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How to get rid of acne scars dermatology: Acne scars: Diagnosis and treatment

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Acne Scarring: The 6 Best Treatments

Even after you’ve gotten rid of a stubborn pimple, you may be left with an unpleasant reminder in the form of a scar. These scars form when the dermis (underlying skin tissue) is damaged, typically from picking at or popping a zit. Acne scars may not be as physically irritating as acne itself, but they can reduce one’s confidence and linger for years. It’s important to find the best treatment to get rid of those pesky pigmentations as quickly as possible.

Just as there are several effective treatments for acne, there are a number of ways to get rid of acne scars. We won’t list every single method, brand, or product here, but we will go over the 6 best treatments for acne scarring.

1. Dermabrasion

Dermabrasion is a process by which a coarse material is used to scrape away a certain portion of the skin down to the dermis. This procedure is used for a number of skin pigmentation issues, including scarring. However, this acne scar treatment is primarily recommended for those with fair skin and severe scarring that has fully healed, as dermabrasion can cause discoloration in those with darker skin tones.

2. Laser Therapy

Laser treatment for acne scars works by targeting the affected area with a beam of light at a specific energy level. This focused energy stimulates the tissue, essentially triggering it to repair. Over time, after multiple procedures, the scar’s pigment will appear more and more like the surrounding skin. At best, laser therapy can completely remove acne scars. At the very least, this treatment option can greatly reduce their appearance.

3. Microneedling/Dermarolling

This procedure involves the use of a rolling device attached with several small needles that carefully run across the skin, penetrating the underlying scar tissue. The principle behind microneedling (or dermarolling) is the same as that of laser therapy. That is to say, the tiny pinpricks from the needling tool are meant to stimulate that portion of the skin to produce more collagen, thereby lightening up or removing the scar over time. In most cases, microneedling won’t result in complete acne scar removal, though multiple treatments can improve results.

4. Radio Frequency (RF) + Microneedling

RF microneedling takes dermarolling and adds an energy component, namely radio frequencies. Like light waves, sound waves can also stimulate a physical response. When combined with microneedling, the skin is even more activated to start rebuilding. This somewhat recent acne scar treatment method has proven effective at softening up acne scar pigmentation.

5. Dermal Fillers

Also known as soft-tissue fillers, dermal fillers are injections of proteins (sometimes collagen) and/or acids meant to cosmetically fill out or plump up a targeted area of skin. Some standard dermal fillers include Juvederm, Bellafill, and Restylane. The filler is directly injected into the scar tissue with immediate but temporary effects. While dermal fillers for acne scars can be highly effective, they don’t last forever. Patients may require repeat injections on a yearly basis (or more frequently) to keep their acne scars from showing back up.

6.

Chemical Peeling

Certain chemicals like phenol, glycolic acid, and salicylic acid, are also effective treatments for acne scarring. A professional dermatologist will place a peel containing one of these chemicals over the skin and allow it to take effect. These acidic substances remove the top layer of skin (or even deeper, depending on the acid), allowing the new layer of skin cells to grow and replace the old, scarred cells. While these chemical peels can be highly effective at reducing the appearance of acne scars, they also come with risks, such as skin pigmentation changes and, ironically, scarring. This is why it’s important to talk with your dermatologist and understand your skin type before choosing to undergo a chemical peel treatment.

The six treatments outlined above only scratch the surface (no pun intended) of acne scar treatment and removal options. Still, they are the most common and often most effective ways to get rid of your acne scars or greatly reduce their appearance. If you would like more advice and information on how to treat acne scars effectively, Premier Dermatology Partners is here to help you make an informed decision and create a skin care plan that’s right for you. To learn more about our team and all the services we provide, contact us.

How To Get Rid of Acne Scars

07 Jun How To Get Rid of Acne Scars

Acne scars can be a very traumatic problem. Even though the acne breakouts may be controlled or have long since stopped, the scarring remains for a lifetime.

Treatment for acne can be as troublesome as the disease itself. Usually, successful treatment requires a the feedback from a board certified dermatologist.

First, attention must be turned to stopping any outbreaks, then focus can begin on repairing of the scarring. If outbreaks continue, scarring is likely to continue, and any treatments aimed at treating scarring would be futile. There are many options for treatment of acne today depending on the severity of outbreaks. These are beyond the scope of this post, except to say that treatment for the underlying disease process is a must. Once the outbreaks are well controlled, attention can be turned toward erasing the lasting marks on the face.

Of note, acne is not only a disease of adolescence. Adult onset acne is not completely uncommon and is seen in women who are pregnant – often with more severe scarring. Treatment options for acne scars depend on the severity of the scarring and the skin type of the person wishing repair.

In people with darker skin, options are limited because of concern for pigment irregularities after treatment. For lighter skinned individuals, treatments range from simple facial exfoliation to deep chemical or laser peels to surgical intervention.

For light scarring after acne, attention is placed on skin resurfacing. By taking off the outer layers of skin and stimulating collagen synthesis with new skin formation, acne scars can be reduced. This is best simulated by placing a finger on either side of an area of scarring and lightly pulling. If the scars fade, this can be a good option for resurfacing.

For deeper scars, a deep chemical peel, ablative laser or CO2 resurfacing, or dermabrasion may be necessary. Deeper scars can be surgically excised with the larger acne scar replaced with a surgically placed small line. This can later be refined with other rejuvenation techniques. Again, several options exist.

Punch grafting affords a simple method for treating multiple scars. A circular punch is used to create an incision around an acne scar. The scar is then allowed to heal and the resulting skin irregularity is smoothed.

Subcision involves releasing the tethering attachments underneath the scar and then filling the space with either a temporary or long lasting filler to prevent the scar from reforming when it heals. With the advent of new temporary artificial fillers such as hyaluronic acid, this is a good option for larger depressed scars.

Whatever the treatment option, it is important to consult a physician with a large arsenal of treatment options. It is also important to remember that just as acne scars did not form overnight, treatment can sometimes take months to get the desired result. Once you find an experienced physician and decide on a treatment option, remember that it can be a long road, but usually one that is worth the wait.

Acne Scarring Treatment in Scottsdale, Arizona

Contact Spectrum Dermatology today to discuss your treatment options for acne and other scarring. We are happy to schedule a consult and develop a plan that is right for your particular situation.

How to Get Rid of Pitted Acne Scars, According to a Dermatologist

Dealing with acne can be frustrating, to say the least. And when you throw acne scars into the mix, it can be even more complicated. As with most scars on the body, there’s no magic serum or tonic to make acne scars magically disappear overnight. The same is true for pitted acne scars, the ones that tend to leave behind a hollow, “pit-like” impression in the skin.

Despite being among the most common skincare conditions, both acne and acne scars can look, feel, and respond to treatments differently for each individual. So, we’ve tapped double board-certified dermatologist Brendan Camp for expert insight into managing, treating, and eliminating the pitted acne scars that breakouts can leave behind.

Below, Camp shares 11 recommendations for treating pitted acne scars.

Meet the Expert

  • Brendan Camp, M.D., is a double board-certified dermatologist specializing in medical and cosmetic dermatology at MDCS Dermatology in New York City.

What Are Pitted Acne Scars?

Pitted acne scars are a name given to acne scars that are characterized by a hollow, indented impression in the skin. This concave appearance is due to a sudden loss of collagen. Unlike hypertrophic scars (keloids), which result from an overproduction of collagen, pitted acne scars result from the damage and inflammation of deep breakouts, which create a small pit-like structure on the face—hence the name.

According to Camp, pitted acne scars are often categorized based on their appearance, within three common types. There are three main types of pitted acne scars: ice pick scars, boxcar scars, and rolling scars.

