What are the most effective acne scar treatments available today. How do dermatologists choose the right procedure for each patient. Which factors influence the success of acne scar removal techniques. What are the costs and potential risks associated with different acne scar treatments. How long do results typically last for various acne scar procedures.

Understanding Acne Scars: Types and Formation

Acne scars are a common concern for many individuals who have battled with severe acne. These scars can persist long after the acne has cleared, serving as a lasting reminder of past skin troubles. But what exactly are acne scars, and how do they form?

Acne scars are the result of inflamed blemishes caused by skin pores engorged with excess oil, dead skin cells, and bacteria. When the pore swells, it causes a break in the follicle wall. Minor breaks heal quickly, but deeper breaks in the follicle wall allow infected material to spread into the dermis, leading to deeper lesions.

Common Types of Acne Scars

• Icepick scars: Deep, narrow, pitted scars
• Boxcar scars: Round or oval depressions with steep vertical sides
• Rolling scars: Wave-like depressions across otherwise normal-looking skin
• Hypertrophic scars: Raised, lumpy scars

Understanding the type of acne scars you have is crucial in determining the most effective treatment approach. Each scar type may respond differently to various treatment methods, which is why a personalized assessment by a dermatologist is essential.

Laser Treatments: The Cornerstone of Acne Scar Therapy

Laser treatments have revolutionized the field of acne scar therapy, offering impressive results for many patients. These treatments work by directing focused light energy to target scar tissue, stimulating collagen production and promoting skin renewal.

Types of Laser Treatments for Acne Scars

1. Fractional CO2 lasers
2. Erbium YAG lasers
3. Pulsed-dye lasers
4. Nd:YAG lasers

Can laser treatments completely eliminate acne scars? While complete elimination is rare, significant improvement is often achievable. The effectiveness depends on factors such as scar type, depth, and individual skin characteristics. Most patients require multiple sessions for optimal results.

Dermal Fillers: A Quick Fix for Depressed Scars

Dermal fillers offer a non-invasive solution for certain types of acne scars, particularly depressed scars like boxcar and rolling scars. These injectable treatments can provide immediate improvement by lifting the depressed areas of skin.

How long do dermal filler results last for acne scars? The longevity of results varies depending on the type of filler used and individual factors. Typically, results can last anywhere from six months to two years. Some of the most commonly used fillers for acne scars include hyaluronic acid-based products and poly-L-lactic acid fillers.

Pros and Cons of Dermal Fillers for Acne Scars

• Pros: Quick procedure, immediate results, minimal downtime
• Cons: Temporary solution, potential for allergic reactions, not suitable for all scar types

The cost of dermal fillers for acne scars typically ranges from $650 to $900 per syringe. Most patients require one to two treatments to achieve desired results.

Microneedling: Harnessing the Skin’s Natural Healing Process

Microneedling, also known as collagen induction therapy, is a minimally invasive procedure that has gained popularity for treating acne scars. This technique involves creating tiny punctures in the skin using fine needles, which triggers the body’s natural wound healing processes.

How does microneedling improve acne scars? The micro-injuries caused by the needles stimulate collagen and elastin production, leading to skin regeneration and improved texture. Over time, this can result in a reduction in the appearance of acne scars.

Microneedling Variations

• Traditional microneedling
• Radiofrequency microneedling
• Microneedling with PRP (platelet-rich plasma)

Is microneedling effective for all types of acne scars? While microneedling can be beneficial for many scar types, it tends to be most effective for rolling and boxcar scars. Deep icepick scars may require additional or alternative treatments for optimal results.

Chemical Peels: Revealing Fresher, Smoother Skin

Chemical peels involve the application of a chemical solution to the skin, which causes controlled exfoliation and peeling. This process removes damaged outer layers of skin, promoting cell turnover and collagen production.

How do chemical peels help with acne scars? By removing the top layer of skin, chemical peels can help reduce the appearance of superficial acne scars and improve overall skin texture. Deeper peels can stimulate collagen production, potentially improving the appearance of more pronounced scars.

Types of Chemical Peels for Acne Scars

1. Superficial peels (e.g., glycolic acid, lactic acid)
2. Medium-depth peels (e.g., trichloroacetic acid)
3. Deep peels (e.g., phenol)

Are chemical peels suitable for all skin types? While chemical peels can be effective for many individuals, those with darker skin tones should exercise caution, as there’s a higher risk of post-inflammatory hyperpigmentation. It’s crucial to consult with a dermatologist to determine the most appropriate type and strength of peel for your skin.

Surgical Interventions: When Other Treatments Fall Short

In some cases, surgical interventions may be necessary to address severe or resistant acne scars. These procedures are typically reserved for cases where less invasive treatments have not provided satisfactory results.

Common Surgical Procedures for Acne Scars

• Punch excision
• Subcision
• Skin grafting

What is subcision, and how does it help with acne scars? Subcision is a procedure that involves breaking up the fibrous bands of scar tissue beneath the skin’s surface. This releases the tethered scar, allowing it to rise and become more level with the surrounding skin. Subcision is often used in combination with other treatments, such as dermal fillers or laser therapy, for enhanced results.

The cost of surgical interventions for acne scars can vary widely, but typically ranges from $200 to $400 per scar or lesion. It’s important to note that while these procedures can provide significant improvement, they may also carry a higher risk of complications compared to non-invasive treatments.

Topical Treatments: Supporting Overall Skin Health

While topical treatments alone are generally not sufficient for treating significant acne scars, they can play a supportive role in overall skin health and scar management. Certain topical products can help improve skin texture, reduce discoloration, and support the skin’s natural healing processes.

Key Ingredients in Topical Treatments for Acne Scars

• Retinoids
• Vitamin C
• Niacinamide
• Alpha hydroxy acids (AHAs)
• Silicone-based products

How effective are silicone-based products for acne scars? Topical silicone treatments, such as silicone gel sheets, have shown promise in managing hypertrophic and keloid scars. These products work by creating an occlusive barrier over the scar, which helps maintain hydration and may influence collagen production. However, they are most effective when used on new or slightly raised scars, and their efficacy on older, more established scars is limited.

For optimal results, topical treatments should be used in conjunction with other scar management strategies and under the guidance of a dermatologist. It’s important to be patient, as visible improvements from topical treatments can take several weeks to months to manifest.

Combining Treatments: The Power of Multi-Modal Approaches

In many cases, the most effective approach to treating acne scars involves combining multiple treatment modalities. This strategy allows dermatologists to target different aspects of scarring and maximize overall improvement.

Why is a multi-modal approach often more effective for treating acne scars? Different treatments target various aspects of scar formation and appearance. For example, subcision can release tethered scars, while subsequent laser treatments can improve skin texture and stimulate collagen production. Combining treatments can address multiple facets of scarring simultaneously, leading to more comprehensive results.

Common Treatment Combinations

1. Subcision followed by laser therapy
2. Microneedling with PRP and chemical peels
3. Laser treatments and dermal fillers
4. Surgical procedures with subsequent laser resurfacing

How do dermatologists determine the best combination of treatments for each patient? The optimal treatment plan is highly individualized and depends on factors such as scar type, skin type, patient goals, and budget. A thorough consultation with a board-certified dermatologist is essential to develop a tailored treatment strategy that addresses each patient’s unique needs.

It’s important to note that while combining treatments can lead to superior results, it may also increase the overall cost and recovery time. Patients should discuss the potential benefits and drawbacks of various treatment combinations with their dermatologist to make an informed decision.

The Role of Maintenance Treatments

Even after achieving significant improvement in acne scars, maintenance treatments may be necessary to preserve and enhance results. These might include periodic touch-up laser sessions, ongoing topical treatments, or regular chemical peels. The specific maintenance regimen will depend on the individual’s skin condition and the treatments used.

By adopting a comprehensive, long-term approach to acne scar management, patients can achieve and maintain significant improvements in their skin’s appearance and texture. Remember that patience and consistency are key, as optimal results often develop gradually over time.

How to Find the Right Acne Scar Treatment Procedure for You—With or Without Lasers

Best for: Fillers are best at temporarily disguising a few depressed but shallow scars, like boxcar and rolling scars.

Cost: $650-900 per syringe. Between one and two treatments is usually enough to see results, but know that fillers aren’t permanent and you’ll need to repeat the process after anywhere between six months and two years after your last procedure.

Injections

Dr. Vashi says she’ll usually treat raised scars (which, depending on their age, can be very difficult to address) with several rounds of steroids that are injected directly into the scar or lesion in order to reduce its height.

Although some studies have found this treatment to be effective the scar could still come back months or even years after undergoing the procedure. And there is a risk for atrophy in the surrounding tissues associated with steroid injections. So—we can’t say this enough—be sure you’re seeking treatment in a medical setting with a doctor you trust.

In some cases, your dermatologist may instead use injections of 5-fluorouracil (5-FU), a chemotherapy drug, Mary L. Stevenson, assistant professor in the Ronald O. Perelman Department of Dermatology at NYU Langone Health, tells SELF. Steroid injections can also be used in combination with 5-FU injections if needed, she says.

Best for: Raised acne scars.

Cost: The cost and amount of treatments needed varies widely depending on the scar.

Surgery

Surgical options for acne scars may seem a little counterintuitive, since surgeries in and of themselves leave scars behind. According to the AAD, these post-operation scars will gradually fade. The AAD also notes that acne scar surgery may involve lifting the scar so that it leaves less of a depression in the skin, or a procedure called subcision, in which the scar tissue that’s pulling the skin down is broken up.

Subcision works particularly well as a precursor to laser treatments as it frees up the skin, so to speak, and allows the laser to work more efficiently over the area, Dr. Vashi says. As with any surgery, there’s always a risk of bleeding or infection, Dr. Johnson says, so, again, be sure that your provider is an experienced, board-certified dermatologist.

Best for: Those who have just a few depressed scars. Some types of surgery can also address raised scars that haven’t responded to other treatments, like injections.

Cost: $200-400 per scar/lesion

Topical silicone treatments

With new or only slightly raised scars, Dr. Vashi says silicone gel sheets, which work to reduce the scar’s size and stiffness have been found, anecdotally, to be effective treatment options. Silicone gels and sheets are also an attractive option because they can be purchased over-the-counter at drugstores or online.

But they take a fair amount of dedication to get results: You’ll need to wear the sheet (basically all day) in the same spot every single day for a while, possibly months, the AAD says. That can cause side effects, including rashes. And, if you’re treating acne scars on your face, you may not want to put up with that. Even if you do, know that silicone treatments aren’t likely to completely treat the scar.

Also, know that topical silicone treatments are most effective if used “while the scar is healing and before it thickens,” Dr. Stevenson says. So if you’ve had a raised scar for a few years and are just now thinking about trying to minimize it, you may not see great results with topical silicone.

Best for: New or only slightly-raised scars.

Cost: $20-40 for a package of eight sheets.

There is no one “right” way to address acne scars.

Just as a reminder, scars are not inherently dangerous or bad for you. They’re usually a normal part of the healing process. And the treatments out there to make them less noticeable are costly and definitely not perfect. So, if they don’t bother you, it’s perfectly fine to keep them around!

But if you do want to try to get rid of them, there are plenty of options out there. And your best course of action will be to talk to your dermatologist about which procedures are best for you.

And, instead of viewing lasers as something to avoid when planning your scar regimen, think of them as the Tony Stark of the Avengers-esque assembly of treatments your dermatologist will prescribe—undoubtedly intense, but they’re going to anchor the rest of the team. (We know you didn’t ask, but dermabrasion is obviously the Hulk.)

When carried out by an experienced derm and taken as just one part of your overall treatment plan, laser treatments don’t have to be scary. But the most important thing is to work with a dermatologist you trust to find a plan that works for you—with or without lasers.

Related:

This Is How You Really Get Rid Of Acne Scars

Dr. Caren Campbell, MD, in her San Francisco office

Source: Ashley Batx

Acne scarring plagues the pores of so many who have long-since recovered from active acne. With the recent advent of laser technology and dermatological research, much progress has been made in understanding how to best care for patients while undergoing treatment and in improving treatment efficacy itself.

