induction therapy, is a minimally invasive treatment that has gained popularity for its effectiveness in treating acne scars. This procedure involves creating tiny punctures in the skin to stimulate the body’s natural healing process and promote collagen production.

How Micro-needling Works

Micro-needling devices use fine needles to create controlled micro-injuries in the skin. These superficial wounds trigger the skin’s repair mechanism, leading to increased collagen and elastin production. As a result, the skin’s texture and appearance improve, reducing the visibility of acne scars.

Types of Micro-needling Devices

• Dermaroller: A rolling device with tiny needles
• Dermapen: A pen-like tool that works like a sewing machine

Is professional micro-needling more effective than at-home treatments? While at-home micro-needling devices are available, treatments performed by board-certified dermatologists tend to yield better results. Professional treatments use longer needles that can penetrate deeper into the skin, addressing more severe acne scars more effectively.

Chemical Peels: Unveiling Fresh, Smoother Skin

Chemical peels are another effective treatment option for acne scars. This procedure involves applying a chemical solution to the skin, which causes the top layer to peel off, revealing fresher, smoother skin underneath.

Types of Chemical Peels

1. Superficial peels: These use mild acids like alpha-hydroxy acids (AHAs) to gently exfoliate the skin.
2. Medium peels: Often using trichloroacetic acid (TCA), these peels penetrate deeper into the skin.
3. Deep peels: The most intense option, typically using phenol, reaches the lower dermal layer.

How do you choose the right chemical peel for acne scars? The choice depends on the severity of your acne scars and your skin type. A dermatologist can assess your skin and recommend the most appropriate peel strength and type for your specific needs.

Dermal Fillers: A Non-Invasive Solution for Depressed Scars

Dermal fillers offer a quick and effective solution for certain types of acne scars, particularly depressed scars. This treatment involves injecting a substance beneath the scar to raise the depressed area, making it level with the surrounding skin.

Common Types of Dermal Fillers for Acne Scars

• Hyaluronic acid fillers
• Poly-L-lactic acid (PLLA)
• Calcium hydroxylapatite
• Polymethylmethacrylate (PMMA)

Are dermal fillers a permanent solution for acne scars? While dermal fillers can provide significant improvement, the results are typically temporary, lasting anywhere from 6 months to 2 years, depending on the type of filler used. Some fillers, like PMMA, can offer more long-lasting results.

Combining Treatments for Optimal Results

For many individuals with acne scars, a combination of treatments may yield the best results. Dr. Ross emphasizes the importance of a personalized approach: “Many safe and effective acne scar treatments are available to minimize their appearance. Possible solutions include dermal fillers, chemical peels, minor skin surgery and laser treatment for acne scars.”

Factors Influencing Treatment Selection

• Type and severity of acne scars
• Skin type and tone
• Budget and time commitment
• Desired results and expectations

How do dermatologists determine the best combination of treatments? A skilled dermatologist will assess your individual case, considering factors such as scar type, skin condition, and your personal goals. They may recommend a staged approach, using different treatments in sequence to achieve optimal results.

The Importance of Ongoing Skin Care and Maintenance

While professional treatments can significantly improve the appearance of acne scars, maintaining a proper skincare routine is crucial for long-term results and prevention of future scarring.

Key Elements of an Effective Skincare Routine

1. Gentle cleansing: Use a non-irritating cleanser to keep skin clean without stripping natural oils.
2. Sun protection: Apply a broad-spectrum sunscreen daily to prevent further damage and discoloration.
3. Moisturizing: Keep skin hydrated to support its natural healing processes.
4. Exfoliation: Regular, gentle exfoliation can help maintain skin texture and prevent clogged pores.
5. Targeted treatments: Incorporate products with ingredients like retinoids or vitamin C to support skin renewal and collagen production.

Can a good skincare routine prevent future acne scars? While no routine can guarantee complete prevention of acne scars, a consistent and appropriate skincare regimen can significantly reduce the risk. By keeping skin healthy and addressing acne breakouts promptly, you can minimize inflammation and the likelihood of scarring.

The Psychological Impact of Acne Scars and Treatment

The effects of acne scars often extend beyond physical appearance, impacting an individual’s self-esteem and confidence. Recognizing and addressing these psychological aspects is an important part of comprehensive acne scar treatment.