  • Boxcar scars: “Boxcar scars are broad and have sharp, well-defined edges. A good example is a chicken-pox scar,” says Camp.
  • Ice pick scars: “Ice pick scars are small, narrow, and deep. Because they are deep, they tend to be difficult to treat,” Camp explains.
  • Rolling scars: “Rolling scars are similar to boxcar scars but have smooth, undulating edges that make the skin surface look uneven. They tend to be more shallow,” he says.

Acne – Complications – NHS

Acne scarring can sometimes develop as a complication of acne. Any type of acne spot can lead to scarring, but it’s more common when the most serious types of spots (nodules and cysts) burst and damage nearby skin.

Scarring can also occur if you pick or squeeze your spots, so it’s important not to do this.

There are 3 main types of acne scars:

  • ice pick scars – small, deep holes in the surface of your skin that look like the skin has been punctured with a sharp object
  • rolling scars – caused by bands of scar tissue that form under the skin, giving the surface of the skin a rolling and uneven appearance
  • boxcar scars – round or oval depressions, or craters, in the skin

Treating acne scarring

Treatments for acne scarring are regarded as a type of cosmetic surgery, which is not usually available on the NHS. However, in the past, exceptions have been made when it’s been shown that acne scarring has caused serious psychological distress.

See your GP if you’re considering having cosmetic surgery. They’ll be able to discuss your options with you and advise you about the likelihood of having the procedure carried out on the NHS.

Many private clinics offer treatment for acne scarring. Prices can vary widely (from £500 to more than £10,000) depending on the type of treatment needed.

The British Association of Aesthetic Plastic Surgeons website has more information about private treatment available in your area.

It’s important to have realistic expectations about what cosmetic treatment can achieve. While treatment can certainly improve the appearance of your scars, it cannot get rid of them completely.

Treatments for acne scarring include:

Dermabrasion

Dermabrasion involves removing the top layer of skin, either using lasers or a specially made wire brush.

After the procedure, your skin will look red and sore for several months, but as it heals you should notice an improvement in the appearance of your scars.

Laser treatment

Laser treatment can be used to treat mild to moderate acne scarring. There are 2 types of laser treatment:

  • ablative laser treatment – where lasers are used to remove a small patch of skin around the scar to produce a new, smooth-looking area of skin
  • non-ablative laser treatment – where lasers are used to stimulate the growth of new collagen (a type of protein found in skin), which helps to repair some of the damage caused by scarring, and improves the appearance

Punch techniques

Punch techniques are used to treat ice pick scars and boxcar scars. There are 3 types of punch technique:

  • punch excision – used to treat mild ice pick scars. The scar is surgically removed and the remaining wound is sealed. After the wound heals, it leaves a smoother and more even area of skin
  • punch elevation – used to treat boxcar scars. The base of the scar is surgically removed, leaving the sides of the scar in place. The base is then reattached to the sides, but lifted up so it’s level with the surface of the skin. This makes the scar much less noticeable
  • punch grafting – used to treat very deep ice pick scars. As with a punch excision, the scar is removed, but the wound is “plugged” with a sample of skin taken from elsewhere on the body (usually from the back of the ear)

Subcision

Subcision is a surgical treatment that can be used to treat rolling scars. During surgery, the upper layer of the skin is removed from the underlying scar tissue. This allows blood to pool under the affected area. The blood clot helps form connective tissue, which pushes up the rolling scar so it’s level with the rest of the surface of the skin.

Once subscision has been completed, additional treatment, such as laser treatment and dermabrasion, can be used to further improve the appearance of the scar.

Depression

Acne can often cause intense feelings of anxiety and stress, which can sometimes make people with the condition become socially withdrawn. This combination of factors can lead to people with acne becoming depressed.

You may be depressed if during the last month you’ve often felt down, depressed or hopeless, and have little interest or pleasure in doing things.

If you think that you or your child may have depression, it’s important to speak to your GP.

Treatments for depression include:

Read more about treatment for depression.

Support for acne

There’s currently no main charity or support group for people affected by acne in England.

However, there’s a range of informally run message boards and blogs about acne on the web. You may find it supportive to read about other people’s experience of living with acne.

For example, talkhealth provides a free acne support and information community.

Make-up

Make-up can help cover up scars and can be particularly useful for facial scars.

Camouflage make-up specially designed to cover up scars is available over the counter at pharmacies. You can also ask your GP for advice.

If you’re interested in learning more about covering a mark, scar, non-infectious skin condition or a tattoo, you can also visit the Changing Faces skin camouflage service or call 0300 012 0275.

Page last reviewed: 12 July 2019
Next review due: 12 July 2022

11 Dermatologist-Approved Products to Get Rid of Acne Scars

Active breakouts are frustrating enough, but the scars and marks they can leave behind can make us feel completely helpless. “The good news,” says Saddle Brook, NJ dermatologist Fredric Haberman, MD, “is that many acne scars can be treated. Each and every scar is different, and often a combination of treatment approaches is necessary to achieve maximum improvement.”

For deep scars or those that cover a large surface area, in-office treatments like laser resurfacing, microneedling, fillers, and chemical peels are the doctor-recommended way to go. But, for more superficial scars and hyperpigmentation left behind, topical products can help improve skin texture and tone. “A lot of what people think of as acne scarring is PIH or post inflammatory hyperpigmentation—or erythema (redness)—brown or red spots and not a change in the texture of the skin,” Dr. Haberman explains. “Scars and discoloration occur as a result of injury to the skin, and in the case of acne, the injury is related to excess oil production, inflammation and bacteria. When the skin tries to repair itself after a breakout, it can leave a red, pink, tan, or brown mark behind, depending on the breakout and the individual’s skin type.

That being said, New York dermatologist Shari Marchbein, MD says prevention is always the best treatment for acne and scarring, and therefore she encourages even those battling mild acne to see a board-certified dermatologist for a comprehensive routine. “This is the quickest way to stop breakouts and prevent further skin injury. Furthermore, it’s important to not pick or pop your breakouts because if you pop a zit, you are adding insult to injury, causing more inflammation, redness and swelling that what would have been there in the first place. This can lead to permanent scarring if overly aggressive. If you have a large painful pimple—we call them cysts—your dermatologist can inject a mild steroid to help shrink it quickly, but make sure you leave your hands off. Lastly, diligent daily sun protection with at least a 30 SPF is key to reduce the appearance of scars and protect the new collagen that is being made during the healing process.”

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Differin Gel ($13)

“Adapelene—found in Differin 0. 1%—is the only over-the-counter true retinoid. Retinoid is a generic term for any topical product that contains a vitamin A derivative. They are the backbone of any good acne routine and work to increase collagen production as well as the rate of skin cell turnover, so they may improve the appearance of acne scars.”