I recently discussed the subject with leading San Francisco dermatologist Dr. Caren Campbell, M.D., a physician who has treated many Millennial professionals in the area struggling to remove acne scars. Below, she shares the recent, notable progress that has been made in acne-scarring treatment options, how to know if scars will fade on their own, when to seek medical intervention and the questions to ask your physician.

First, what causes acne scars?

Campbell: Acne scars result from cystic, inflamed acne lesions.  When the clogged, inflamed pore ruptures, the skin’s attempt to repair the broken skin isn’t as flawless as the original skin. Depending on the depth of the ruptured pore, varying types of acne scars can be produced—atrophic, icepick, boxcar, rolling. When the body overshoots the wound healing response keloids or hypertrophic scars can form, which represent excess scar tissue formation.

Will they ever fade on their own?

When discoloration is the issue and the “scar” is flush with the skin and there is no surface irregularity, these do resolve on their own with time and sun avoidance. For acne scars not flush with the skin, they typically do not fade on their own. Collagen in the skin needs to be remodeled or stimulated to correct for these structural deformities in the skin. 

Discoloration from acne is called post-inflammatory erythema if red and post-inflammatory hyper-pigmentation if darker than normal skin tone. This discoloration of the skin that is flush with the skin is caused by the inflammatory cells that attack the overgrowth of bacteria, oil and dead skin clogging the pore. Even after the acne has resolved, this pigment change remains though will fade with time. Sun avoidance and protection are important is helping this pigment change fade more quickly. If the areas of post-inflammatory erythema or hyper-pigmentation are exposed to sun they persist longer. Sunscreen that is SPF 30 or higher, broad spectrum and ideally mineral is recommended.  Newer formulations like EltaMD and CCMD sunscreens (my branded sunscreen) contain nanoparticle zinc and titanium that rub in clear rather than leaving a white film.  

Additional topical treatments can be used to expedite improvement of these areas of discoloration. This includes the mainstay topical treatment for acne—retinoids. Creams like Tretinoin and Tazorac speed up skin cell turnover and stimulate collagen. There retinoid creams also have a role in remodeling scars and not only pigment.  A recent split-faced study (treating one side with at-home microneedling and one side with Tazorac) showed improvement with Tazorac alone in acne scars.  

Can acne scars be removed permanently?

In short, yes. Depending on the type of acne scar, different modalities may be utilized, but overall, I have found that laser treatments are the most effective option for the majority of acne scars. The two best laser devices on the market for acne scars are Fraxel 1550 and PicoWay Resolve. PicoWay Resolve is safe in all skin types as it does not heat or break the surface level of the skin. Fraxel 1550 delivers heat to the top layers of the skin which can be beneficial in stimulating collagen, but increases the risk of hyperpigmentation (dark areas of skin) in darker skin types. This risk can be mitigated with pre- and post-treatment Tretinoin and hydroquinone, but which laser is most appropriate for your skin type should be assessed prior to treatment by a board-certified dermatologist or plastic surgeon. 

Why are laser treatments the most effective treatment for acne scars? They produce the most amount of neocollagensis (stimulation of new collagen and elastin, which is required to remodel acne scars). One of the only ways to stimulate collagen is to damage the skin to elicit a wound-healing response. Lasers use light energy to create these small wounds. That said, not all lasers are creating equal or powerful enough to wound the skin appropriately. 

Deciding between the Fraxel 1550 and PicoWay Resolve if both are appropriate for your skin type can come down to lifestyle. PicoWay has minimal to no downtime, but does require more sessions. For patients without five days to be red and scaly (which is the result of Fraxel), PicoWay may be the more appropriate choice. For patients with a special event coming up or those wanting results as soon as possible, Fraxel 1550 would be a better option.

When Fraxel 1550 is combined with PRP (platelet rich plasma), downtime can be lessened by one-two days and more collagen can be stimulated.  PRP uses the patient’s own blood to stimulate collagen and remodel acne scars. My favorite PRP system is the Eclipse system. It is important to use a blood draw tube that contains the appropriate components needed to activate the platelets in the blood so they release growth factors—signals that tell your body to heal and produce more collagen .

Other modalities that can be used in combination with laser treatments include surgical removal of acne scars, subciscion (breaking up the scar tissue with a needle below the scar), microneedling, and TCA cross (a strong chemical peel solution is placed inside the depressed scar to elicit it to fill in with new tissue). Fillers can also be injected into acne scars, but these are oftentimes temporary and require repeat treatment. 

In your experience, what is the best way to remove them? How long does it take?

Depending on the type of scar, different modalities are most appropriate. For the vast majority of scars, I start with a series of laser treatments. Usually a series of four-six Fraxel 1550 or six-twelve PicoWay Resolve, depending on the patient’s skin type and lifestyle. If a few subset of the scars remain after a few laser treatments, TCA cross, punch excision or subciscion can be used in combination with the remaining laser treatments on a case-by-case basis. 

Fraxel 1550 requires numbing with topical anesthesia for one-two hours prior to treatment. The numbing cream is removed and the Fraxel 1550 treatment takes 10-15 minutes for a full face. Afterward, your face feels warm and a cooling mask is applied for 15 minutes. One hour after treatment the skin temperature feels back to normal, but remains red in appearance. The next three-five days the skin remains red and begins to scale on day three-four and is starting to get back to normal by day five and can easily be covered with make-up. 

For PicoWay Resolve, no numbing is required and the treatment for a full face takes 15 minutes.  After the treatment tiny broken capillaries can result, which resolve in one-two days and can easily be covered with make-up. Some patient experience mild itching on day one-two post treatment. The redness after treatment is subtle and looks like a mild allergic reaction in some patients. 

What else should people know about these treatments?

Not all lasers are created equal. You need to right temperature, the right speed of firing and the right depth and spacing of the laser beams of energy. Not all providers of treatments are created equal. An expert knows what settings will get you the most bang for your buck without increasing your risk of hyper-pigmentation, scarring, or infection. While medspas may have the same device or claim their device is of similar efficacy, this is not the case. Many years go into understanding and training on laser devices. You will get more for your money with a board-certified dermatologist or plastic surgeon who uses a tried and true laser device with appropriate settings. 

Microneedling has been very popular recently for acne scars. In my opinion, the result are proving to be temporary as a lot of the improvement is from soft tissue swelling that masks the appearance of the scar for only a short time. Lasers have a longer track record for treating acne scars, particularly the Fraxel, which has proven to historically be the gold standard. PicoWay Resolve is an exciting new technology that is showing excellent results with minimal to no downtime, which in our fast paced, high demand world is really amazing for us busy working professionals. 

How can you prevent future acne scarring?

Prior to treating any patient for acne scars, I ensure my patients are investing in a good skin care routine that treats and prevents future acne. Often this includes one of the two best ingredient to treat and prevent new acne from forming: retinoids and benzoyl peroxide. Retinoids combat all components of acne formation – they remove the top layer of dead skin cells which clog the pore.  They also reduce oil production, which creates a good environment for the acne-causing bacteria to overgrow. Retinoids also help kill acne-causing bacteria and serve as an anti-inflammatory agent. 

Similarly, Benzoyl peroxide works to fight acne by killing the acne-causing bacteria and removing dead skin cells from the pore (keratolytic). In more severe cases of acne where scarring is a significant issues, Isotretinoin is the first line treatment. Isotretinoin permanently shrinks the oil gland taking away the oil production that provides a good environment for the acne causing bacteria to overgrow. Historically, caution was taken not to treat acne scars while patients were on Isotretinoin, given the concern for impaired wound healing, but this has been debunked recently by newer studies. Back then, patients had to wait to treat acne scars for six months after completing their course of Isotretinoin. Much progress has been made.

Laser Treatment for Acne Scars: What to Expect

“Laser treatments for acne scars” is one of the most-searched terms on the internet in regard to beauty—and it makes sense as acne scars are common. If you have acne scars, you don’t need to feel pressure to treat them. Your face is your own, and it’s unique and beautiful regardless of past breakouts. But if you’re interested in minimizing their appearance in favor of highlighting other features, you have options.

Some acne scars can be faded through topical skincare, like exfoliation, scar-fading spot treatments, and other procedures that can help reduce scarring. But atrophic scarring, the indented scars that form below the upper layer of skin tissue as a result of severe acne, is harder to treat since it prevents the skin from being able to regenerate tissue correctly, leaving behind uneven texture.

That’s where lasers come in. While we’ve had laser facials for brightening, tightening, and boosting collagen, we weren’t sure of the specifics when it came to lasers to treat acne scars. So, we asked three of our most trusted sources: Dr. Jennifer Chwalek, Dr. Jennifer L. MacGregor, and Dr. Marnie Nussbaum.

They talked us through the nitty-gritty details, from types of acne scar laser treatments to how to care for your skin after a procedure. Ahead, find their sage advice and everything you need to know if you’re considering trying a laser treatment for your acne scars.

Meet the Expert

• Jennifer Chwalek, MD is a board certified dermatologist based in NYC who specializes in cosmetic and laser procedures, Mohs micrographic surgery, and non-invasive body contouring treatments.
• Jennifer L. MacGregor, MD is a board certified dermatologist based in NYC whose expertise covers dermatologic surgery, injectables, laser procedures, skin tightening, sclerotherapy, and novel treatments for body contouring and cellulite. 
• Marnie Nussbaum, MD, FAAD is a board certified dermatologist based in NYC who specializes in non-invasive aesthetic rejuvenation.

Types of Laser Treatments for Acne Scars

Believe it or not, treating acne scars doesn’t come in a one size fits all. The type of laser treatment that’s best for you will depend on the kind of acne scars you have.

Acne scars can range from “depressions in the skin—like boxcar, pits, atrophic, [and] rolling—or those where the skin is raised and thickened—like hypertrophic and keloidal,” Dr. MacGregor tells us. “Skin with acne can also be discolored, from red to violet purple to brown (and rarely, blue-gray).”

“Acne scars usually consist of both a textural change in the skin as well as a discoloration (usually brown from post-inflammatory hyperpigmentation or erythematous, which is redness from inflammation),” adds Dr. Nussbaum. “Therefore, multiple modalities can be combined to improve both texture and color to decrease the appearance of acne scars. I usually recommend a combination of different lasers, topicals, and radio-frequency micro-needling. ”

Here is everything you need to know to determine which laser treatment is best for treating your acne scars.

• Fractionated resurfacing laser: If you have thick and bumpy acne scars, Dr. MacGregor recommends trying a fractionated resurfacing laser to smooth and normalize your skin. If you want to reduce brown pigmentation, Nussbaum suggests using this treatment with 1927 wavelength. Fractionated resurfacing lasers also increase collagen production. “The result of this collagen production is that depressed scars become smoother and blend in more with the surrounding skin,” Dr. Chwalek concludes.
• Pulsed-dye laser (PDL) / intense-pulsed light laser (IPL): “The most common lasers we use to treat scars are PDL or IPL for redness,” says Dr. Chwalek. If you have thick and firm acne scars, Dr. MacGregor also recommends using a laser like PDL.
• Radio-frequency micro-needling with blue-light technology: This treatment is one of Dr. Nussbaum’s favorites. “It has been great at creating microperforations in the skin, which allow for easy penetration of peptides or growth factors to induce healing,” she tells us. “The added blue-light technology can reduce the acne-inducing bacteria in the skin.”

How Do Laser Treatments for Acne Scarring Work?

While you may have heard about the amazing effects laser treatment can have on improving acne scars, many are unaware of the details behind how these lasers actually work their magic. That’s why we asked our experts to explain the process behind it all.