Common Psychological Effects of Acne Scars

• Lowered self-esteem
• Social anxiety
• Depression
• Body dysmorphic tendencies

How can addressing acne scars improve mental health? Successful treatment of acne scars can lead to significant improvements in self-image and confidence. Many individuals report feeling more comfortable in social situations and experiencing an overall boost in their quality of life after undergoing acne scar treatments.

It’s important to approach acne scar treatment with realistic expectations and a holistic perspective that considers both physical and emotional well-being. Some individuals may benefit from counseling or support groups in addition to dermatological treatments.

Emerging Technologies and Future Treatments

The field of dermatology is constantly evolving, with new technologies and treatments emerging to address acne scars more effectively. Staying informed about these advancements can help individuals make educated decisions about their treatment options.

Promising New Treatments for Acne Scars

• Stem cell therapy: Using the regenerative properties of stem cells to improve skin healing and texture.
• Nanotechnology: Developing targeted treatments that can penetrate deeper into the skin for better results.
• Combination devices: Integrating multiple technologies, such as radiofrequency and micro-needling, for enhanced outcomes.
• Personalized medicine: Tailoring treatments based on an individual’s genetic makeup and specific skin characteristics.

What role will artificial intelligence play in acne scar treatment? AI is likely to play an increasing role in diagnosing acne and recommending personalized treatment plans. It may also help in predicting treatment outcomes and optimizing combination therapies for individual patients.

As research continues, it’s essential to consult with a board-certified dermatologist who stays current with the latest advancements in acne scar treatment. They can provide insights into emerging technologies and help determine which treatments, both established and new, are most suitable for your specific case.

How Do You Treat Acne Scars?

Acne can leave a lasting reminder of its presence in the form of a scar on your skin. While these telltale bumps and depressions have no serious health effects, they can damage your self-esteem — which is never a good thing.

Thankfully, treatments are available to make acne scars look less visible.

“Many safe and effective acne scar treatments are available to minimize their appearance,” says E. Victor Ross, MD, a laser and cosmetic dermatologist at Scripps Clinic. “Possible solutions include dermal fillers, chemical peels, minor skin surgery and laser treatment for acne scars.”

A dermatologist can perform these treatments in a medical office. But before getting treatment for acne scars, you must first treat your acne. The worse acne gets, the greater the chance it will leave a scar.

“Acne scars result from inflammation, so it’s best not to do anything that can increase it. This means no picking, popping or squeezing pimples since that increases the risk of scarring,” Dr. Ross says.

Once your acne is clear, then you can decide what to do about any remaining acne scars.

Acne is the most common skin condition in the United States, affecting up to 50 million Americans annually, according to the American Academy of Dermatology. It usually begins in puberty and affects many adolescents and young adults though it may also continue into one’s 30s and 40s.

Acne usually appears on the face, neck, chest, back and shoulders. It occurs when a pore in the skin clogs with dead skin cells and sebum, an oil that helps keep skin moisturized. Sometimes bacteria that live in the skin can also get inside the clogged pore and cause inflammation. Inflammatory acne lesions can result in permanent scars.

“Acne scars are created when skin tissue is damaged. While these bumps and depressions have no serious health effects, they can cause emotional distress and damage your self-esteem. Which is why treatment is always an option,” Dr. Ross explains.

A person who has acne can have any of these blemishes:

• Blackheads
• Whiteheads
• Papules (small red, tender bumps)
• Pustules (pimples with pus at their tips)
• Cysts
• Nodules

Most acne scars cause depressions or pits on the skin, often in the face, due to the loss of tissue. They are known as depressed or atrophic scars. They are further classified as ice pick, rolling and boxcar scars.

Many people can treat mild acne with over-the-counter medication. Check with your doctor if you are worried about any side effects, however. “Anything that reduces inflammation can help the healing process,” Dr. Ross says.

If over-the-counter medication is not working and you have a lot of acne, a dermatologist can prescribe stronger medication and discuss other treatments to prevent or reduce acne scars, including the following:

Some topical medications help kill the bacteria. Others work on reducing oil in your skin. The medicine may contain retinoid, benzoyl peroxide, an antibiotic or even salicylic acid.

Laser resurfacing is a treatment that uses focused light to improve acne scars. Treatments are typically done with ablative (wounding) and non-ablative (non-wounding) lasers.