—Dr. Marchbein

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The Ordinary Azelaic Acid Suspension 10% ($8)

“For hyperpigmented scars—post-inflammatory hyperpigmentation—I like this formula from The Ordinary. It helps even out skin tone and texture and fade dark marks, and it’s not irritating. Plus, you can’t beat the price point as well.”
—New York dermatologist Lauren Levy, MD

“Many times, patients don’t have true scarring, but rather more discoloration and redness. True acne scars will have a depression in the skin, not just a color change. For over-the-counter help with discoloration, I like The Ordinary Azelaic Acid, which also helps with mild acne.
—Wilmington, NC dermatologist Kendall Egan, MD

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CeraVe Resurfacing Retinol Serum ($20)

“This is a great option for those with acne scars, as it not only contains retinol, a known acne-fighting ingredient to help with skin cell turnover and collagen production, which helps improve tone and texture related to acne scars, but also licorice root extract, which can help with hyperpigmentation and discoloration. It also contains niacinamide and ceramides, so it’s soothing and won’t leave the skin feeling irritated or dry.”
—New York dermatologist Marisa Garshick, MD

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La Roche-Posay Effaclar Adapalene Gel 0.1% Acne Treatment ($30)

“Adapalene gel 0.1% is an over-the-counter retinoid and a perfect starter product for acne scars. My favorite version is from La Roche-Posay.”
—Bay Harbor Islands, FL dermatologist Lucy Chen, MD

“I am a fan of this gel to help remodel the collagen and continue to minimize the pores.
—Sterling, VA dermatologist Brenda Dintiman, MD

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SkinCeuticals Retexturizing Activator ($82)

“I like this because it is a biphasic, oil-free serum that is good for acne-prone skin. It has a patented ingredient called HEPES, which exfoliates and improves skin turnover, and it doesn’t dry the skin like a lot of retinoids and can be used during the day. It is a great daytime serum for acne scarring, enlarged pores and improving skin texture.”
—West Islip, NY dermatologist Kavita Mariwalla, MD

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Revision Skincare DEJ Night Face Cream ($150) and C+ Correcting Complex 30% ($160)

“If you are looking for significant improvement in acne scars, I recommend in-office treatments. Topical treatments can help a little with acne scars and complement in-office procedures. The first thing I recommend is a retinol, like Revision DEJ Night Cream. It has a time-released retinol that decreases the risk of irritation and dryness. If the acne scars are red in color, a good vitamin C in the morning could also help, and I recommend this one from Revision as well.”
—Norwell, MA Skylar Souyoul, MD

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Senté Intensive Bio Complete Serum ($110)

“The solution for acne scarring is to get the body’s own wound healing machinery to heal itself. The best way to turn on this process is with a topical retinol—I like this one from Senté most.”
—Boston dermatologist Dennis Porto, MD

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Neutrogena Rapid Wrinkle Defense ($28.50) and Alastin Renewal Retinol .25 ($55)

“You can get retinoids OTC in products labeled retinol or in prescription-strength versions, my favorite being Retin-A (tretinoin generic). Retinoids are scar-remodeling, collagen-boosting, pigment-fading superstars. I don’t know many board-certified dermatologists who don’t use and recommend them daily. For a drugstore option, try Neutrogena Rapid Wrinkle Defense. For a more cosmetically elegant product, try Alastin Retinol.”
—Greensboro, NC dermatologist Christina Haverstock, MD

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SkinCeuticals Glycolic 10 Renew Overnight ($80)

“For overall texture and tone, I am a fan of Glycolic 10. It is a leave-on treatment to be used overnight, and when combined with a glycolic acid cleanser, it can help brighten the skin and provide some improvement in pigmentation of the scars.”
—Dallas dermatologist Elizabeth Bahar Houshmand, MD

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How to Get Rid of Acne Scars: 17 Acne Scar Treatments That WORK

Some acne marks and scars are completely within your control while others are pre-determined. Aside from genetics, there are several lifestyle habits that can make dark marks and scars worse. Spending time in the sun is a big one, and, to reiterate one last time, every dermatologist agrees that picking or squeezing pimples creates further inflammation and can ultimately lead to more damage.

Now that we know where acne scars and dark spots come from, let’s dive into how to treat them—starting with acne scars.

How to Get Rid of Acne Scars

Acne scar treatments are best handled with special attention and care from your dermatologist since they require more intense procedures than over-the-counter options. The downside: Treatments tend to be expensive. If you aren’t quite ready to put a dent in your savings, know that you aren’t alone in your struggle with acne scars. Just by reframing your way of thinking, you may even learn to feel much more comfortable with them.

1. Steroid Injections

If you feel a stress pimple rearing its ugly head, a steroid shot can be administered the same day you call your derm because the process is very fast. Not only does it immediately reduce the inflammation of an existing zit, but cortisone can also help thick scars (keloids) appear softer and flatter. “These are specifically for raised scars, however,” says Dr. Shah. “It’ll help flatten out the scar, but it won’t do anything to any discrepancies in the texture.”

2. Dermal Fillers

“Certain scars can be filled with a substance that elevates the depressed areas, like hyaluronic acid. This can make the surface of the skin more even and get rid of shadows,” says Dr. Bowe. Until recently, fillers weren’t a lasting solution. But now, if you’re over 21 years old, Bellafill is the first FDA-approved dermal filler designed for permanently correcting moderate to severely dented acne scars. Unlike other fillers, it contains two different ingredients to help improve acne scarring. “It’s 20% polymethylmethacrylate (PMMA), which helps your body make more protein to allow itself to heal,” says Dr. Shah. “PMMA are tiny balls that sort of act as a scaffolding. Most fillers degrade over time, but since PMMA cannot be absorbed into the body, this offers a permanent result,” she says. The other 80% is collagen. The procedure takes about 20-30 minutes, and while you may need a touchup a couple of months later, some people just need the single treatment, says Dr. Shah.

3. Scar Filler

This scar filler from Dermaflage is basically a temporary dermal filler. It’s a great low-cost, temporary solution if you’re dealing with acne scars. You apply the scar filler like makeup, and it comes off easily when you’re ready to remove it.

Dermaflage Single Applicator

4. Laser Treatments

Dermatologists often remodel collagen using lasers, “which do not completely eliminate acne scars but can improve them by 30% or more,” according to Dr. Woolery-Lloyd. “These can be helpful in reducing the redness associated with acne marks and scars. I use a pulse-dye laser called the V-Beam for red scars. When treating older scars that are no longer red, I like to use the Fraxel laser. When lasers are used to treat acne scars, the results can differ dramatically based on two things: how many treatments you have done, and how much social downtime you’re willing to accept as part of the recovery process,” says Dr. Bowe. “Erbium laser resurfacing is also another option and it’s more aggressive than Fraxel,” says Dr. Shah. “It’s a minimal burning of surrounding tissues and has fewer side effects like less swelling and redness, but it won’t work for those with darker skin tones.”

5. Punch Excisions

“This procedure is best for those with icepick scars, which aren’t as wide as rolling or boxcar scars,” says Dr. Shah. “If you use a punch excision on a scar that’s wide at the surface, you’re making a bigger punch and trading in one scar for another,” she says. “Your dermatologist will numb up the area and use a tiny cookie-cutter like device to cut out the scar, and then sew it closed with a tiny stitch. The stitch is removed in less than a week,” says Dr. Bowe. However, Dr. Idriss cautions against this method for those with darker skin or undertones who are prone to hyperpigmentation.

6. Mix & Match Treatments

“Since acne scars vary, so do treatments. Depending on the individual, I often use a multimodal approach to treating acne scars. First, I might use Fraxel treatments to smooth out the skin texture. Then, I often use a combination of the fillers Restylane and Belotero to lift the depressed scars. Finally, I perform a few punch excisions to surgically remove any deep scars that may remain,” says Dr. Bowe. There are also topical treatment options for active breakouts that help prevent scarring, which can be used to get out ahead of things.

How to Get Rid of Dark

Spots from Acne

“The discoloration from dark marks will usually fade over time,” says dermatologist Sejal Shah, MD, who notes that they tend to take between 3-6 months to go away on their own. “But, there are a number of treatment options to help speed up the process.

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.

90,000 All about scars and scars. Types and methods of therapy, methods of removal

Scar is the result of the biological process of healing wounds of the skin or other tissue resulting from injuries, burns, operations and diseases, without which no living organism can exist.

According to WHO analytical data, about 50 million people are injured annually in the world, more than 100 million undergo surgical interventions, after which scars remain.Keloid and hypertrophic scars are observed in 4.5% – 10% of the general population.