• Fractionated resurfacing laser: “Fractional lasers are unique in that they tend to have a normalizing effect on skin,” explains Dr. MacGregor. This type of laser creates “micro-columns of destruction while surrounding intact areas of skin in order to induce neocollagenesis (form new skin) and heal epidermal and dermal injury,” Dr. Nussbaum adds.
• Pulsed-dye laser (PDL) / intense-pulsed light laser (IPL): “In the case of red scars, lasers such as (PDL) work by emitting a wavelength of light that is absorbed by hemoglobin in the blood, causing blood vessel constriction and improvement in redness,” says Dr. Chwalek. These treatments also feed “the thickened scar and shut off the abnormal cell, signaling in the fibroblast cells, making thick, extra collagen, and ultimately softening the scar,” MacGregor continues.
• Radio-frequency micro-needling with blue-light technology: This treatment “emits radio frequency while penetrating your skin to tighten your pores and the surrounding skin,” Dr. Nussbaum explains. The micro-needling procedure delivers “particles of fillers or platelet-rich plasma to further stimulate the development of healthy collagen and normal skin structure,” adds Dr. MacGregor.

What Is the Procedure Like?

According to Dr. Chwalek, a PDL or IPL laser treatment feels like “a little rubber band firing against the skin.” The intensity of this feeling depends on the laser settings—but don’t worry, most people find it tolerable. Fractionated laser resurfacing, however, can be more uncomfortable, and for that reason, Chwalek usually applies a topical numbing medication for 30 minutes to one hour before the procedure. “During the treatment, it may feel a little hot as the laser passes over the skin,” Dr. Chwalek explains.

Before and After Results

“The benefits [of acne scar laser treatment] are smoothing out textural deformities and evening out skin tone to create a more unified canvas and clear complexion,” says Dr. Nussbaum.

After receiving acne scar laser treatment, “most people describe it as feeling like a sunburn for a few days… the skin is usually a little more red and swollen—and occasionally it may be bruised,” says Dr. Chwalek.

While patients can expect to see improvement in redness, texture, and discoloration, the amount of improvement will depend entirely on the severity of the scars. Acne scar laser treatment results can vary widely. While mild scars may lessen in only one treatment, more severe scars may require weeks, or even several years of treatment to see desired results.

Potential Side Effects

Acne scar laser treatment side effects vary widely depending on the treatment and the expertise of the provider. “The parameters and settings on different devices are infinite,” says Dr. MacGregor. “Experienced physicians combine therapies to achieve excellent results over the course of months with only a few days of redness and temporary discoloration,” she continues. “The potential side effect and complication list, however, includes: worsening acne, permanent discoloration, and worse and additional scars.”

Here are some potential side effects of specific acne scar laser treatments to keep in mind:

• Pulsed-dye laser (PDL) / intense-pulsed light laser (IPL): “The most common side effects of PDL/IPL are redness, swelling, and occasionally bruising,” warns Dr. Chwalek. “Rarely there can [also] be blistering or pigmentary change.”
• Fractionated resurfacing laser: According to Chwalek, prolonged redness is the most common side effect for this type of laser. “[Fractionated resurfacing lasers] can also potentially cause scarring if they are used too aggressively and aggravate melasma in susceptible individuals,” she says.

It’s also important to note that different skin types require different laser settings. “Patients with skin types four and five (on the Fitzpatrick scale, which means you have an olive complexion) may react quite differently depending on what the laser is targeting,” Dr. Nussbaum explains. “The epidermis should be properly protected to avoid scarring from the laser. For example, the radio-frequency micro-needling has a different insulated tip which bypasses the epidermal layer in order to avoid causing epidermal discoloration.”

The Cost

Typically, costs for acne scar laser treatment can vary from a few hundred dollars to over a thousand dollars per treatment. Prices are determined by several factors including the method, the severity of acne scarring, the number of laser treatments, and the healthcare provider. (Keep in mind most health insurance plans won’t cover the cost of acne scar laser procedures.) 

Fractionated resurfacing lasers “can range from $1200 to $1600,” Dr. Nussbaum tells us. “Radio-frequency micro-needling can range from $500 to $1300. IPL can range from $500 to $1000, depending upon area,” she continues. 

The Aftercare

Taking care of your skin after a laser treatment is essential. Here are five of the most important aftercare tips to keep in mind.

• Use sun protection: The most important aftercare step is to protect your skin from the sun. “Sun exposure can delay healing, prolong redness, and even sometimes cause pigmentation issues following laser treatments,” Dr. Chwalek explains.
• Avoid non-essential products: After a laser treatment, it’s best to avoid all nonessential products—aside from the ones your doctor may prescribe—to prevent damaging contact reactions which will delay the healing process.
• Avoid exercise: If exercise is part of your routine, consider skipping a day or two after receiving laser treatment “in order to prevent more swelling, which will slow healing,” warns Dr. Chwalek.
• Use gentle skincare products: Stay clear of scrubs and other abrasive skincare products following laser treatment. Instead, use gentle cleansers and moisturizers.
• Discuss aftercare with your doctor: Last but not least, remember to discuss the aftercare process with your doctor after your laser treatment, and follow their recommendations for how to care for your skin once the procedure is over.

The Final Takeaway

“Acne scarring can severely affect self-esteem and confidence. Therefore, if there is room for improvement, it is usually worth the investment,” advises Dr. Nussbaum.

Whether you are proud of the skin you’re in or are considering laser treatment as your next solution to curing acne scars, it’s necessary to have as much information as possible to make an informed and confident decision. That’s why it’s important to book an appointment with a board-certified dermatologist who specializes in acne scarring before making any big decision about your skincare journey. In the end, your skin will thank you.

10 In-Office Treatments For Acne And Acne Scars

It’s the stuff of coming-of-age novels and beloved TV series. Oh, and they happen to everyone. We’re talking about BLEMISHES.

“We’ve all had the same horrifying experience during puberty or early adulthood — fretting over the pimple which appeared overnight, applying ointments, creams, and lotions in the hopes of reducing the size and appearance of the spot,” says New York City-based board certified plastic surgeon, Ryan Neinstein, MD. Not just a teenage condition, acne can impact men and women alike well into adulthood. And, if that is not enough, acne can leave behind a pesky parting gift: acne scars.

According to research published in The Journal of Clinical and Aesthetic Dermatology, 80 percent of people between the ages of 11 and 30 years have been affected by acne vulgaris and the vast majority have experienced some degree of acne scarring. The scarring is most common on the face, neck, and back.

While over-the-counter and prescription lotions and potions can do the job, treating active acne lesions and post-breakout scarring sometimes calls for professional attention. Fortunately, there are treatments available in both dermatology and plastic surgery offices that can help heal and improve the appearance of the affected skin. “A multi-modal approach tailored to each patient greatly improves the efficacy of treatment and the patient’s final appearance,” Dr. Neinstein says. Below are some of the best in-office treatments for acne and acne scars.

For the uninitiated, acne vulgaris is an inflammatory process affecting the pilosebaceous units of the face, chest, shoulders, and back. A pilosebaceous unit consists of a hair follicle, sebaceous gland, and a small arrector pili muscle. These units normally produce sebum and keratin. But when production is altered, a pimple or comedone can form. If bacteria like Propionibacterium acnes (a.k.a. P. acnes) get into the affected pore, the area of around the pilosebaceous unit becomes inflamed and red. To treat active acne lesions, an array of resurfacing and therapeutic treatments can be employed.

1. Light Therapy

New York City-based board certified plastic surgeon Jennifer Levine, MD, likes to use a device by Nordlys™ called Ellipse IPL™ to treat current breakouts and prevent future ones. Like other intense pulsed light (IPL) treatments, it uses narrow bands of light to kill bacteria and target the red discoloration of active acne. “This treats active lesions, and also prevents new acne from erupting, which then leads to less scarring,” Dr. Levine says. The procedure is good for Fitzpatrick skin types I through IV, but it is not suitable for darker skin tones, she notes. Three to five treatments are required for best results (which are long lasting), though some maintenance may be required, Dr. Levine says.

Another form of light therapy that can banish breakouts? Blue light. Jessica Weiser, MD, a board certified dermatologist and founder of Weiser Skin in New York City, recommends Celluma blue LED light therapy to reduce P. acnes bacteria on the surface of the skin.

2. Microdermabrasion

Microdermabrasion can be helpful to encourage skin turnover and decongest pores and small comedones — all of which speeds up the acne healing process while warding off future breakouts, Dr. Weiser says.

3. Lasers

At his New York City practice, board certified cosmetic dermatologist Paul Jarrod Frank, MD, recommends the Aerolase laser to treat acne, inflammation, and the marks left behind. Treatments can be scheduled every two weeks and there is no downtime, he says. Additionally, a Laser Genesis facial coupled with cryotherapy can do wonders to calm and soothe the skin. The combination treatment is “good to calm irritated, inflamed acne,” Dr. Frank says, thanks to the duality of the anti-bacterial and anti-redness laser with cold therapy. It takes 10 minutes, has no downtime, and provides results in as soon as 24 hours, he adds.

4. Extractions

You may be tempted to take pimple popping into your own hands, but extractions are best left to the professionals. “Medical-grade sterile acne extractions are an important component of a comprehensive acne treatment regimen,” Dr. Weiser says.

Depending on the severity, acne patients may experience scarring and post-inflammatory hyperpigmentation in the aftermath of a breakout. “At times, inflammatory acne lesions can lead to long-lasting or permanent changes in pigmentation and scarring of the affected skin,” Dr. Neinstein says. “Multi-modal or combination treatments work to correct changes in pigmentation as well as scarring.”

5. Microneedling

Known for its ability to improve skin tone and texture, microneedling has shown promise as a treatment for acne scars. The tiny needles cause small areas of injury, which stimulate collagen production in the area. “This is beneficial since acne scarring is often due to a localized depletion of collagen,” Dr. Neinstein explains.

While microneedling works well alone, it works even better when paired with additional modalities. Both Dr. Neinstein and Dr. Weiser say new devices that couple microneedling with radiofrequency offer an added benefit. As the needles enter the dermis, a pulse of energy is applied to further assist in the remodeling process. Platelet-rich plasma (a.k.a. PRP), meanwhile, can boost results, too. “Recent research has shown a significant improvement to acne-scarred skin when PRP was applied compared to microneedling alone,” Dr. Neinstein says. These therapies have minimal discomfort and very little downtime.

6. Lasers

Not just for active acne, Dr. Levine uses the non-ablative Nordlys™ Frax 1550 to resurface the skin. “There are many types of acne scars —ice pick, rolling, caters, etc. — so it requires multiple treatments,” Dr. Levine says. “And you may need to change the settings or passes in different areas.” Like the Ellipse IPL™, it is best for skin types I, II, III, and IV. Multiple sessions are required for best results, and “the treatment lasts as long as there is no new scarring from active acne,” Dr. Levine says.

7. Dermal Filler

A treatment option for depressed acne scars is injectable dermal filler. “These are particularly effective in treating ice pick and boxcar scars,” Dr. Neinstein says. An experienced injector will have knowledge of numerous fillers and their associated characteristics and potential collagen-building properties. “Each filler has a different lifespan within the skin,” he explains. “Numerous fillers have been shown to stimulate collagen production by fibroblasts, which will also improve the appearance and character of the damaged skin.”

8. Facial Fat Grafting

For those who prefer autologous fat to fillers, facial fat grafting is another option. Fat cells (the smaller components of adipose tissue) are injected into the scars to improve volume. “This has shown promise in improving both the depth of scars as well as the skin quality,” Dr. Neinstein says. A sample of fat (often from the abdomen or thigh) is obtained using local anesthesia, the fat is processed, and it is then injected into the treatment areas in a manner similar to that of dermal filler, he explains. “Filtration of the fat to obtain smaller particles, such as stem cells, has been shown to rejuvenate and improve the overall appearance of the affected skin,” Dr. Neinstein explains.

9. Chemical Peels

Available in superficial, medium, and deep concentrations, chemical peels promote skin turnover, enhance healing, and reduce the pigmentation and discoloration caused by acne. They can improve skin tone and texture to restore a healthy, even complexion, Dr. Weiser says.

10. Punch Excision

Violence is never the answer, but Dr. Neinstein says a punch excision is a tried-and-true option for treating ice pick and boxcar scars. This procedure involves a small punch just larger than the scar made in the skin. “The small punch wound is then sutured with a single stitch or left to heal without a suture,” he says.

When OTC and prescription topicals aren’t doing the trick, there are professional procedures that can help heal and prevent active acne and improve the appearance of scars. Consulting with a board certified dermatologist or plastic surgeon will ensure you’re on the best treatment regimen for your skin concerns.