Ablative lasers resurface the skin by removing the top layer of skin, and the scar with it. “From there, the natural healing process takes over and the skin heals,” Dr. Ross adds.

Non-ablative lasers stimulate collagen production and create changes in the skin without removing any skin. Collagen is a protein that gives skin strength and elasticity. Non-ablative lasers are less invasive, allow for quicker healing and work best on mild acne scarring.

Dr. Ross says the most common types of lasers for acne scarring are fractional lasers, which are available in ablative and non-ablative forms.

Green and yellow light lasers are often used to reduce red and brown areas associated with early acne scarring, he adds. Intense pulse light, which is similar to laser treatment, can also be used to reduce the red and brown after effects of acne lesions.

“The intent of these therapies is to make the scarred skin look less conspicuous, and normalize the overall skin appearance,” Dr. Ross says.

Micro-needling, also known as collagen induction therapy, uses tiny needles to create small punctures in the skin in order to induce the skin’s repair mechanism and stimulate collagen growth to improve skin appearance.

Devices used include a dermaroller, a rolling device with tiny needles, and a pen-like tool that works like a sewing machine. Both create superficial wounds that help to regenerate the skin and reduce the appearance of acne scarring.

Consumers can buy micro-needling devices for home use. However, treatment from a board-certified dermatologist tend to provide better results than at-home skin care devices. Dermatologists, for example, use needles that go deeper to treat acne scars.

Dermatologists also use needles equipped with radiofrequency heating. “These devices increase the effectiveness of micro-needling and enhance the results to help smooth the skin,” Dr. Ross says.

Dermal fillers are injectable treatments that add volume to the skin and diminish scars. Fillers, such as collagen, hyaluronic acid or fat, can be injected into the skin to smooth out scars and make them less visible. Most dermal fillers are temporary.

Chemical peels use a solution to remove the top layers of the skin. The new skin is usually smoother and less scarred.

For deep acne scars, minor surgery may be the answer. A punch excision removes the scar tissue and repairs the wound with stitches or a skin graft. This technique is often used to treat deep acne scars.

Safe and effective treatment for acne scars begins with a consultation with a board-certified dermatologist.

“There are a lot of options for taking care of acne scars, but it’s important to choose the ones that will be safest and most effective based on your skin type, condition and age,” Dr. Ross says.

How to get rid of acne scars: Treatments and home remedies

Acne can leave scars on the face and other areas. For some people, they are an unwanted reminder of a painful and bothersome condition. However, home remedies and medical treatments can help get rid of them.

Options for managing acne and reducing the appearance of scars include natural, over-the-counter, and prescription remedies.

Options will depend on the type and extent of scarring and include:

• chemical peels, such as salicylic acid
• retinoids and other creams
• laser treatment, microneedling, light therapy, and various other procedures
• surgery, in some cases

In this article, learn about various ways to help reduce the appearance of acne scars and promote healthy skin.

Suitable treatment options may vary slightly depending on the type of scarring that acne has caused. There are three main types of acne scars:

Atrophic scars

These scars appear as small indentations in the skin.

• Icepick scars are small scars that look like pinpricks.
• Boxcar scars are larger indentations with clear edges.
• Rolling scars have unclear edges and give the skin a rolling or undulating appearance.

They occur when the skin does not make enough fibroblasts in the healing process. Fibroblasts are cells that play a crucial role in wound healing and collagen production.

Hypertrophic scars

These occur when the skin makes too many fibroblasts as the acne spot heals, causing a raised scar.

Keloid scars

These are similar to hypertrophic scars but tend to be thicker than the original acne spot. There is often hyperpigmentation, making them darker than the surrounding skin. They may be red or brown. There may also be itching or pain.

Which treatments are best for acne on darker skin tones?

This slideshow shows images of different types of acne scars.

Many people use natural remedies to help clear up acne scars. However, the science behind them is unclear. Some may cause further irritation or other problems so people should use them with caution.

Home remedies that people have traditionally used to treat acne scars include:

• black seed oil, which may help even out skin pigmentation
• rosehip oil, which has helped reduce discoloration in postsurgical scars
• honey, which may help wound healing and reduce future scarring
• aloe vera, which, combined with manuka honey, may promote scar-free healing of wounds

What are some more home remedies for acne?