Diagnosis of pathological scars is not very difficult and is based on anamnestic data and clinical manifestations. However, despite the keen interest of scientists in this problem, it should be recognized that the degree of understanding of the processes occurring in tissues leaves much to be desired and often comes down to empiricism.

Correction of cicatricial deformities is one of the most difficult tasks in aesthetic medicine.Scars are not only a source of aesthetic and psychological problems, but also deliver a number of unpleasant subjective sensations. Currently, there are a large number of treatments for scarring, but none of them alone can guarantee quality. This problem requires an integrated approach and the involvement of doctors of several specialties – surgeons and dermatocosmetologists.

Scar classification

  • According to the criterion of the volume of scar tissue: hypertrophic, keloid, normotrophic, atrophic.
  • By the criterion of growth activity, i.e. stages of evolution: “active” (growing), absorbable and stable.
  • By the age of the scar tissue: “young” and “old” scars.

Normotrophic scars

Normotrophic scars are ideal wound healing outcomes of any origin. They are thin, pale, do not protrude above the surface of the skin, do not grow and are cosmetic and functional for the patient.

Atrophic scars

Atrophic scars fall below the skin level and are often the result of trauma or inflammation. The skin over the atrophic scars is thin, flabby, and often has a transverse striation. These scars are often devoid of pigment and therefore appear white.

The characteristic appearance of these scars is caused by a defect in the connective tissue under the scar, a deficiency of collagen and elastin, the main proteins that form the skin frame.

The most common manifestations of stretch marks and post-acne (acne disease, the clinical manifestations of which have an adverse effect on patients, contributing to the occurrence of psychosocial maladjustment.

Hypertrophic scars

Hypertrophic scars are usually thick, dense, with a tuberous surface covered with hyperkeratosis, often with transverse fissures. The hypertrophic part of the scars without clear boundaries turns into atrophic, which gradually merges with the surrounding skin. They NEVER extend beyond the damage zone.

Keloid scars

Keloid scars are more persistent than hypertrophic scars and are difficult to treat.They are clearly defined, rise above the skin, their surface is smooth, shiny, elastic consistency, painful palpation. They have a pronounced excessive growth of scar tissue, often with bizarre outlines. Formed on non-functional areas of the body, after minor injuries or wound healing by primary tension, after injections, vaccinations, insect bites, acne.

Such scars almost never ulcerate and always extend to healthy skin!

Treatment of scars and scars

Treatment and correction of scars is a long and painstaking process that does not always give an immediate and expected result. That is why few people want to deal with this problem. Even highly professional specialists often advise: “Wait a year and a half, and we’ll see!” And a year later, they also state: “It is unlikely that anything can be done here …” Scars can and should be treated immediately, from the first hours after injury, and in 95% of cases, surgical treatment is not required.

Our task is to make the scar invisible or less visible and erase the unpleasant memories associated with it!

Treatment methods

There are many methods and approaches in the treatment of scars and scars that we can offer you to solve problems in each case.Treatment should be comprehensive and not limited to only one selected method.

  • 1. Therapeutic (medicinal) methods
    The drugs used to treat patients with pathological scars belong to different pharmacological groups and have points of application at each stage of scar development (corticosteroids, enzymes, cytostatics, platelet-rich plasma (PRP ), hyaluronic acid).
  • 2. Physiotherapeutic methods
    These methods of treatment are based on various physical effects on a pathological scar and include: means containing silicone (plates, plasters, gels), electro and phonophoresis with drugs, exposure to low temperatures (cryodestruction).
  • 3. Compression therapy
    One of the most effective and reliable methods of conservative treatment of cicatricial contractures and hypertrophic scars is press prevention and press therapy using compression garments and silicone plates.
  • 4. Physical methods
    These include mechanical resurfacing and needling, aimed at mechanical damage to scar tissue, followed by restructuring of pathological collagen and improvement of the surface and structure of the scar.
  • 5. Laser technologies
    More and more interest in laser treatments for cicatricial changes in the skin is growing every year. Laser resurfacing is becoming the “Gold Standard” in the treatment of scars of various etiologies.

The method of fractional photothermolysis is based on ablation (evaporation) of micro-areas of the skin using a laser beam that repeatedly penetrates the skin to a certain depth, creating evenly distributed micro-zones of laser damage, surrounded by many zones of thermal stimulation.This thermal injury is safe even for sensitive skin areas, but it is sufficient to activate the fastest tissue repair possible and achieve predictable results.

The traumatic effect of the laser penetrates into the middle layers of the skin without disturbing its barrier function. This is due to the optimal ratio of the areas of damaged and undamaged tissue: 5-25% and 95-75%, respectively.

The response of the skin to a controlled injury is the launch of a number of regenerative processes both at the tissue and cellular levels.There is an active synthesis of normal collagen and fibroblasts that rebuild the pathological collagen of scar tissue.

Different types of laser may be required to fix different problems. Persistent skin defects, such as hypertrophic scars and deep wrinkles, can only be corrected with a CO2 laser that deeply affects the skin. Superficial imperfections, in particular, normotrophic scars and striae, hyperpigmentation, are eliminated by a superficially acting erbium laser.

Ideally, multiple laser units and other topical treatments should be used for laser scar treatment, this combination allows for the best effect from the procedure.

Our medical center employs specialists with many years of experience in the treatment of cicatricial changes in the skin. Modern laser equipment and high-class knowledge of our doctors will help you get rid of scars of various ages and origins, select the optimal treatment regimen and achieve the maximum possible result.

Doctor-surgeon, doctor-combustiologist-surgeon of the highest category, candidate of medical sciences, associate professor A.Ch. Chaity

90,000 Acne pain. Scientists told which people suffer more from acne

https://ria.ru/20181222/1548439889.html

Acne pain. Scientists told which people suffer more from acne

Acne pain. Scientists told which people suffer more from acne – RIA Novosti, 22.12.2018

Acne pain. Scientists told which people are more affected by acne

Acne, or scientific acne, in adolescence suffers from 80 to 100 percent of people.About a tenth – mostly women – as they get older, … RIA Novosti, 22.12.2018