Treatments for Acne Scars | Options & What to Expect

How to remove acne scars? From lasers to fillers, here are the top treatments we offer at SDG that deliver real results:

• Factional CO2 Laser
• Fraxel^® laser
• KTP laser
• Vbeam^® laser
• Fillers
• F.A.S.T.^®

Fractional CO2 Laser – Aggressive but Extremely Effective

The best lasers for the treatment of acne scars are the fractionated resurfacing lasers. The fractional CO2 laser therapy is the most aggressive laser acne scar treatment available today and produces excellent results in one treatment.

The fractional CO2 (carbon dioxide) laser is an effective laser for the treatment of acne scars. The newer “fractional” technology treats only a fraction of the skin, leaving healthy intact skin surrounding the treatment area. This allows for fast healing and very safe treatments for most skin types. The fractional CO2 laser pokes small microscopic holes in the deeper layers of the skin. This process leads to the generation of new, healthy collagen to smooth out the acne scars. Improvement in acne scars can be seen in as early as one week following the fractional CO2 laser treatment. Improvements in acne scarring will continue for up to six months following the initial treatment.

Depending on the laser, fractional CO2 lasers usually have about 3-6 days of downtime after the procedure. During this time, the skin is healing from the wound the laser caused in order to stimulate collagen remodeling. During the healing period, we often recommend patients apply Aquaphor^® ointment to speed up recovery time.

Fraxel

^® Laser – Reduced Recovery Time

Fraxel^® laser is the most well-known example of a fractional erbium glass laser; because the term Fraxel^® is more well-known, we will refer to this laser as the Fraxel^®. The Fraxel^® is a non-ablative fractional laser treatment that is often used in the treatment of acne scarring. It is named the “Fraxel” since it only treats a small fraction of the skin each visit, leaving healthy skin between the treatment areas in order to decrease healing time. The Fraxel^® laser uses microscopic columns of laser energy to penetrate into the skin’s deeper layers in order to stimulate your body’s own healing process. This stimulates the body to produce healthy collagen in order to repair the damaged skin. The Fraxel^® treatment can smooth out acne scars in addition to treating the red and brown marks often left behind after acne lesions. The Fraxel^® laser does not break the skin so it has less downtime than the fractional CO2 laser, but usually requires four treatments instead of one.

KTP Laser – Reduces Redness

The KTP laser is used to treat many causes of redness on the face, including blood vessels, rosacea and post-inflammatory erythema (the redness left behind after acne). KTP is an abbreviation for potassium titanyl-phosphate, though the laser is commonly called the KTP laser. The KTP laser can significantly improve red acne scars after one to three treatments. It is not painful and there is no downtime after the treatments. Some improvement is seen very soon after the treatment and some improvement is seen in the weeks after the initial treatment. The KTP laser targets the hemoglobin (red) areas on the skin. The energy of the KTP laser causes the blood vessels just below the skin’s surface to collapse. The collapsing of the blood vessels decreases the red appearance of the acne scars left behind after the acne clears.

Vbeam Laser – Reduced Redness from Recent Breakouts

Yes, the Vbeam^® laser can be used to treat red marks from recent acne. The Vbeam^® works similarly to the KTP laser, and they are both vascular lasers. This means that the Vbeam^® targets the hemoglobin (red cells) in the skin, which causes the tiny blood vessels that contribute to the appearance of redness to collapse.

Things to Consider when Choosing Laser Acne Scar Removal

As you consider your options for acne scar removal here are some addition considerations to support the treatment that best suits your needs or advise you on any questions you may want to ask your dermatologist:

• Results – Laser treatment of acne scars stimulates new collagen production in the skin, to smooth out the skin’s surface. The results are permanent.
• Downtime
• Alternative of Dermal Fillers – Dermal fillers can be used to treat acne scars temporarily. Fillers, such as Restylane^®, Juvederm^® and Perlane^®, can be injected directly into the pitted area. They help to add volume where volume has been lost from scarring, and can often even out pitted rolling scars. However, dermal fillers do not actually change the scars, they merely camouflage them. Dermal fillers are a great quick fix, but the results last only six to twelve months. For patients who don’t mind the upkeep, dermal fillers may be a good option for the treatment of acne scars.
• FAST Procedure – The F.A.S.T.^® procedure for acne scars targets localized areas of acne scarring, rather than treating the entire face. F.A.S.T.^® is an acronym for Focal Acne Scar Treatment. Traditional methods of fractional CO2 laser resurfacing for acne scars utilized “medium” strength energy over the entire face. Dr. Schweiger developed F.A.S.T.^® as a method of treating acne scars with higher energy levels, but having a shorter healing time. The F.A.S.T.^® procedure uses the “fraction of a fraction” idea; not only is the laser fractionated, but only a fraction of the skin is being treated at a time. Results have been excellent, with most patients seeing between 50-70% improvement of their acne scars with just 3-4 days of downtime.

You don’t have to live with acne scars. Contact us today to schedule a consult with one of our board-certified dermatology providers and get on the road to a scar-free complexion. Call 844-DERM-DOC or email us at [email protected].

Suggested Additional Reading

How to Get Rid of Acne Scars – A Full Breakdown – Apex Dermatology & Skin Surgery Center

How are acne scars classified?

“Acne scars are classified based on their appearance on physical exam. They can be depressed (atrophic scars) or raised (hypertrophic scars/keloids).”

Atrophic scars are the most common type of acne scars and they are caused by the destruction of collagen, and present as indentations. 

Atrophic scars can be classified into three categories: ice pick, rolling, and boxcar scars.

Ice pick scars 

These are narrow (less than 2 mm), deep, and sharply demarcated tracts. They are wider at the top of the skin and taper as they go deeper.

Rolling scars 

This type of scarring is usually wider (4-5mm) and are more shallow than ice pick scars. They have an undulating appearance with the rise and fall of skin surface due to abnormal collagen attachment.

Boxcar scars

These scars are wider at the base compared to ice pick scars and do not taper. They are typically round or oval shaped dimples that can either be shallow (less than 0.5mm) or deep (more than 0.5mm)

Hypertrophic scars and keloids 

These are less common and are characterized by collagen gain, resulting in a firm raised lesion. Hypertrophic scars stay within the margin of the wound whereas keloids extend beyond the wound margin.

How are atrophic acne scars treated?

The ideal way to treat acne scars is a three-step approach, consisting of (1) an initial treatment phase, (2) a collagen remodeling procedure, and (3) additional treatments to address resistant scars and to supplement results of previous procedures.

Step 1: An initial treatment phase.

The goal of this phase is to treat scar erythema (redness) and treat individual scars that may be resistant to collagen remodeling procedures. Treating erythema is important as the redness accentuates the scar and makes it more noticeable.

To target erythema, the treatment of choice is the pulse-dye laser. Typically, it requires three to four treatments spaced out every month.

To treat individual scars that may be resistant to other treatments, typically a surgical approach is preferred. Ice pick and narrow boxcar scars respond to the chemical reconstruction of skin scars technique (CROSS technique) where a high-strength (90-100%) trichloroacetic acid (TCA) peel solution is placed at the base of scars with the goal to promote dermal remodeling.Rolling acne scars are typically treated with subcision, a procedure in which a small needle is inserted under an acne scar with the goal of releasing the fibrosis tissue that teethers the scar and causes the depression.

Finally, another option to treat difficult ice pick and boxcar scars is to surgically remove them by punch biopsy.  

Step 2: A collagen remodeling procedure.

Since atrophic scars result from a loss of collagen, this phase of treatment consists of procedures meant to induce collagen growth. Examples of treatments that can induce collagen growth include traditional ablative laser resurfacing, nonablative fractional laser resurfacing, ablative fractional laser resurfacing, chemical peels, dermabrasion, and skin microneedling with platelet-rich plasms (PRP).

Traditional ablative laser resurfacing 

This uses either of a 2940 nm erbium:yttrium aluminum garnet (Er:YAG) laser or 10,600 nm carbon dioxide (CO2) laser. It is the most effective, but most aggressive procedure that may not be tolerated by all patients. These lasers target water, causing the precise ablation of the epidermis and dermis leading to thermal injury which promotes collagen remodeling. This procedure is rather invasive and requires multiple weeks of down-time.

Nonablative fractional laser resurfacing (NAFR) 

As an attractive alternative to traditional ablative laser resurfacing due to less down time (one to three days), this is a highly effective treatment. Most commonly, the 1550nm or 1540nm NAFR lasers are used to ablate a narrow microscopic column of skin instead of ablating the entire surface. However, the results are more limited and require multiple treatments.

Chemical peels 

These can be effective treatments for acne scars as the injury caused by the peel stimulates collagen remodeling. Chemical peels are classified by the depth of skin injury. Superficial chemical peels (salicylic acid, lactic acid, Jessner solution, 10% to 25% TCA) affect only the epidermis.  Medium depth chemical peels (combination of Jessner solution and 35% to 50% TCA) penetrate to the superficial (papillary) dermis. Deep chemical peels (phenol, croton oil) injure the skin down to the deeper (reticular) dermis.

Dermabrasion 

This skin procedure involves the use of tools (high-speed brush, sandpaper) to remove the epidermis or part of the dermis. This procedure is highly operator-dependent and meticulous, but it allows the doctor to etch scar edges precisely.

Skin microneedling 

Microneedling can improve acne scars by acting similar to NAFR lasers by inducing small columns of skin damage, which can stimulate collagen growth. Advantages are low cost and short recovery time. One way to potentiate the results from skin microneedling is to use platelet-rich plasma (PRP) drawn from the patient, which contains granules of growth factors, which further stimulate collagen turnover.

Step 3: Additional treatments to address resistant scars and to supplement results of previous procedures.

After performing a collagen remodeling procedure, it is important to assess the patient for treatment response and to determine if any other procedure would be beneficial. Possible treatment options during this phase include all of the aforementioned treatments of Step 1 along with injectable soft tissue fillers.

Dermal fillers are particularly helpful for broad, rolling scars that are soft and disappear when the surrounding skin is stretched. Ice pick scars and other tethered scars typically do not respond well to fillers and can even look worse.

How are hypertrophic acne scars and keloids treated?

First line treatment involves corticosteroid injections which help decrease inflammation and collagen growth. Typically, this treatment is repeated every four to six weeks for up to four treatments. Additional treatments include surgical excision, pulse-dye laser, radiotherapy, and intralesional 5-fluorouracil.

Have some acne scars that need some clearing up? Book an appointment with us so we can take care of your specific scars the right way.

Acne Scarring – Pennsylvania Centre for Dermatology

Patients are often interested in treating depressed, ice-pick, and rolling scars resulting from facial acne. Once the acne is appropriately treated and under good control, there are several available treatment options. In general, a multimodality approach produces the best results. Some of these approaches include subcision procedures, punch elevations/ grafts, local acid application (trichloroacetic acid in the “CROSS” technique), filler injections, dermabrasion, and fractional laser resurfacing procedures. All of these techniques and technologies are available at the Pennsylvania Centre for Dermatology.

How is my acne treatment procedure performed?

Generally, acne scars require a series of treatments, between three and six, performed once every three weeks.  The acne scar treatment involves the application of intense pulsed light, fractional laser and micro-needling  to remove any redness or brown pigmentation at the base surrounding the acne scars

PCD Acne Scar patients receive multiple technologies.

Patients are often interested in treating depressed, ice-pick, and rolling scars resulting from facial acne. Once the acne is appropriately treated and under good control, there are several available treatment options. In general, a multimodality approach produces the best results. Some of these approaches include subcision procedures, punch elevations/ grafts, local acid application (trichloroacetic acid in the “CROSS” technique), filler injections, dermabrasion, and fractional laser resurfacing procedures. All of these techniques and technologies are available at the Pennsylvania Centre for Dermatology.

Traditional (ablative) Laser resurfacing: Traditional ablative laser resurfacing procedures (such as carbon dioxide laser or erbium lasers) physically destroy or remove the superficial layers of the skin. The wound recovery process generally results in skin that is smoother and more regular in texture. However, these approaches generally require anesthesia, significant down-time, and potential risk of permanent discoloration. Additionally, patients with darker skin tones are not good candidates for this procedure.