Various over-the-counter remedies can help reduce the appearance of acne scars. Products containing the following ingredients may be useful.

However, over-the-counter creams and lotions are unlikely to fully remove or flatten a raised scar.

Salicylic acid

Salicylic acid is a naturally occurring compound that is often an ingredient in acne skin care products. Salicylic acid peels help clear dirt, skin cells, and other debris that leads to acne from the pores of the skin.

A 2010 review suggests using a peeling product containing 30% salicylic acid and applying it three to five times every 3–4 weeks. The authors also note that it is unlikely to cause hyperpigmentation and is, therefore, suitable for use on darker skin.

It also helps reduce swelling and redness in the area, which may minimize the appearance of scarring.

Salicylic acid can help treat all scar types.

However, people with sensitive skin should do a patch test on a small area of skin before using it on their entire face, as it may cause dryness or irritation.

Retinoids

Some topical retinoids may help get rid of acne scars. As the authors of a 2017 review note, topical retinoids block inflammation, reduce acne lesions, and speed up cell regeneration.

The authors also state that retinoids could help lighten hyperpigmented acne scars, including those in people with darker skin tones.

It is important to note that retinoids can make the skin sensitive to the sun. Anyone using retinoids for acne or scar treatment should wear sunscreen when going outdoors.

Alpha hydroxy acids

Alpha hydroxy acids (AHAs) can help increase the rate at which skin renews its cells. Some doctors recommend AHAs for treating acne and reducing the appearance of acne scars.

AHAs are a mild form of acid that scrapes away the outer layer of skin to reveal fresh, new skin underneath. This process may help reduce hyperpigmentation due to scarring.

However, swelling, burning, and itching may occur at high concentrations. It is best to speak with a doctor before trying AHAs. They can help identify the best strength to use.

Lactic acid

Lactic acid is a type of AHA. It can act as a gentle peel to pull away dead skin cells. It may help reduce the appearance of scars and smooth the skin.

One review recalls a small study in which seven people with icepick scars had treatment with a product that was 92% lactic acid. There was an improvement of over 75% in one person, 51–75% in three people, 26–50% in two people, and 1–25% in one person.

Lactic acid may also help lighten dark scar tissue, although it can cause hyperpigmentation, too. It is best to test products that contain lactic acid on a small patch of skin before using them to treat acne scarring.

Many products for acne contain lactic acid. It is also present in diluted apple cider vinegar, which makes for a more natural, cost-effective treatment.

Silicone dressings

Experts do not know how these work, but they appear to help reduce the appearance and size of acne scars. They may do this by providing hydration. They can also reduce itching and pain and increase the flexibility of the skin.

A person will have to use the dressings all the time, which can be difficult on the face. Most people do not experience side effects, though some have itching and irritation.

Some medical treatments may help reduce acne scars.

A dermatologist can recommend a suitable procedure or combination of therapies depending on a person’s skin type and the extent of the scarring.

Options include:

Chemical peels

A dermatologist can recommend a type of peel that is suitable for a person’s skin type, acne severity, and scarring.

The authors of a 2017 review on treatments for acne scarring note a study that found that six of 10 participants using a specific type of chemical peel called trichloroacetic acid (TCA) had at least a 70% improvement in their acne scarring.

Other chemical peels may be less effective. For instance, 25% of those who used glycolic acid did not see any reduction in the appearance of scars.

A person may need to try different types of peel to determine which one works for them.

Injections

Injections of corticosteroids may help soften and flatten raised acne scar tissue if a person has hypertrophic or keloid scars.

The treatment typically consists of a series of injections. A dermatologist can do these injections in their office once every few weeks, monitoring the results.

Dermal filler

In some cases, dermatologists may recommend soft tissue fillers to treat atrophic acne scars. They may be particularly helpful for rolling and boxcar scars.

Options include:

• collagen-based products
• polymethylmethacrylate
• hyaluronic acid
• polyacrylamide
• poly-L-lactic acid
• silicon

Depending on the filler, a person may need to repeat the treatment after some months. Hyaluronic fillers, for example, last around 3 months, but silicon and polyacrylamide may never need replacing.

Fillers can have adverse effects, but these will depend on the filler. Always speak with a doctor about the pros and cons before opting for treatment.