2018-12-22T08: 00

2018-12-22T08: 00

2018-12-22T08: 00

science

the first mgmu of Sechenov’s name

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MOSCOW, Dec 22 – RIA Novosti.Acne, or scientific acne, in adolescence suffers from 80 to 100 percent of people. About a tenth – mostly women – as they get older, continue to fight acne, usually unsuccessfully. Scientists have found that this disease appears due to hormonal disruption caused by genetic causes. Psychological problems At the end of 2010 in one of the laboratories of the University of Miami (USA) face pimples or not.The participants in the experiment were shown photographs of the same people in two versions – with and without acne. Most of the volunteers positively characterized models with clean skin, but people with acne were considered shy (43%), secretive and unfriendly (23%), lazy (22%) and “nerds” (21%). On the other hand, those who suffer from acne often have psychological problems associated with this condition. And according to a recent study by neuroscientists from the University of Bristol (UK), they are even at risk of developing Alzheimer’s disease.The bacteria Propionibacterium acnes, which causes acne, can accumulate in the brains of patients, which can lead to neurodegenerative disorders in old age. “Up to 90 percent of adolescents and about a tenth of adults suffer from acne. This is primarily a cosmetic defect, and it can seriously affect the psycho-emotional background. According to statistics, about ten percent of patients with acne have ever tried to commit suicide. Therefore, it is important so that the doctor is aware of the seriousness of the psychological consequences in patients, especially in the case of severe forms of acne, and sends them to a psychiatrist on time, “says Polina Pyatilova, an employee of the Department of Skin and Venereal Diseases at Sechenov University, a practicing dermatologist, to RIA Novosti.Where do acne come from? Healthy skin is covered with a water-fatty film, consisting of substances that are secreted by the sebaceous and sweat glands. When adolescence comes, hormones enter the bloodstream, and the skin, equipped with small blood vessels, reacts quickly to this. First of all, the secretion of sebum increases, which can accumulate in the hair follicles and clog the sebaceous hair ducts. If an infection joins such a plug, then inflammation begins and acne appears on the skin.Some researchers believe that inflammation occurs due to toxins secreted by the bacteria Propionibacterium acnes, others blame the excess of vitamin B12, and still others – the general microflora of the skin. So, American dermatologists, having examined 72 people, 38 of whom suffered from acne, found that people with clean facial skin have a more diverse microflora, and this makes it possible to balance the negative effects of Propionibacterium acnes. In addition, the acne subjects had more genes associated with the transport of inflammatory compounds.Also in the genome of people with acne, British dermatologists have found 15 genetic regions that affect the formation of hair follicles and are thus associated with the appearance of acne. The researchers believe that the susceptibility of the skin to the action of harmful bacteria may depend on the shape of the hair follicles. “The pathogenesis of acne – the mechanism of its origin and development – is quite complex. But by now it has already been well studied. It is believed that the main role is played by genetically determined hyperandrogenism – shift hormonal levels towards male sex hormones.This leads to the formation of a large amount of sebum and follicular hyperkeratosis – a blockage of the sebaceous hair follicle. Comedones appear on the skin – black spots. And these are already ideal conditions for the colonization of Propionibacterum acne and the growth of inflammation, “explains Polina Pyatilova. This is being treated. Another bacterium that is also often blamed for the appearance of blackheads and skin rashes is Cutibacterium acnes, which secretes the CAMP factor toxin, which provokes inflammatory Reactions Researchers at the University of California, San Diego, USA, have found that the inflammation caused by these organisms can be suppressed using monoclonal antibodies.They reduce inflammatory responses and reduce the ability of bacteria to infect. On their basis, scientists plan to develop a vaccine against acne, clinical trials of which promise to be carried out in the next five years. In the meantime, everyone who suffers from acne can count on a huge number of effective medicines. The main thing is to tune in to long-term treatment and not try to get rid of acne on your own. “I do not recommend self-medication. A person without medical education is not able to choose the right drug, evaluate its effect, dosage and duration of treatment.Therefore, even at the first stage, when black dots have just appeared, it is better to contact a dermatologist. The doctor, when choosing local or systemic drugs, always focuses on the severity and number of rashes. In addition, like almost any skin disease, it is a chronic condition. Here you will not be able to heal for two weeks, achieve a result, and then do nothing with your skin. With acne, a long course of treatment and subsequent supportive therapy are necessary. And you need to start at an early stage in order to avoid the long-term effects of acne – the formation of scars.But, unfortunately, we cannot guarantee a 100% recovery, “Polina Pyatilova clarified.

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Sechenov First Moscow State Medical University

MOSCOW, Dec 22 – RIA Novosti, Alfiya Enikeeva. Acne, or acne in scientific terms, in adolescence suffers from 80 to 100 percent of people. About a tenth – mostly women – as they get older, continue to fight acne, usually unsuccessfully. Scientists have found that this disease appears due to hormonal disruption caused by genetic causes.

October 24, 2017, 02:03 Science The correct way to squeeze out acne has been named

Psychological problems

At the end of 2010, in one of the laboratories of the University of Miami (USA), scientists became interested in how the opinion about a person changes depending on what he has on his face acne or not.The participants in the experiment were shown photographs of the same people in two versions – with and without acne. Most of the volunteers positively characterized models with clean skin, but people with acne were considered shy (43%), secretive and unfriendly (23%), lazy (22%) and “nerds” (21%). On the other hand, those who suffer from acne often have psychological problems associated with this condition. And according to a recent study by neuroscientists from the University of Bristol (UK), they are even at risk of developing Alzheimer’s disease.The bacteria Propionibacterium acnes, which causes acne, can accumulate in the brains of patients, which can lead to neurodegenerative disorders in old age.

“Up to 90 percent of adolescents and about a tenth of adults suffer from acne. This is primarily a cosmetic defect, and it can seriously affect the psycho-emotional background. According to statistics, about ten percent of patients with acne have ever tried to commit suicide. Therefore, it is important that the doctor is aware of the seriousness of the psychological consequences in patients, especially in the case of severe forms of acne, and sends them to a psychiatrist on time, “says Polina Pyatilova, an employee of the Department of Skin and Venereal Diseases at Sechenov University, a practicing dermatologist, to RIA Novosti.

Where do acne come from

Healthy skin is covered with a water-fat film, consisting of substances that are secreted by the sebaceous and sweat glands. When adolescence comes, hormones enter the bloodstream, and the skin, equipped with small blood vessels, reacts quickly to this. First of all, the secretion of sebum increases, which can accumulate in the hair follicles and clog the sebaceous hair ducts. If an infection joins such a plug, then inflammation begins and acne appears on the skin.

Some researchers believe that inflammation occurs due to toxins secreted by the bacteria Propionibacterium acnes, others blame the excess of vitamin B12, and still others – the general microflora of the skin. So, American dermatologists, having examined 72 people, 38 of whom suffered from acne, found that people with clean facial skin have a more diverse microflora, and this makes it possible to balance the negative effects of Propionibacterium acnes. In addition, the acne subjects had more genes associated with the transport of inflammatory compounds.Also in the genome of people with acne, British dermatologists have found 15 genetic regions that affect the formation of hair follicles and are thus associated with the appearance of acne. Researchers believe that the susceptibility of the skin to the action of harmful bacteria may depend on the shape of the hair follicles. January 5, 2018, 14:10 already well studied.It is believed that the main role is played by genetically determined hyperandrogenism – a shift in hormonal levels towards male sex hormones. This leads to the formation of a large amount of sebum and follicular hyperkeratosis – a blockage of the sebaceous hair follicle. Comedones appear on the skin – black spots. And these are already ideal conditions for the colonization of Propionibacterum acne and the growth of inflammation, “explains Polina Pyatilova. a factor that provokes inflammatory reactions.Researchers at the University of California, San Diego (USA) have found that the inflammation caused by these microorganisms can be suppressed using monoclonal antibodies. They reduce inflammatory responses and reduce the ability of bacteria to infect.

25 September 2018, 18:18 In the meantime, everyone who suffers from acne can count on a huge number of effective medicines.The main thing is to tune in to long-term treatment and not try to get rid of acne on your own.

“I do not advise you to self-medicate. A person without medical education is not able to choose the right drug, evaluate its effect, dosage and duration of treatment. Therefore, even at the first stage, when blackheads have just appeared, it is better to consult a dermatologist. Doctor, choosing local or systemic medications, always focusing on the severity and number of rashes.In addition, like almost any skin disease, it is a chronic condition. Here you will not be able to heal for two weeks, achieve a result, and then do nothing with your skin. With acne, a long course of treatment and subsequent supportive therapy are necessary. And you need to start at an early stage in order to avoid the long-term effects of acne – the formation of scars. But, unfortunately, we cannot guarantee a 100% recovery, “Polina Pyatilova clarified.

Laser removal of scars and scars on the face in Kharkiv

All people injure the skin.

But in most cases the damage covers only a small area.

An accidental cut, unsuccessful surgery or prolonged exposure to the sun can cause characteristic cosmetic defects – scars.

Someone is ignoring this problem. For example, many men do not hide their scars, and are even proud of them.