Fractional Resurfacing Lasers: Unlike traditional resurfacing lasers, new Fractional Laser devices, allow treatments without the need for general anesthesia, limited to no down-time, and without the risk of permanent facial discoloration. Additionally, this procedure is safe in all skin types including patients with dark skin tones. Fractional Laser Therapy delivers thousands of deep, microscopic columns of laser energy to your skin. These microthermal treatment zones leave the surrounding skin unaffected. The treatment promotes the skin’s natural healing process by producing new collagen and replacing damaged cells. The repaired skin appears healthier, tighter, and with fewer surface imperfections. Each treatment targets between 20 and 25 percent of the skin’s surface. Consequently, an effective treatment regimen typically requires 3 to 5 sessions, spaced at 2- to 4-week intervals. Results are immediate and progressive. Optimal improvement is usually visible in about 2 to 3 months.

Before and AfterBefore and After

Dermabrasion: With this somewhat aggressive procedure, a physician will physically strip the top layers of the skin using a machine with a quickly rotating diamond-edged wheel (similar to a Dremel tool). This procedure is extremely user-dependent and should only be performed by physicians with ample experience. There is typically significant down-time and is only recommended for patients with light skin tones. Given the destructive nature of this procedure, some form of anesthesia is required. Scabbing and crusting generally last for a few days to a week. The skin often appears red and inflamed for several weeks after the procedure. This procedure should not be confused with “microdermabrasion” which is a very gentle procedure that has little or no effect on facial acne scars.

Punch Techniques: There are three types of punch procedures that are often utilized to correct deep, ice-pick type scars. All punch procedures involve utilizing an instrument somewhat like a cookie-cutter, but more in line with the size of a pencil eraser. With punch elevation procedures, a punch is used to free the depressed scar from underlying tissue and the column of skin is simply lifted and left and secured in place. With punch removal procedures, the core of skin is removed and the wound is closed with a stitch or alternate method (steri-strip or cyanoacrylate glue). With punch graft procedures, the core of skin is removed and replaced with skin typically removed from an inconspicuous location such as behind the ear. Typically, punch techniques will require some form of follow-up procedure such as dermasanding or superficial resurfacing to smooth out the resulting scars. Punch procedures typically take one to several weeks to fully heal.

Subcision: This procedure involves utilizing a thin sharp instrument (such as the tip of a hypodermic needle) to free up adherent scar tissue under a retracted scar. A small amount of blood will accumulate under the scar and result in wound healing and collagen formation that may help elevate the depression. Typically, several treatments are required and are usually combined with some form of resurfacing or fractional laser procedure. Bruising and swelling can persist for one to two weeks.

Filler Injections / Augmentation: With these procedures, a material is typically injected under a depressed scar to bring make the surface of the skin more uniform in appearance. Most filler materials (such as Restylane) are temporary in nature and can last from as little to four months to as long as 9 months. Several materials are available for this procedure. Results are immediate and there is typicaly no down time or recovery period. Filler injections are often combined with subcision procedures to maximize results.

Localized acid application / CROSS technique: a new and promising procedure for depressed acne scars involves the focal application of trichloroacetic acid in high concentrations. This technique is often referred to as ” chemical reconstruction of skin scars” (or CROSS) method. Typically, 65% or 100% trichloroactic acid is applied in small quantities into the base of a depressed scar. The procedure is often repeated three to six times at one to three month intervals for optimal results. White frosting, followed by crusting appears in the treated areas. This typically resolves within one week. Redness and minor swelling may persist for 2 to 8 weeks.

Pulsed Dye Lasers: Some patients are interested in treating flat red scars related to more recent acne. Typically, these flat red lesions will resolve on their own, but may take as long as 6 or 9 months. Vascular lasers, such as the pulsed dye laser, can hasten recovery and help fade these unsightly red lesions.

Microneedling: The automated micro-needling process is also known as a form of Collagen Induction Therapy (CIT). By stimulating the production of collagen and elastin with a topical Hyaluronic Acid (HA), which is a substance naturally found in the human body, micro-needling can effectively rejuvenate the appearance of the skin. This process triggers the body’s natural healing and repair systems and can ultimately reduce acne scarring.

Before and After

Platelet Rich Plasma: Platelet Rich Plasma utilizes your own natural platelets to instruct the body to create new collagen to reduce the appearance of fine lines and wrinkles, improve skin tone and texture and soften aged skin with no down time. PRP can improve the appearance of acne scars and traumatic scars. A small vial of blood is taken from your arm – less than that normally taken for routine blood tests. The blood is spun in a centrifuge to separate the red blood cells and plasma. The process concentrates the platelet count to about 4X normal. The physician or medical aesthetician will then layer the plasma on to the skin and microneedle over it to enhance penetration. For some patients, a provider may inject the plasma into deeper layers of the skin to add volume and to fill deeper folds. The rejuvenation process begins rapidly and there is very little to no down-time depending on the intensity and depth of the treatment selected by your provider.

Before and After

RF Microneedling:  Traditional microneedling uses a special device that creates micro-injuries in the skin, stimulating the body’s own natural wound repair cells to remodel collagen and elastic tissue. RF microneedling adds the element of radiofrequency energy to the traditional microneedling procedure. By delivering the RF energy under the skin, RF microneedling allows for safe targeting of the deep dermis (or even the fat layer in some body areas) without the risk of damaging the skin surface.  This allows for effective tightening of the skin and remodeling of scar tissue (such as in acne scars).  Prior to this innovative technology, heating of the deep tissue required energy delivery through the skin surface, which limits the amount of therapeutic energy that could be delivered to the deeper tissues.  Too much energy could damage or burn the skin surface.  RF microneedling delivers the energy from the tips of the needles, after they have fully penetrated through the skin surface.

Who is a candidate for acne scar treatment?

Good candidates for acne scar treatments are acne scar patients who have suffered from acne that resulted in deforming acne scars.  The acne scars may be pigmented or non-pigmented, red, brown, white, deep, superficial, icepick or rolling hill. All scars will benefit from noticeable improvement in the appearance with a combined applicator technology PCD program. The best candidates are those that don’t have ongoing medical illness or skin diseases and have control of their acute, inflammatory, eruptive, nodulocystic or papular acne.  PCD employs some of Philadelphia’s  best cosmetic dermatologists and medical aestheticians to ensure that your active acne is under control prior to treatment of your acne scars.   Good acne scar treatment candidates have a realistic expectation about the kind of improvements and results that can be achieved, which is 30% to 70% reduction in the appearance of acne scars. After the treatment, there’s a combination PCD acne scar treatment program available.

What kind of anesthetic is used during my acne scar treatment?

PCD acne scar patients who present to PCD for the combined applicator acne scar treatment program have these treatments performed under topical anesthesia.  Generally, the treatments are quite well-tolerated and this combined topical anesthetic cream makes the treatments acceptable, if not comfortable.

Is the acne scar treatment painful?

The use of the topical anesthetic cream make the treatment of your acne scars reasonably comfortable.  Any time there is laser energy or fractional resurfacing energy used, there will be a degree of discomfort, but generally this discomfort is acceptable and most patients tolerate the procedure well.

The multiple applicator treatment is performed once every 3-6 weeks for three to six sessions, depending on the severity of the acne.

Call for more information or to schedule a consultation.

Pennsylvania Centre For Dermatology offers 0% – 6 month financing with Care Credit! Take advantage of the financing options and apply today!

90,000 Acne Scar Treatment Program

We are all born with delicate baby skin. However, throughout its life, the skin has to go through many trials: the sun, aging, acne, which is reflected both on the face and in the soul.

“Scars adorn” – this statement today does not fit either women or men. We do not deliberately strive for scars, but if they are, we hide them under makeup. However, this is not an option. Especially when you want naturalness, which is always in fashion.

In our clinic, a program is drawn up for the treatment of acne scars.You will be able to choose a reliable combination of the latest generation of laser treatments, as well as other options to help reduce or completely remove acne scars and other surgical and burn scars.

A short-term (6 months) and long-term (more than 1 year) skin care program designed to smooth out acne scars in order to avoid new ones.

On a case-by-case basis, other remedies or treatments suitable for a particular skin type are discussed.

Classification of acne scars:

1. “Ice pick”, atrophic scar ¹

Most common scars: narrow, sharp, deep scars, about 2 mm in diameter, reaching the deep dermis. The scar is broader at the surface and tapers at the base, creating a V-shape. Most often, these scars are localized in the cheek area, placed in groups, creating small, deep, dotted holes. They look like holes in the ice, which is why they got this name.Since scars of this type of acne are deep, it is very difficult to even them out using normal superficial treatments. The procedures are applied that act on the deep layers of the skin.

2. Boxcar, atrophic scar ¹

Also common acne scars, especially around the cheeks and temples. Angular, sharp-edged, wide U-shaped, often round or linear. They are called shallow if they reach a depth of 0.1-0.5 mm and are successfully treated with surface laser procedures.Also, scars of this type can reach the middle layers of the skin or form deep, up to the reticular layer of the skin. In these two cases, a combination of laser procedures of superficial, deep or all layers of the skin is required.

3. Rolling, atrophic scars ¹

In the presence of damage to the deeper layers of the skin, acne scars are formed in the form of waves – wide, shallow, 4-5 mm in diameter. Under them are localized fibers of fibrous tissue, which over time “pull” down the upper layers, forming waves on the surface of the skin.Wanting to correct them, separation is often used during treatment.

4. Hypertrophic (convex) scars

Pineal, uneven, raised scars are often referred to as keloid scars. They are mainly formed in the areas of the chest, back, neck, cheeks, and lower jaw. They are created after cystic or nodular acne, with hyper collagen formation – when the scar rises above the surface of the skin. They may decrease over time. Medicinal injections of combined treatment methods are used, with the help of which amazing results are achieved.

5. Post-inflammatory pigmentation, red or early acne scars

They are difficult to hide, and the redness and scars left after them make them more visible, even after the rash has healed. They are not scars. After inflammation, hyperpigmentation occurs – pink spots that tend to form after deep skin lesions, most often with nodular, cystic acne. Post-inflammatory hyperpigmentation occurs during the healing of the acne rash over a period of 6-12 months and is part of the inflammatory process.If left untreated, it remains for a long time, whitens and scars form.

¹ Atrophic scars – formed after inflammation when tissue defects appear.

This classification allows you to determine the most appropriate treatment method for each type of scar, and the combination of methods contributes to achieving the best results. Treatment is selected individually depending on the severity of the skin damage. Starting with exfoliation of the upper and middle layers of the skin, as well as products that stimulate the remodeling of the deep layers of the skin; renewal of all skin layers with Fraxel Dual fractional laser, instant filling with stabilizing preparations, ending with skin resurfacing or surgical interventions.

How are scars formed?

Acne may cause scars on the skin resulting from skin inflammation. In the fatty sac of the hair, due to colonization (propionebacterium acnes), inflammation occurs. The body responds with more rapid production of white blood cells and inflammatory molecules. Sometimes, after the rash has healed, the damaged tissue does not return to its original position. Depending on the nature of the rash and the localization of the damaged area, post-inflammatory pigmentation is formed, scars of various forms, which can be long-term.In more complex forms, in a larger area of ​​inflammation, the infection spreads to the deep layers of the skin. With an individual tendency, a lack of skin appears, dented scars form. Due to the impaired reaction of the body, convex, hypertrophic scars can form.

Prevention of acne scars

Acne is a chronic inflammatory skin disease that affects about 85% of young people and 5% of adults. Acne is accompanied in the most beautiful period of life. It’s hard to come to terms with scars that never seem to go away.However, now medical, aesthetic and laser dermatology offer modern treatments that can help you say goodbye to acne. The main thing is to diagnose, determine its appearance, development, accompanying factors and start appropriate treatment. It is necessary to pay attention to skin care, to take measures to prevent the appearance of various scars. It should be remembered that to avoid scarring, it is important not to squeeze or injure the pimples. Injury to the skin entails: prolonged healing of the rash, the formation of deep skin lesions, more pronounced post-inflammatory pigmentation is possible, an increase in the likelihood of scar formation.It is not uncommon for a secondary infection to develop and worsen the skin condition.