Microneedling

Microneedling is the process of inserting tiny needles into the skin surrounding the scar to stimulate the body to make more collagen. This collagen may reduce the appearance of atrophic acne scars by smoothing out the skin.

In a 2017 review, microneedling provided an improvement of 31–62% in the appearance of atrophic or indented acne scars.

A 2019 study found that when people combined microneedling with the use of collagen gel, the results were significantly more effective than microneedling alone.

However, microneedling can cause side effects. Many people experience redness, pain, and inflammation after the treatment. However, these effects subside over time.

Laser treatment

Laser treatment resurfaces the skin without the use of chemicals or scrubs. It removes the uppermost layer of skin to reveal the younger skin cells underneath, which can help reduce the appearance of scarring.

It can help reduce the appearance and texture of raised scars. Treatment with a pulsed dye laser can also help reduce the color of hyperpigmented scars.

Intense pulsed light treatment may be a better option for people with pale skin, according to the American Academy of Dermatology.

Laser treatment is not suitable for everyone. This will depend on the type of acne scarring and the person’s skin type. The treatment may also cause a reaction in some people, especially those with sensitive skin.

Surgery

If other treatments do not help, surgery can remove raised acne scars. Surgery alone may not be enough to solve the problem, and a doctor may recommend further treatment.

Electrodessication

Used alongside other treatments, this may help reduce the edges of boxcar acne scars, making the skin appear flatter and less indented. A doctor will use electric probes to heat the skin and kills the tissues that cause the edges around the scars.

Here are some answers to questions people often ask about acne scars.

How can I prevent acne scars?

It is not always possible to prevent acne or scarring, but people with acne can take measures to reduce the risk.

These include seeking treatment while acne is present and avoiding picking, popping, or touching acne, which may lead to infections and a higher chance of scarring.

How can I remove acne scars and discoloration?

Depending on the type and extent of scarring, there are various ways to remove or reduce acne scars. Fillers, for example, can help indented or atrophic acne scars. Laser treatment may reduce hyperpigmentation and flatten raised scars.

A dermatologist can help decide on a suitable option, depending on the person’s skin type and the extent and type of scarring.

Can treatment remove scars permanently?

Treatment can often help remove scars, but scars also tend to fade with time. How effective treatment will be will depend partly on the type and extent of scarring and the person’s skin type.

Treatment can be costly and time-consuming, and it is worth thinking carefully and talking with a dermatologist about what to expect.

Acne scars can be an unwanted reminder of acne and may reduce self-esteem in some people. However, treatment can often reduce their appearance.

Many people have success using one or more home remedies. In cases of stubborn scarring, receiving medical treatments in the dermatologist’s office can also help remove acne scars.

Always work with a qualified dermatologist when seeking help for acne scars, as some treatments can have adverse effects if used incorrectly.

Read this article in Spanish.

Removal of acne scars Deka clinic in Moscow

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Only now, if some people manage to survive acne without any consequences for their appearance, then others in the place of healed acne form post-acne – pit-shaped scars that significantly worsen the appearance, making the skin ugly .

Post-acne refers to atrophic scars – connective tissue formations located below the surface of the skin. Where do these post-acne come from? When tissues are damaged (mechanical extrusion of acne), mediators and cytokines are released, the inflammatory process begins. Gradually, fibroblast cells that synthesize collagen are “attracted” to the injured area.

If collagen is synthesized in a normal amount, the “young” scar gradually turns into a “mature” one, and with correctly distributed fibers. But if the connective tissue does not respond well to traumatic agents, then collagen is not produced enough, which leads to the formation of post-acne that sinks below the level of the skin.

How to remove acne scars

Surgical excision. The surgical method allows you to remove severe atrophic scars after acne by “replacing” them with more accurate and almost invisible filiform sutures. The scar is excised with a scalpel or a laser surgical knife, after which the edges of the wound are raised and sutures are applied. Surgical scar removal (/udalenie-shramov-hirurgicheski) is practiced in cases when it comes to deep post-acne and the doctor understands that minimally invasive methods will be ineffective.

Laser resurfacing. Our clinic uses the SmartXide DOT2 laser system, which ensures safe vaporization of connective tissue, eliminates thermal burns and damage to healthy skin areas.