Women are less tolerant of such defects and often go to a clinic to remove scars. Below we will tell you in detail how you can get rid of scars.

But first, let’s talk about the reasons for their appearance.

Scars are part of the skin’s natural healing process. Almost all but minor skin injuries result in scarring.

This is how it works.

The middle layer of the skin or dermis is damaged. The body reacts to this and creates new collagen fibers that fill the injured areas. However, the new fabric is not like the old one. Therefore, scars stand out against the background of normal skin.

Sometimes scars look stretched – this happens during active growth or during pregnancy. In addition, such scars often form in places where the skin is constantly stressed.

Scars appear for several reasons:

  • Surgical intervention
  • Burns
  • Acne
  • Injury
  • Piercing

Facial scars are often caused by acne. But on the hands, connective tissue is mainly formed after cuts and burns.

Can scars be removed?

Yes, but not completely.

Modern methods allow you to remove up to 90% of the connective tissue, which makes scars almost invisible. Doctors choose a procedure based on the type of defect.

Types of scars we can help you get rid of

Doctors use several classifications of scars. For example, they distinguish them by their level of development:

  • Growing
  • Absorbable
  • Stable

But before carrying out the operation, first of all, doctors must take into account the volume of the altered tissue.

According to this indicator, scars are divided into four groups:

1. Normotrophic

Connective tissue is at the same level as normal skin. It is noticeable only because of the pallor.

2. Atrophic

Scars are located below the skin level. In a small depression. This happens when fatty tissue or muscles under the skin are damaged. The support for the scars is gone. So they are a little buried inside the body.

Atrophic scars are especially often formed as a result of acne, when thin and flabby connective tissue appears. They are white due to lack of pigment.

3. Hypertrophic

Sometimes, when injured, the body produces too much collagen, which causes the connective tissue to grow. New scars are raised slightly above the level of the skin.

The surface is thick and bumpy. Some scars develop cracks.

4.Keloid

These scars are similar to hypertrophic scars, but are more resistant to therapy. They are difficult to cure.

The connective tissue has clear boundaries, smooth and shiny surface. Scars are painful to touch.

Keloid scars form after trauma, injections and acne, and they always spread to adjacent skin areas.

As you can see, different types of scars are very different. If atrophic defects are easy to eliminate, then keloid formations require more prolonged therapy.

Fortunately, facial scars are often atrophic. They appear due to acne.

Now doctors make the connective tissue less visible using different methods:

  • Surgical operation
  • Steroid Injection
  • Radiotherapy
  • Cryotherapy
  • Laser resurfacing

In many cases, doctors perform cosmetic laser removal of scars because this operation gives the best results with a low risk of complications.

We will discuss this therapy in detail below.

Scar removal by laser resurfacing

The essence of this method is simple.

The doctor treats a small area of ​​scar tissue and laser penetrates deep into the skin. This effect triggers tissue repair. So after a while, the scars are replaced with regular skin.

However, to effectively remove different types of scars, doctors must adjust the power of the laser equipment.For example, hypertrophic scars are removed only by a deep effect. It is easier to remove normotrophic defects. Resurfacing the upper layers of the skin works well against them.

Sometimes doctors use several treatment options at once to restore normal skin.

So, before the operation, be sure to consult with a dermatologist and find out what is the best way to remove your scars.

We will talk about the advantages of laser therapy right now.

Advantages of laser technology

Many people choose to get rid of scars with this procedure because of the following features:

  • Painlessness

Exposure to the laser beam causes almost no discomfort.Only in rare cases is local anesthesia necessary.

  • Versatility

The laser can be used to treat scars of any type – normotrophic, hypertrophic and even keloid. Also, the operation is performed on different parts of the body.

The light beam does not injure the skin. It only destroys connective tissue and accelerates the recovery of normal skin.

The laser also destroys germs. When the doctor abrades the surface of the scars, the tissues are not infected.

  • Fast Recovery

Patients do not need hospitalization after therapy. They just have to follow the doctor’s orders, but this hardly affects their daily life.

The laser beam seals the vessels. Therefore, even when treating large scars, bleeding wounds do not occur.

Now a few words about the disadvantages of the procedure.

It does not completely remove scars – small elements of connective tissue are still barely visible on the skin.Laser scar removal is not always effective. For example, in order to eliminate keloid defects, doctors sometimes combine several cosmetic surgeries.

Readings

The procedure is performed only for cosmetic discomfort.

Scars themselves are not dangerous. They almost never hurt and do not affect the general condition of the body.

So basically people tend to remove the facial scar if this defect is very conspicuous.

However, the operation cannot always be carried out immediately.

Contraindications

Doctors do not recommend removing a scar on the face for the following factors:

  • Pregnancy and breastfeeding
  • Diabetes mellitus
  • Acute inflammatory diseases
  • Skin and connective tissue pathologies
  • Any type of cancer
  • Acute infectious diseases
  • Predisposition to the formation of keloid scars

In most cases, patients are only temporarily prohibited from receiving therapy and must simply wait for the contraindications to disappear.But if the procedure is urgently needed, then you can choose one of the alternative procedures.

Go for an inspection first.

After the diagnosis, the doctor will explain which surgery is right for you.

Preparation for the procedure

Before therapy, patients must observe small restrictions:

  • No sunbathing for three weeks
  • Ibuprofen and aspirin should not be taken for seven days
  • Three days do not treat the scar with a scrub and alcohol-containing products

Following these recommendations laser scar removal will be completed successfully and without complications.

How is the procedure going?

The operation is performed in just a few minutes, although the duration may vary depending on the size of the scar.

First, the doctor cleans the skin. Then it is treated with an antiseptic.

Next, the therapy itself begins, during which the doctor destroys the scar with short laser pulses. This speeds up skin regeneration.

Equipment used in our clinic

At the Lazersvit medical center, we use a technique that allows you to eliminate scars of any kind.Doctors customize the equipment for each patient.

Therefore, the scar removal laser does not damage healthy tissue.

How many sessions are required?

The doctor takes into account the peculiarities of the scar:

  • View
  • Size
  • Age

The doctor removes the smallest defects in 1-2 sessions, but large scars need to be treated up to 10 times. Moreover, with interruptions of several months.

So the removal of scars from the face sometimes takes a whole year.

Rehabilitation period

After laser resurfacing scars, recovery takes up to seven days, during which time it is important to moisturize the skin.

Also, for normal healing, you should not sunbathe, go to the solarium and sauna for three days. For sun protection, use a cream with an SPF of 25 or higher.

Cost of laser scar removal procedure

The price depends on the size of this cosmetic defect, and therefore the treatment of many large scars will be more expensive.

The doctor will name the approximate cost of the operation after the examination.

(prices are indicated taking into account the cost of application anesthesia)

Face resurfacing (full)

3650 UAH
Sanding the décolleté area

1575 UAH
Grinding cheeks

1575 UAH
Sanding forehead

1090 UAH
Grinding the hands

1330 UAH
Grinding the neck area

1575 UAH
Grinding of the periorbital area

1090 UAH
Scar resurfacing (1 cm)

500 UAH

Doctors of the clinic “Lazersvit”

Although laser skin resurfacing is safe and usually does not damage healthy tissue, medical errors sometimes lead to new scars.

Therefore, it is important to choose a reliable clinic for therapy.

In our medical center dermatologists of the first and the highest category work – the best specialists in skin diseases in Kharkov and Odessa.

We have been carrying out laser operations for several years. Our patients are assisted by doctors with experience from 17 years . During this time, they examined over 100,000 people and eliminated thousands of neoplasms, spider veins and other skin problems.

Come to the clinic “Lazersvit” and we will easily remove scars of any size on the face, arms or torso. No pain, bleeding and long recovery time.