How long does it take to heal acne scars?

From several months to a year. This is due to the shape of the scars, their severity and the time of formation.

Do I need special skin care after treatment?

It is recommended to avoid direct sunlight for at least 3 weeks before and after laser treatment, follow the doctor’s instructions on skin care after procedures.

After the scars are smoothed, the skin is restored and remains so.After that, you should use your daily skin care products prescribed by your doctor.

When is the best time to start treating long-formed or recent scars?

Period up to 6 months

The earlier the scar removal treatment is started, the better the result.

Scars that appear before 6 months are considered newly formed. During this period, natural remedies are most suitable: injecting biologically active substances, hyaluron and plant extracts into the skin and under the skin, mesotherapy, biorevitalization, alpha and beta hydroxy combination, TCA peeling procedures and other organic acids, stimulating collagen synthesis procedures.As well as Omnilux revive 633 nm red light treatments, accelerating the healing of inflammatory acne, stimulating the production of new collagen. As well as laser procedures. By combining the effects on the skin of lasers, fruit and hyaluronic acids, as well as active substances, damaged collagen in scar areas is restored. Additionally, the skin is nourished with cocktails of biologically active substances and vitamins. A daily skin care program is drawn up individually for each patient, active prophylactic agents are selected to prevent the appearance of a new rash.

Period after 6 months

Depending on the shape of the scars, the following treatment is applied:

• strong exfoliants (exfoliators) – acids;
• local microsurgical interventions;

90,093 injections of stabilized fillers;

• Laser therapy is one of the most modern and effective methods of treatment. Under the influence of the laser, collagen synthesis is stimulated in the skin, so the surface of the scar is leveled.

Ablative and non-ablative lasers are used in laser procedures. Ablative lasers – the surface layer of the skin is removed. Non-ablative lasers – the surface of the skin remains, while the laser affects only the deep layers of the skin. The advantage of non-ablative lasers is that the skin heals without scabs.

Another category of lasers is fractional lasers. During the procedure with this laser, the beam does not affect the entire surface of the skin, but only the microfractions – perpendicularly focused columns of laser light hitting the skin remove old cells, while leaving healthy areas of the skin around.In this way, effective results are achieved with the high level of safety typical of non-ablative lasers.

In our clinic, various lasers are used for the treatment of scars, depending on the shape of the acne and the scars remaining after them.

With an active form of acne, remission of the disease is achieved first. In this case, the most effective application of the Omnilux Medical system is a combination of blue and red light therapy for 12 weeks. The rash is reduced by up to 89%.

Omnilux Medical blue and revive for active acne

Beams of specific waves Omnilux blue (blue, 415 nm) and red (red, 633 nm) cause long-term remission of the acne rash. Omnilux blue destroys the bacteria involved in acne formation. After this, the inflammatory process decreases.

After the destruction of bacteria, the red light Omnilux revive is used, which has an anti-inflammatory effect and stimulates skin healing, soothes irritated skin.In this way, acne rash heals, new acne does not form, inflammation disappears, cellular processes normalize. The light emitted by Omnilux LEDs reduces the secretion of sebum and the production of inflammatory factors, as a result of which the amount of fat secreted by the sebaceous glands is reduced to normal levels and inflammation disappears. In addition, fibroblasts, which are responsible for the production of collagen, are stimulated, therefore, after the procedures, the color and tone of the skin improves.

Omnilux Medical’s combined blue and red light system has been scientifically proven to be the only system to induce long-term remission of acne rashes.

VBeam Perfecta against acne and redness

VBeam Perfecta pulsed blood vessel dye laser reduces inflammation caused by bacteria in the case of acne. The laser acts on small blood vessels formed at the site of acne inflammation, coagulates them, they are gradually absorbed, effectively removing redness of acne scars. This stimulates the synthesis of new collagen, the skin relief is evened out. As a result, redness and pink spots are gradually removed, the rash disappears, and scars are smoothed.

CO2RE laser for scar resurfacing

CO2RE laser to carry out fractional skin rejuvenation and stimulates the regeneration of new cells. The laser is used for skin resurfacing, stimulates the formation of new collagen fibers, and is also intended for skin rejuvenation, correction of wrinkles, scars, stretch marks.

Fraxel re: Store Dual 1550/1927 Fractional skin renewal for new and old scars

Fraxel Laser, the fractional laser that revolutionized skin renewal, quickly became a popular technology and the most effective method for smoothing acne scars.

The newest version of the Fraxel laser is the Fraxel Dual with technology that combines two wavelengths: 1550 nm and 1927 nm. Fraxel Dual is a double-action and double-effect laser that rejuvenates the skin and removes all its imperfections. During one procedure, the effect of two lasers is used. All layers of the skin are restructured: the 1550 nm wave renews the deep layers of the skin, the 1927 nm wave conditions the renewal of the upper skin layer, removes pigmentation.

During treatment with Fraxel Dual laser, not the entire skin surface is heated, but only individual microfractions.Microscopic laser columns renew the skin with MTZ (microthermal zones) without damaging the surrounding tissue. Therefore, faster healing and recovery of the skin is stimulated, while the procedural period is minimal. During the treatment, old tissues are replaced with new skin – new healthy cells are formed, the skin is rejuvenated and smoothed again. Using the technology of the newest Fraxel Dual 1550/1927 nm laser, results are achieved that were previously only possible with very aggressive treatments.

Fraxel Dual Laser with two levels of waves is effective for both young and old scars of all types: acne scars, surgical, burn, atrophic, hypertrophic and other scars, as well as post-pregnancy scars and other skin defects.

Read more about Fraxel Dual laser treatment here Fraxel Dual Laser Fractional Skin Renewal.

The doctors of the clinic will advise you on an individual method of treatment, taking into account the condition of your skin, as well as draw up a program for the treatment of acne scars.

The Era Esthetic Laser Dermatology Clinic uses the latest Fraxel Dual 1550 nm / 1927 nm and VBeam Perfecta.

Article is the intellectual property of Era Esthetic Laser Dermatology Clinic; copying and / or distribution is prohibited.

At the Era Esthetic laser dermatology clinic, all laser procedures are performed only by highly qualified doctors

90,000 How to get rid of post-acne: advice from a cosmetologist

Skin inflammation is one of the most common problems among women and men.They can pass without a trace, or they can leave a “memory” in the form of spots, scars and scars. These imperfections often become the reasons for self-doubt, because the face is the calling card of every person. How to get rid of post-acne, restore the skin to its beauty, smoothness and uniform color? We will try to help you get closer to perfection.

Post-acne: what is it, types of traces

Acne and acne can appear due to improper facial skin care, hormonal changes and negative environmental factors.The most common causes of these aesthetic deficiencies are:

• Use of products with mineral oils. These components clog the pores. The work of the sebaceous glands is disrupted. The result is the appearance of inflammation and rashes;
• frequent stress. Tension and anxiety promote the activation of the synthesis of hormones that stimulate the work of the sebaceous glands. Their secret forms inflamed sebaceous plugs;
• pollution. One way to reduce the likelihood of a rash is to avoid touching your face with dirty hands;
• demodex.The disease is transmitted from infected people. It is accompanied by blockage of the sebaceous glands and inflammatory processes;
• high doses of caffeine. This component activates the nervous system, which leads to the release of hormones and the synthesis of sebum. Caffeine also negatively affects the pH balance and increases the sensitivity of the skin. If your dermis is prone to acne, limit the number of coffee breaks.

Incorrect treatment leads to acne marks. After moxibustion or squeezing, spots and scars may remain on the face.The first appear due to the increased synthesis of melanin at the site of inflammation. Some brighten and disappear over time, others require intervention – the use of special cosmetics, procedures for post-acne. Scars of various shapes and depths are formed due to injury to the skin. When squeezed out, the tissues atrophy, collagen synthesis is disrupted, the skin cannot restore its previous appearance.

How to deal with post-acne

Before removing post-acne, it is necessary to eliminate the cause of acne.If the inflammatory process is not stopped, the rash will appear again. A dermatologist-cosmetologist will help determine the cause and prescribe an effective treatment. The condition of the skin is influenced by nutrition, care and the quality of the products used. Treatment is selected individually. To remove traces of post-acne, the following products are prescribed:

• creams and serums with AHA acids. They exfoliate the stratum corneum of the skin, lighten age spots, even out the relief of the dermis;
• peelings based on lactic acid.They have a positive effect on skin texture and contribute to an even complexion. For maximum effect, it is recommended to carry out a course of peels. Their number and regularity are determined by the beautician;
• products containing salicylic acid. This component is the best remedy for the treatment of acne. It cleanses pores, relieves puffiness, eliminates redness, exfoliates the top layer of the skin, activating regeneration processes.

To eliminate aesthetic imperfections, an integrated approach is required.The skin needs effective deep cleansing, moisturizing and nourishment, as well as the normalization of the functions of the sebaceous glands. Products aimed at combating post-acne contain components that have the listed properties. These products have antiseptic, antibacterial and anti-inflammatory effects.

Effective products are presented in different lines from the Israeli brand Christina. To get rid of post-acne, you can use the Unstress Regenerating Mask, Cleanse and Balance Tonic, Bio Phyto Normalizing Cream, Comodex Cleansing Gel.

Salon treatments

Deeper and more noticeable marks cannot be eliminated with home care alone. For this, salon procedures are carried out. Chemical peels use formulations with a high concentration of acids. These treatments help get rid of acne scars and restore healthy looking skin. But after a course of procedures, a rehabilitation period will be required under the supervision of a specialist.

The top layer of the skin is removed by dermabrasion. This procedure uses an apparatus equipped with cutters and brushes.Resurfacing of the dermis leads to the fact that aesthetic imperfections are gradually erased, the skin is renewed. After dermabrasion, collagen synthesis is activated, the shade and relief of the dermis are leveled. This procedure, like chemical peeling, requires a recovery period.

One of the types of dermabrasion is laser resurfacing. It differs in the way it affects the skin. The alignment is carried out by means of laser flashes instead of a mechanical attachment. The procedure is painful and is performed under local anesthesia.

One of the common consequences of post-acne is age spots. In the absence of a protective cream, these imperfections can become even more pronounced. Each method of dealing with rash marks requires the use of products with a high SPF factor. This will prevent the appearance of hyperpigmentation.

Some more recommendations

Homemade masks can be used to get rid of minor redness and inflammation. White clay, honey, aspirin have anti-inflammatory properties.Essential oils and vitamins can be added to masks to nourish and moisturize the skin. The main thing is not to use foods that you are allergic to.

Comprehensive post-acne treatment is best done in the autumn season. During this period, the skin is not exposed to low or high temperatures, wind and UV rays. She is nourished after the summer season.

In order not to look for ways to get rid of post-acne, it is necessary to take care of the skin, make the care systematic, and use high-quality cosmetics.One of the mandatory rules is to revise the diet. Eliminate spicy, fried, smoked and salty foods, sweets, and sodas. It is recommended to stop smoking and alcohol. Eat vegetables, fruits, follow your drinking regimen. By adhering to simple rules, you will ensure the beauty and health of the skin for years to come.

Laser treatment of acne scars in the LINLINE clinic

Why choose LINLINE for post-acne laser treatment?

What is post-acne?

What if the skin resembles a lunar landscape? Acne disease (acne) is often severe.Too much pus is produced and the hair follicle ruptures. As a result of this rupture, various bacteria penetrate into the deep layers of the skin. They injure healthy tissue, and the focus of inflammation spreads deep into the skin. As a result, cysts and fistulas are formed, after which deep scars remain on the skin – post-acne.

How to get rid of post acne?

Post-acne owners know that it is almost impossible to fight them. These scars are very difficult to treat, as they were formed against the background of prolonged inflammation.Often, the patient tries to speed up the healing process of acne (crushes them and injures the skin), but this only exacerbates the formation of deep scars, shaped like lunar craters.