Microdermabrasion. The skin is polished with solid microscopic crystals, which are applied to the skin by vacuum energy and “knock out” its particles in the area of ​​post-acne formation. As a result, damaged areas are gradually replaced by new healthy tissue.

Chemical peel. We are talking about the artificial removal of the epidermis and certain layers of the dermis with special aggressive compounds.

Mesotherapy. Injections are made into the post-acne zone with compounds that stimulate the production of fibroblasts.

Scar removal. In another way, this method is called subcision: connective tissue strands are cut with a special needle in order to release the bottom of the scar, which then safely rises up.

As for the therapeutic treatment of post-acne with ointments and gels, it very rarely gives the desired effect and can be recommended as an additional method of influencing scar tissue. Our experts most often remove post-acne using laser resurfacing (in the absence of contraindications) or by surgical excision – if deep “pits” are required to be removed. In mild cases, peels and mesotherapy can also be recommended. You can get advice and detailed recommendations with the cost of services at a personal meeting. Call and come!

Cost

Can fillers heal acne scars?

Although filler is commonly associated with
wrinkle smoothing and lip augmentation in the Kardashian style, it turns out that he
can also be a very useful tool in the fight against acne scars. AND,
as anyone who struggles with acne knows – as if acne wasn’t enough –
that’s not all – sometimes the scars they leave can be dealt with
harder. We spoke to top dermatologists to learn everything from
basics (e.g., what is a filler anyway?) to how it can help with
acne scars.

What is filler

First things first: filler, how it explains
board certified dermatologist Shari Marchbein, MD, New York,
is “a general term used to describe a substance injected into the skin
to give it volume and structure. It can usually be divided into two main
categories: hyaluronic acid fillers and biostimulants
fillers. Hyaluronic acid fillers (such as Juvederm or
Restylane) work in the same way as hyaluronic acid in topical products.
skin care – they attract and hold in water 1000 times their own
weight and provide a puffy effect. Marchbein explains that biostimulants
fillers “act as a scaffold or building blocks for the body, increasing
produce your own collagen. Sculptra and Radiesse are examples, and
although they both help with collagen, they work in different ways.

When it comes to acne scars,
Cambridge certified dermatologist Ranella Hirsch likes to compare this
process with sofa covers. “Certain Types of Acne Scars
leave dead space and filler can help fill it
space and allow the overlying skin to drape more smoothly. I
I often use the analogy with patients, she says, is to think of the skin as
sofa cover. If the underlying tissue is uneven or defective, the protective
the cover will not lie down smoothly. When using filler for soft
fabrics, as when replacing the flat section of the sofa, the base becomes smooth,
and, consequently, the skin covering it (sheath) too.

Acne scars are permanent, therefore,
although the filler cannot fix them, the dermatologists we spoke to all
agreed that this is the recommended treatment. However, it is also important
note that the use of filler is often not used directly
appointment.

Filling is usually a safe procedure,
if performed by a qualified practitioner. “When we introduce fillers, we
replace the lost HA in our body, and since this substance
natural origin, the likelihood of an allergic reaction is extremely
unlikely,” says New York City dermatologist Dandy Engelman,
certified doctor, who notes that for more than 15 years of introduction
She had never seen any injectables. However, when this
done by an inexperienced injection specialist, there may be serious risks,
therefore, it is important to consult a trusted, board-certified doctor.

Experienced injectors use a range of different
technician and choose both their technique and the actual filler based on
the circumstances and needs of the patient. Marchbein usually uses the “technique
microdroplets, in which a very small amount of filler is placed under
scar”. This, according to her, gives “an immediate cosmetic improvement in almost
without downtime (although there is some swelling, redness and the possibility of
bruises).

Another common technique is
subcision, a minimally invasive procedure in which the scar is punctured to
destruction of fibrous streaks that form scar tissue, which, as explained
Marchbein, “works best for rolling scars or wagon scars, and does not
should be used for people with sensitivity or allergy to
hyaluronic acid filler.

Is this a permanent solution?

“Requires some maintenance with
repeat injections, usually every 6 to 12 months,” says Marchbein, although she
notes that hyaluronic acid fillers also help stimulate
the formation of new collagen, and therefore she finds that in “patients
years can often elapse between retouching after initial correction of their
scars.