Examination and removal will be carried out by the country’s leading dermatologists

They completed training abroad and examined more than 50,000 patients

Ladygina Evgeniya Igorevna

Doctor dermatologist

Specialty:
Has specialties of dermatologist and dermatovenerologist.

Work experience:
3 years

Education:
Graduated from V.N.Karazin Kharkiv National University in 2018.

Treatment of diseases:
Dermatoscopy. Diagnosis of skin neoplasms. Laser removal of moles, warts, warts and papillomas.Elimination of tattoos, age spots.

Belskaya Elena Alexandrovna

Chief Physician. Dermatologist

Specialty:
General medicine.

Work experience:
17 years.

Education:
Kharkov State Medical University 2003

Treatment of diseases:
D Treats chronic skin diseases: psoriasis, atopic dermatitis, eczema. Fights skin infections – pyoderma, fungal diseases.Removes permanent makeup, tattoos. Reveals and treats skin neoplasms: warts, condylomas, hemangiomas, moles.

Krasiy Irina Nikolaevna

First category dermatologist.

Specialty:
General medicine.

Work experience:
17 years.

Education:
Kharkiv State Medical University 2003

Treatment of diseases:
Diagnostics, treatment and removal of skin neoplasms (warts, papillomas, condylomas, moles, contagious molluscs, hemangiomas, vascular networks, pigmentation), treatment of chronic skin diseases (psoriasis, eczema, atopic dermatitis), skin infections (pyoderma, fungal diseases), removal tattoos, permanent make-up.

Bidnichenko Natalia Levonovna

Doctor dermatologist of the highest category

Specialty:
Dermatology.

Work experience:
15 years.

Education:
Odessa State Medical University 2003

Treatment of diseases:
Treats skin diseases – psoriasis, dermatitis and eczema. Helps get rid of pyoderma and other skin infections. Identifies dangerous neoplasms and removes them. Checks papillomas, moles, hemangiomas, keratomas, fibromas, condylomas, vascular cobwebs.

Biyukova-Polshakova Irina Lazarevna

Second category dermatologist

Specialty:
Dermatology, Trichology, Clinical Psychology.

Work experience:
11 years.

Education:
Bukovina Medical University 2007
Odessa National Medical University 2012

Treatment of diseases:
Specializes in the elimination of psoriasis, eczema and dermatitis.Diagnoses and treats skin infections such as pyoderma. Identifies dangerous neoplasms and selects methods for their removal.

Selection of an individual program for the treatment of acne (acne disease) and correction of cosmetic defects of the skin after acne

Acne

Acne (acne, acne) – papular or pustular elements resulting from a malfunction of the sebaceous glands.Acne often appears on oily skin, localized on the skin of the face, chest, shoulders, back. They are single or multiple inflammatory rashes that rise above the level of the skin. To find out the reasons for the appearance of acne, it is necessary to consult a dermatologist, and if necessary, an examination of the gastrointestinal tract, hormonal profile. Acne treatment is carried out with the help of medications (antibacterial drugs, systemic retinoids, vitamin therapy, etc.) and cosmetic methods (hygienic face cleansing, peeling, mesotherapy, ozone therapy, phototherapy, cryotherapy, laser therapy).

If you ask young people what acne is, many will find it difficult to give the correct answer. However, almost all boys and girls are familiar with this phenomenon at one stage or another of their growing up. Behind the euphonious word lies a completely unseemly cosmetic problem, faced with which a young person experiences strong emotional experiences, because this is nothing more than youthful acne. No persuasion of adults that it is temporary, that the acne will soon disappear themselves, do not give comfort, because it is at a young age that young girls and boys are so important to the opinion of others about their appearance.A dermatological problem turns into a psychological problem.

So what can you do? To be sad and worried in the prime of youth about unsightly skin, to avoid peers and postpone a long-awaited date for later? The specialists of the Medline Surgut clinic suggest fighting this enemy of good mood in the most active way. To begin with, let’s study our enemy in order to win an inevitable and quick victory against acne for the beauty and smoothness of our own skin.

Causes of acne

Acne juveniles are caused by inflammation of the sebaceous glands.At the time of puberty, the body reorganizes its work. As a result of this restructuring, metabolic processes can give a temporary failure – there is an excess of iodine and vice versa, a lack of vitamins A, B and zinc. The result is stagnation of sebum and a decrease in its bactericidal properties. This circumstance will not fail to take advantage of propionic bacteria and other causative agents of inflammation, for which sebum is an excellent breeding ground. Most often, acne rash occurs in the face, head, and upper body.

Hormonal changes are characterized by an imbalance of male (androgens) and female (estrogens) sex hormones. With the end of puberty and the establishment of the balance of sex hormones, juvenile acne often disappears without a trace, only occasionally reminding of itself in case of any hormonal imbalance (can appear in women before menstruation). Indispensable companions of excitement and stress, acne can make itself felt in various experiences and anxiety states.

Medicated acne . In this case, the causes of acne are again steroid hormones, but not produced by the body, but coming from the outside with the intake of medications containing them. So, in people undergoing therapy with corticosteroid drugs, purulent pimples are often formed. A similar problem can occur in women who stop taking oral contraceptives.

Excessive cleanliness and acne . Oddly enough, acne has nothing to do with poor hygiene.Blackheads appearing on the face are not dirt, but oxidized sebum. Even if you wash your face 20 times a day, you will not be able to notice any improvement. On the contrary, very frequent washing dries out the skin and weakens its resistance to infections, which leads to exacerbation of acne. It is enough to wash your face twice a day. But hands need to be washed more often. If you touch your face with dirty hands, pathogens that can cause inflammation will get on your skin.

The above factors do not raise doubts that for a successful fight against acne it is necessary to eliminate the causes of acne, which is not always possible. What then is to be done? To constantly take medications that have numerous side effects in order to fix the problem for a while?

Acne Treatment

Knowing why acne occurs, it is easier to deal with them. Treatment for youthful acne begins with good hygiene. It is necessary to carefully care for the skin so that existing acne does not become inflamed and new ones do not appear.

Squeezing acne exacerbates the disease. Many people, trying to get rid of acne, begin to squeeze them out – they open the boils in the hope that such a process will help stop the inflammation and eliminate the problem. But squeezing out acne, on the contrary, aggravates it: the infection penetrates into the deeper layers of the skin and reaches the dermis, is transmitted to healthy cells, infecting them and causing new inflammations. It is especially unacceptable to squeeze out acne in the area of ​​the nasolabial triangle, the circulation of which is closely related to the cerebral circulation.In case of infection, there is a great risk of the infection entering the brain through the bloodstream.

Frequent touching of the face has a similar effect. Of course, if you want to have a dozen new ones instead of one pimple, then continue to squeeze. If you want to completely get rid of acne, then contact a specialist. There are enough safe and effective acne treatments available to dermatologists and cosmetologists.

Turning to the medical center “Medline Surgut”, you can use modern techniques that get rid of even various forms of acne and allow you to get excellent cleanliness and stability results.After the course of treatment, it will be enough to carry out single supporting procedures. Give us a call and you will soon forget about your acne problems!

Post-acne

Post-acne – the consequences of unskilled (most often mechanical) exposure to acne. Most people are familiar with the problem of acne. Even people with enviable skin, at least during puberty, had even a few youthful pimples. And when the skin is seriously affected by acne (acne), serious professional treatment is required.If you neglect the competent ways of dealing with acne, there is a threat of a new problem – post-acne.

Manifestations of post-acne

Post-acne is a complex of cosmetic skin defects resulting from seborrhea and acne, as well as unskilled effects on them when trying to self-treat.