Peculiarities of post-acne treatment

Previously, post-acne scars were practically not amenable to safe correction. Skin after acne requires special treatment: it is susceptible to any injury, susceptible to infections. If a person undergoes Roaccutane therapy, his skin becomes dry and sensitive, and it is very easy to injure such skin.

Post-acne treatment methods

Such an aggressive technique as chemical peeling is not only painful and traumatic. The acid literally corrodes the skin, leaving behind burns and pigmentation. Solving one problem, you risk getting another. That is why deep chemical peels have long been banned in Europe. This method is still popular only in Russia.

We offer you two safe acne treatment options. Peeling with erbium laser and RecoSMA. Both options are effective.The only difference is in the number of procedures. RecoSMA is painless and safe. To achieve the full result, a course of at least 3 procedures is required. Laser peeling is a less comfortable technique that requires a little rehabilitation (5-7 days).

Laser nanoperforation and RecoSMA

Both laser methods are suitable for treating the effects of acne and differ in the depth of laser exposure (Nanoperforation is a more superficial method, RecoSMA is a deeper one).The choice of method depends on the severity of acne, in some cases – on the type of skin. The method of exposure is chosen by the doctor.

This is the safest and most gentle skin healing technique. It completely restores the affected areas in a short time. Laser treatment gently triggers the skin regeneration process. The body begins to actively produce collagen and elastin. As a result, the scars become less and less noticeable and after a course of procedures disappear completely. The procedure is comfortable and does not require any special anesthesia.The recovery period takes no more than 2-3 days. At the site of atrophic scars, new healthy skin is formed.

How is the procedure for acne laser treatment performed?

Techniques Nanoperforation and RecoSMA, thanks to special laser settings, allow very delicate, point-like destruction of scar tissue. In addition, during the procedure, the fibroblasts are stimulated, which begin to intensively produce new collagen and elastin. Due to this, the scar tissue is “lifted” and the texture and relief of the skin are leveled.The result is visible after the first procedure, the relief is noticeably leveled. But in order to completely eliminate post-acne, several sessions are required.

What happens after the acne laser treatment procedure?

Nanoperforation and RecoSMA work with sufficiently deep layers of the skin, but at the same time it has a very short rehabilitation period – a maximum of 3 days. In addition, unlike other techniques, the doctor fully controls the work of the beam, which means that safety is guaranteed.

When is the result visible after acne laser treatment?

After Nanoperforation and RecoSMA, the first results are visible after a few days and reach their maximum after a few weeks.We start the natural processes of skin renewal, and they do not happen overnight. But during this period, the skin gets better and better day by day.

How RecoSMA works in post-acne treatment

1. RecoSMA gently replaces healthy scar tissue
2. The skin relief is smoothed, raising the “bottom” of the scars to the skin surface
3. Tightens the pores, which prevents further acne from occurring.

Here you can read more about laser nanoperforation and RecoSMA

Laser peeling (erbium laser)

The technique is effective, but unlike nanoperforation, it has a longer recovery period.

Erbium laser peeling evaporates the upper layer of the epidermis. Healthy skin forms at the site of the scars. Unlike other lasers (eg CO2), the penetration depth of the laser beam is completely controlled. This is what makes it possible to guarantee the safety of the procedure.

How laser peeling works in post-acne treatment

During the peeling, deep renewal of the skin layers takes place. During the recovery period, regeneration of new skin occurs, during which the density and depth of acne scars decreases, and the structure of the skin improves.

Here you can read more about laser peeling

The necessary technique and the optimal course of treatment will be prescribed by a specialist in a personal consultation.

Prices

Reviews

Ekaterina (Chelyabinsk) writes:

I got rid of acne scars in 3 months and 4 nanoperforations. Before that I had been using foundation for 5 years, now I have forgotten about it.

Write your own review | See other reviews

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Laser procedures in LINLINE are painless, effective and safe for the skin.See for yourself on the test procedure.

90,000 How to get rid of post-acne: advice from a beautician

Every woman has experienced skin inflammations at least once. It’s good if the rashes disappear without a trace, but what to do if acne caused not only a lot of unpleasant sensations, but also left ugly spots, pits and scars in memory of themselves.

To figure out how to restore the beauty of the skin and get rid of post-acne, the cosmetologist Tatyana Mikheeva helped us.

Tayana Mikheeva

Doctor-cosmetologist, teaching certified technologist

What is post acne?

Negative environmental influences, numerous pollution, illiterate care and hormonal changes can cause acne or acne (8 reasons for this problem can be found here).If inflammation is improperly treated – cauterized with potent agents or squeezed out, they can leave traces: spots and scars. Some of them brighten over time and disappear without additional intervention, while others remain on the skin – it will be much more difficult to remove them without the help of a specialist.

You should not touch your face in places of inflammation or squeeze pimples yourself under any circumstances. In the face area, we have a strong blood supply, so the infection can penetrate deep inside, which threatens not only further rashes, but also more serious consequences.

What types of post acne are there?

Several forms of acne marks are classically distinguished:

Scars – one of the most common types of acne. They can be of different shapes and depths, wide or narrow, often resembling depressions or tubercles.

Scars are formed due to trauma to the skin in the area of ​​inflammation – tissues atrophy, collagen production is disrupted, so the skin cannot restore its previous shape – as a result, an ugly mark remains.Or, conversely, the production of collagen at the site of inflammation – a kind of protective reaction – is enhanced, so protruding keloid scars appear on the surface of the skin.

Red spots – such marks remain on the skin where acne appears. Often the spots disappear on their own after a few months, but in some cases, cosmetic treatments may be required. If this defect is not eliminated in time, then red spots can become pigmented.This is because the injured skin activates all defense mechanisms, including the increased production of melanin, a pigment that protects skin cells from ultraviolet radiation.

Pigmented spots, or post-inflammatory hyperpigmentation – a form of post-acne that appears on the skin due to increased melanin synthesis at the site of local inflammation, and their intensity and depth depend on the severity of the inflammatory process, skin structure and treatment.

What methods can be used to remove acne?

Before proceeding with the elimination of cosmetic defects, you need to make sure that the acne is cured (the dermatologist tells the myths and truth about problem skin here).If the inflammatory process is not stopped, then acne will reappear, and new marks and scars will begin to form at the site of acne.

Also, before starting treatment, it is worth visiting a dermatologist or cosmetologist. Only a specialist will be able to assess the situation and prescribe the means that are suitable for solving your particular problem. Self-medication is definitely not worth it.

Home remedies for acne traces include:

Creams and serums with AHA (alpha hydroxy acids) – contain acids, thanks to which they effectively exfoliate the top layer of the skin: age spots become lighter and the skin surface is smoothed.

Lactic acid peels – work in the same way as products with AHA acids. They improve skin texture and lighten pigmentation. For the best effect, peels should be used in a course – once a week for two to three months.

Salicylic Acid Products – This ingredient is considered one of the best for the treatment of acne scars. Salicylic acid unclogs pores, reduces puffiness and relieves redness, and exfoliates the skin.

Which salon treatments will help remove acne marks?

Deeper and more visible acne marks can be removed with various cosmetic procedures:

Chemical peels – Special active compounds with a high concentration of acids are used for the procedure. They dissolve the top layer of the skin and make acne marks less noticeable, and over time, scars and blemishes completely disappear. But such a procedure is not the most pleasant and may require a recovery period – you need to do chemical peeling only under the supervision of a qualified specialist (a special correspondent of BeautyHack told about salon peeling with vitamin C in this material).

Dermabrasion – a procedure that removes the top layer of the skin using a special apparatus with various cutters or brushes – such a resurfacing leads to the fact that the damaged skin or scar is gradually erased. After dermabrasion, collagen production is enhanced, the skin surface is leveled and smoothed. But the procedure can be a little traumatic, so a recovery period will be required.

Laser resurfacing – one of the types of dermabrasion, only during the procedure the top layer of the skin is removed not with a special attachment, but with laser flashes.Laser resurfacing is a painful procedure and is performed under local anesthesia.

Whichever method of acne treatment you choose, you should use a sunscreen with a high UV protection factor during treatment in order not to provoke the appearance of hyperpigmentation.

What home remedies can make acne marks less noticeable?

Apple cider vinegar can help get rid of red spots. It should be mixed with water in a ratio of 1: 3 and rubbed over the skin with this lotion once a day.Or soak a cloth napkin with the composition and apply it like a mask on your face for 5 minutes – this procedure can be repeated every other day.

Lemon or grapefruit juice will also help whiten the skin. Dilute it with water in a 1: 1 ratio, freeze it and rub the acne marks with an ice cube morning and evening.

90,000 Laser phototherapy in Yekaterinburg – price, to rejuvenate the skin in the center “New Hospital”

Laser phototherapy is a safe and effective procedure.The light pulse treatment rejuvenates the skin. Photo treatment is used to treat acne, acne, post-acne. The light wave removes scars, scars, stretch marks.

Phototherapy is an effect on the skin with a laser beam. The production of collagen fibers and elastin is stimulated. The laser beam extends to the deep layers of the dermis. The exposure to the light pulse is safe enough.

Light flashes are used to treat vascular spots, hyperpigmentation, inflammation, stagnant spots after acne.A light wave of a certain length is individually selected.

The effect of the therapy is noticeable immediately after the first procedure. To get the best result, it is recommended to take a course of 5 – 7 sessions.

Types of laser therapy

Phototherapy is carried out with a laser wave. The flash destroys excess pigment in skin cells. With the help of the device, post-acne laser treatment is performed. Inflammatory elements also disappear when exposed to the light wave.

There are four basic directions of laser action:

• Anti-aging;
• Removal of acne, stagnant spots, scars;
• Liposuction;
• Removal of unwanted hair permanently.

A light pulse is the only method to remove stretch marks and scars. Treatments are performed for the face and body.

Reasons for laser therapy

Light wave therapy is effective with no side effects.

In case of acne, this method removes an active inflammatory reaction and has an antibacterial effect.
With overweight, cellulite, acts on fat cells, body shaping occurs. The results are visible after the first session.

Vessels, stars, nets on the face and body cause aesthetic inconvenience, flashes of light help to remove them forever.
The light wave destroys melanin in age spots, hair follicles in excess hairs.

There are many reasons for using the method.

When is laser therapy used?

Before the appointment of the procedure, a doctor’s examination is required.
It is prescribed if there is a skin problem and there are no contraindications.

The procedure removes excess vegetation, smoothes wrinkles, tightens the skin. The technique is effective for rosacea, rosacea, pigmented formations.

There are different situations for the application of laser therapy. Only this technique removes permanently stretch marks and scars.

Readings

Laser wave therapy is used for:

• anti-aging and lifting;

90 093 removal of blood vessels: rosacea, spots, rosacea, hemangiomas, asterisks, mesh;

• improvement of the condition of the scar;
• removal of age spots, inflammatory elements of acne, post-acne;

90,093 hair removal.

The doctor will select the number of phototherapy treatments for the patient. It depends on the condition of the skin, the characteristics of the organism. Usually the course consists of 5 – 7 sessions. If facial skin is exposed, wear protective goggles.

Exposure is carried out with a bright flash of light.
Manipulation is safe for the skin. Laser treatment is not painful.

Contraindications

There are limitations for laser applications. These include:

90 092

90,093 tumors;

90,093 skin rashes;

90,093 blood diseases;

90,093 active infections;

In the presence of diseases and time restrictions, it is necessary to inform the cosmetologist about them.

Result

After a course of phototherapy, there is an improvement in the condition of the skin. Wrinkles disappear, the skin becomes elastic, elastic, and acquires a healthy appearance.

Removes stains, stars, blood vessels, laser treatment of stretch marks is possible.

Cost of procedures

Payment methods: cash payment; payment by plastic bank cards MIR, VISA, Mastercard Worldwide

Cure acne and acne

Acne on the face and body (acne, acne, acne) is the result of improper work and inflammation of the sebaceous glands.Many people mistakenly believe that acne only occurs during adolescence and is associated with changes in the young body.

Often because of this delusion, acne is not treated seriously and only its symptoms are removed: acne, red painful spots on the face, neck, arms and body. The problem itself does not go away, and inflammatory elements, acne reappear.

Causes of acne disease

How does acne occur? The inflamed sebaceous glands become clogged with sebaceous plugs, which leads to infection, to which the body’s immune system immediately rushes to fight.After the destruction of pathogenic bacteria, the resulting pus accumulates under the skin, and on its surface appears the “tip of the iceberg”: a red pimple with an abscess.

Why is this happening?

According to doctors, the cause of acne lies in the improper functioning of the sebaceous glands, a decrease in the bactericidal effect of sebum and hormonal changes in the body. External factors, such as stress, also lead to acne. Incorrectly selected cosmetics can provoke and even aggravate the situation.

It is not for nothing that acne is called a disease, it is, indeed, a very serious problem that requires the help of professionals.

Make an appointment with a doctor

The biggest risk for acne is self-medication . Only a doctor can establish the true cause of the disease! At the consultation, the specialist will make a clear diagnosis and, on its basis, will develop an effective method of treating problem skin.

“Pimples cannot be squeezed out!” – this phrase we hear teenagers from mom, adults from a beautician.What caused such a ban? When squeezing out, part of the contents of the abscess, of course, will come out, but another part will go into the deeper layers of the skin, pierced by blood vessels, spreading the infection throughout the body. This can lead to the formation of purulent foci in the liver, kidneys, and brain. In the best case, you will simply have a scattering of new pimples in place of the squeezed out eel. In addition, after such manipulations, marks remain on the face and body that do not heal for a long time, and sometimes even remain forever in the form of scars.

Don’t experiment with your skin, it can get expensive! Better to call Reform and make an appointment with a qualified cosmetologist.

Traditional methods of combating acne

For a long time, there was only one method of treating acne that was practiced in beauty parlors – mechanical cleaning. This unpleasant procedure was also ineffective: acne soon returned, pores stretched, collagen fibers were damaged, and scars remained on the skin.Slightly better results were obtained with the later emerging cryotherapy and disinfection, coupled with the surgical removal of acne. They also eliminated only the external manifestation of the inflammatory process.

Fortunately, medicine does not stand still, and our clinics are ready to offer you qualitatively new methods of solving the problem.

Laser Acne Treatment – Elite (Cynosure USA)

The laser is the most expensive, but the most progressive, acne treatment. The secret of its effect is simple: laser radiation, penetrating under the skin, affects both visible acne and those that have not yet manifested themselves.

At the same time, the activity of the sebaceous glands is normalized, the clogged channels are gradually cleared, the skin’s own resources are activated, and the immune system is mobilized. Acne first diminishes and then disappears altogether. The surface of the skin is not injured, that is, the possibility of scarring, crusts, age spots is excluded. Laser beams are absolutely safe for the body, the procedure is painless, does not require anesthesia and subsequent rehabilitation. The maximum that you will feel is a slight warmth in the laser-treated area.Many patients see an improvement in their skin condition after the first session.

A full course of laser acne treatment, as a rule, consists of 3-4 procedures, 15-40 minutes each. In addition to acne, the laser will help you get rid of red acne scars that often remain on the skin after squeezing out pustules, as well as even out the complexion, narrow enlarged pores, increase the protective functions of the skin and prevent the appearance of new acne. Thus, the problem of acne will receive not a superficial, but a comprehensive and truly effective solution.

Chemical peeling

Chemical peels are still the most popular acne treatment. During the procedure, a weak acid solution is applied to the skin, which, gently penetrating into the skin, provides uniform exfoliation of old dead cells to a predetermined depth and at the same time has an anti-inflammatory effect and stimulates the growth of young cells.

As a result, the relief of the skin is leveled, its tone is increased, the structure is improved, an active synthesis of collagen and elastin fibers is taking place.There are many types of peels. The doctors of our clinics will help you choose exactly the drug for your skin that will cope with the problem quickly and effectively.

Mesotherapy

Mesotherapy is an injection method that affects the problem in a targeted manner. Introduced meso drugs or their mixtures (cocktails) provide a local, only at the skin level, action of active substances, so you do not have to take antibiotics. Injections of properly selected preparations allow you to quickly relieve the process of inflammation, eliminate acne and post-acne spots, reduce the oily skin, strengthen its defense mechanisms and find a natural, healthy complexion.

Advantages of mesotherapy: low trauma, minimum side effects, no recovery period, good compatibility with other cosmetic techniques and a pronounced therapeutic effect – made the procedure very popular.

Bioreparation

Bioreparation is the newest injection method for complex solution of complex aesthetic problems. Bioreparative preparations are created using a unique technology. Bioreparation launches its own reparation processes in the skin, that is, the solution to the problem comes from within, by normalizing the internal functions of the body.

Beoreparant GIALRIPAYER-10M / MESOLIFT is used in our clinics for the treatment of acne. It contains hyaluronic acid modified with vitamin C, cysteine ​​and glutathione, thanks to which it smoothes crow’s feet and other wrinkles, perfectly brightens acne spots, moisturizes the skin, removes flaking, strengthens the walls of blood vessels, prevents the development of rosacea and premature skin aging. All valuable components are delivered to the skin “targeted” and remain in it much longer than meso preparations.

The extended interval between sessions will allow you to quietly find time for all 6 necessary bioreparation procedures and, as a result, get clean skin that regulates its condition itself!

Atraumatic facial cleansing

With acne, any damage to the skin is a gateway to infection, so a gentle, gentle, non-traumatic cleansing procedure can be the best way to care for your face. Cleansing is carried out without steaming and mechanical stress.

During the session, the doctor in a certain sequence applies to the affected skin areas specially selected creams, gels and pastes that penetrate the pores and deeply cleanse the skin. Regularly performing this procedure will help you keep problem skin in good condition: cleanse pores, regulate the sebaceous glands, stimulate microcirculation and significantly reduce the risk of relapses. Non-invasive cleaning can be done at any age and has a long lasting effect. In our clinic, this procedure is carried out using unique cosmeceuticals GERnetic International (France).Exclusive formulations of active ingredients of drugs are the result of scientific research that has no analogues in the world.

Atraumatic cleaning based on GERnetic International preparations is the safest method of cleansing acne skin today.

Problem skin care – salon procedures

Beauty salon procedures in our clinics are performed on the basis of the “intellectual” cellular cosmeceutics of GERnetic International. The formulations of drugs created using biotechnology contain the purest and strongest active ingredients of plant origin , which repeat the biochemical compositions of healthy cells of human organs.The ingredients penetrate deep into the skin to the cells in need of healing and regeneration.

There are no components of animal origin in GERnetic International cosmeceuticals, therefore the risk of infection with bacteria, viruses and prions, as well as the risk of developing allergic reactions, is completely excluded.

Home care

To consolidate the effect of the course of salon procedures, the cosmetologist will personally make up a complex of GERnetic cosmeceutical preparations for you to fully care for acne skin at home.The preparations will help you get rid of oily sheen, normalize the work of the sebaceous glands, narrow pores and provide problem skin with deep cleansing, nutrition and hydration. As a result, your skin is healthy and beautiful for a long time! Acne is not a sentence.

You just need to know how to treat them correctly, and the specialists of the Reform clinics will help you with this!

Treatment of acne and post-acne

After self-treatment, deep acne often leaves scars and scars as a memory. What if this happened to you? Anna Bokun, a cosmetologist at the LinLine beauty club, talks about professional methods of removing blackheads.

Acne worries not only adolescents

Rash on the skin of the face worries people of any age and social status. Acne interferes with enjoying life in adolescence, is distinguished by premenstrual syndrome, and appears after stress. The hair funnel or excretory duct of the sebaceous gland is often sealed by a “plug” of keratinized cells, dust and sebum. It is an ideal breeding ground for bacteria. By squeezing out acne, you risk increasing inflammation and getting post-acne – “lunar” craters of enlarged pores, scarlet spots and even scars.

A comprehensive approach is required to eliminate acne. If you notice a rough scattering of acne, sign up for a consultation with a dermatocosmetologist. The specialist will draw up a personal treatment algorithm. A professional will pay special attention to your skin type, concomitant diseases and lifestyle, as well as prescribe a competent combined treatment. Experienced doctors of the LinLine beauty club practice patient management from the first consultation to recovery.

Gentle facial cleansing

How to eliminate acne depends on the type, stage and severity of the disease.Doctors of the “Linline” beauty club successfully carry out curative cleansing, laser treatment of acne and post-acne. Chemical peels, mesotherapy and laser face resurfacing will help get rid of acne and acne scars.

Cleaning saves from annoying comedones, or blackheads. The procedure takes place without steaming the face – on a special treatment system. During the procedure, the pores are freed from sebaceous plugs, areas with stagnant manifestations are drained. Timely treatment of the inflammatory process in the skin prevents the appearance of unaesthetic scars.

For 13 years of work, the specialists of the “LinLine” beauty club have studied in practice many types of medical cosmetics. The accumulated medical experience made it possible to give preference to the most effective cosmetic line of a certain brand. After careful exposure, the skin becomes smooth and light.
A method of treatment that you did not know about

Laser treatment for acne is a complex course effect. Acne elimination using the LinLine method is completely painless and safe.A well-thought-out strategy does not involve additional care either before or after the procedure. Treatment sessions are carried out once every 2-3 weeks. Already after 4 procedures, patients notice an improvement of 80%. The clear result of therapy lasts for at least 6 months. The positive effects of the cosmetic laser are complemented by proper home care and medical supervision.

This effective method cleanses the skin, slows down and stops inflammation, “melts” subcutaneous seals, reduces skin oiliness to a comfortable level, brightens and evens out skin tone.Post-acne has no chance of development. In addition, the laser gently sloughs off dead epidermal fragments. The skin looks fresh, healthy and rejuvenated.

Chemical peeling, or active ingredients

Chemical peeling removes acne and the ugly effects of acne by removing the upper layer of the epidermis with chemicals. Peeling involves treating the skin with weak solutions of special safe fruit acids. They gently remove a shallow layer of dead cells.The popular procedure “dissolves” acne and improves the condition of problematic oily skin.

Chemical peeling can be deeper in the case of post-acne. It renews the skin more deeply, accelerates the synthesis of collagen fibers. The modern technique increases the tone and elasticity of the body cover. The skin becomes velvety, radiant and more youthful.

Elimination of the consequences of acne

Farewell revenge of acne that passed without proper treatment – enlarged pores and scars.The facial funnels, unfortunately, look like a clear cosmetic flaw. In the LinLine beauty club, it is successfully eliminated with the help of laser microperforation and middle peelings. An adjunct to acne treatment and a way to eliminate the effects of acne is mesotherapy.

During mesotherapy, the dermatocosmetologist injects medicinal products. Special drugs penetrate directly into the pathological focus. Subcutaneous injections provide targeted correction and do not injure the surrounding tissues.Directed administration increases the effectiveness of the selected components. The medicine lingers under the skin, acting on the affected areas for a long time, helping to quickly restore healthy skin.
Disappearance of post-acne. Effect of the photo “After”

To forget about “pungent” scars and scars after acne will allow the modern method of laser microperforation. The LinLine beauty club uses the technology of fractional photothermolysis of the facial skin.

Normal laser resurfacing requires a long recovery period.The latest micro-perforation procedure does not cause any inconvenience. You do not have to sit within four home walls, waiting for the end of rehabilitation. After the wave impact, you can quickly return to a full life and enter into a working rhythm.

The painless and comfortable procedure leads to almost instant results. With microperforation, the smart device emits a whole bundle of microbeams, each of which processes a separate tiny segment. Hundreds of businesslike rays remove old skin cells and accelerate the “birth” of new ones.In addition, 25% of cells are renewed in one session. After 3-6 procedures, the skin becomes noticeably younger, and external defects disappear.

In the process of microperforation (fractional photothermolysis), a well-tuned laser accelerates the work of fibroblasts. Specialized cells synthesize collagen, elastin and hyaluronic acid. These substances are responsible for the youthfulness and toned appearance of the skin.

Microperforation can be performed on all skin types.