Post acne include:

  • pore expansion
  • persistent erythema and capillary dilation
  • scars
  • uneven skin texture
  • stagnant spots
  • post-inflammatory hyper- and depigmentation

The severity of acne does not only depend on how severe the acne lesion was.If acne occurs at a young age, when the skin has a great ability to regenerate, moreover, if timely professional acne treatment has been carried out, post-acne does not pose a serious problem. On the contrary, a long course of acne, without the provision of proper cosmetic and medical care, causes persistent changes in the structure of the skin and a serious cosmetic problem. Let’s consider in more detail the main manifestations of post-acne.

Expansion of pores .Overactive sebaceous glands lead to excessive secretion production and accumulation in the ducts. Various external impurities, remnants of cosmetics, dead skin cells are also mixed here. There is a compaction of the walls of the duct due to its prolonged expansion, then there is an excessive development of the stratum corneum of the skin, the occurrence of a scar. Uneven skin texture becomes noticeable.

Persistent erythema . As a result of improper (most often mechanical) impact on the inflammation focus, traumatic unskilled removal of papules, pustules, nodes or cysts leads to the formation of cyanotic spots.They arise in response to a violation of blood microcirculation. The same cyanotic scars and spots appear after the opening of the focus of inflammation and the eruption of the infiltrate. The aesthetic condition of the skin deteriorates, scars and spots are especially noticeable in the cold season. It is possible to correct the situation only with the help of special treatment.

Post-acne scars . Certain cosmetic methods of acting on inflamed areas of the skin lead to the formation of acne scars. With electrocoagulation of inflammation foci, opening of closed comedones with a needle, post-acne phenomena occur – skin irregularities, cicatricial formations, cyanotic spots.The reduction of reparative processes and skin regeneration is facilitated by frequent mechanical cleansing of the face, in which the skin is compressed, injured, and the capillary circulation is disturbed.

Methods for the treatment of post-acne

  • Methods for post-acne correction with enlarged pores

Firstly, pore enlargement is corrected by the use of drugs that reduce the activity of the sebaceous glands, for example, retinol and retinoic acid. Exposure to the skin with retinol is a more gentle method of correction in comparison with retinoic acid, does not cause erythema in the form of peeling and dryness of the skin.Retinols reduce the secretion of the sebaceous glands, significantly reduce the thickness of the stratum corneum. Treatment of post-acne with these drugs takes a long time, the therapeutic effect appears only after a few months or even a year later.

Secondly, the elimination of the phenomena of hyperkeratosis (excessive development of the stratum corneum of the skin) contributes to the correction of skin defects associated with the expansion of pores. For this, preparations with a content of fruit acids (lactic, tartaric, glycolic, etc.) are well suited.and salicylic acid and adelaic acid. Under the influence of these drugs, the stratum corneum of the skin becomes thinner, the accumulation of fallen cells in the follicle orifices decreases, the condition of the orifices is normalized, and their blockage is eliminated. Fruit acids (hydroxy acids) also contract the sebaceous glands, effectively dissolve the fat secretion, and cleanse the ducts. Continuous use of hydroxy acids for more than 4-5 months is undesirable. In order to avoid the so-called addictive effect, the procedures should be stopped for 1-2 months, and then the treatment should be continued.

  • Methods for correcting persistent erythema in post-acne

The methods are based on the vasodilating and local irritating effect of the drugs used. Preparations based on ichthyol, camphor, menthol, nicotinic acid, isopropyl alcohol improve blood supply to the upper layers of the skin and tissue trophism. As a result, the skin capillaries narrow, become more elastic, their inflammation and paresis disappear. Normalization of vascular and microcirculatory processes leads to a reduction in the site of post-inflammatory erythema.

Anti-inflammatory and vasodilating procedures are effectively combined with superficial chemical peels and topical application of Alpha-ascorbic acid preparations with a high (10-17%) content of vitamin C. Chemical peeling activates skin microcirculation, while vitamin C has a vasoconstrictor, resorption and depigmenting effect. As a result, the condition of the skin, its appearance, restorative and protective properties are improved.

Intradermal microinjections – biorevitalization, mesotherapy, ozone therapy – improve microcirculation, lymphatic drainage and skin elasticity.Good results are obtained by using professional medical cosmetics.

  • Correction of post-acne scars

Cicatricial changes in the skin due to acne are difficult to treat. Their appearance can be avoided if you start timely adequate therapy for the first signs of inflammation of the sebaceous glands. No treatment method guarantees complete removal of scars. The solution is to minimize the appearance of scars, to make them almost invisible against the background of the surrounding tissue.Post-acne treatment is carried out as directed and under the supervision of a dermatologist, specialists in aesthetic cosmetology and surgery. Contraindications for many procedures are the active stage of acne, acute inflammation, skin diseases. The method of treatment is selected individually, depending on the type and severity of cicatricial changes.

90,000 Acne on the face in newborns – causes of appearance, first symptoms, prevention

Acne is a disease of the sebaceous glands.Typically, acne is a red, inflammatory nodule (pimple) that is often painful, as well as non-inflammatory comedones, which are painless blackheads. Acne is one of the most common skin lesions. Among the seborrheic acne associated with hormonal stimulation, there are neonatal, infant and juvenile acne.

Reasons

  • Excess of the mother’s hormones that the baby still has
  • Reorganization of the child’s hormonal system
  • Excessive secretion of the sebaceous glands of the child
  • Clogged skin pores and follicles
  • Excessive proliferation of lipophilic yeasts leading to inflammation
  • Hormonal failure (in adolescents)
  • Problems with the gastrointestinal tract (in adolescents)

Neonatal and juvenile acne develop during periods of physiological natural hormonal changes.Infant acne is rare, mainly in boys, rashes become noticeable from the second half of life and continue to appear for 2-3 years, sometimes up to 5 years. In all forms, additional exogenous provoking factors can play a significant role.

Symptoms

Facial skin lesions: comedones, papules, pustules, in rare cases – cystic nodes.

Acne in newborns is similar to those that occur in adolescents during puberty.In some cases, they can appear on other parts of the body, such as the neck, ears, or back.

Under no circumstances should neonatal acne be squeezed out. This will not speed up treatment and recovery. You always need to remember that there is a danger of introducing an infection into the baby’s body.

Before undertaking any treatment for inflammation that has appeared in children, it is necessary to clearly determine what exactly you are facing. Perhaps this is not newborn acne at all, but an allergy.Symptoms may be similar and therefore, in this situation, it is better to consult a pediatrician and a dermatologist, since only they will be able to distinguish these skin rashes in children.

Juvenile acne is a global problem for both doctors and patients due to the almost total prevalence of this disease (80-90% or more), long-term course, unpredictable outcome with the possibility of disfiguring scars or transition to acne in adults. It is also possible for patients to develop psychological problems associated with an unaesthetic appearance of lesions on the face, which is especially difficult in adolescence.Juvenile acne occurs between 8 and 21 years of age.

Clarification of the diagnosis by a dermatologist is carried out using: dermatoscopy of the rash; pH-metry of the skin; bacteriological examination (if there are signs of infection).

Prevention


For children:

  • Routine hygiene procedures
  • Air and sun baths
  • Do not smear your face with baby cream, oils and lotions
  • Keep skin clean and dry
  • Do not squeeze pimples, this can cause infection of the sebaceous glands and inflammation

Teenagers:

  • Contact a dermatologist.Dermatologist can prescribe medication to determine the cause of acne
  • Switching to non-comedogenic cosmetics
  • Using sun protection cream

More about pediatric dermatology at the YugMed clinic

90,000 TOP-4 ways to get rid of scars after acne

TOP-4 ways to get rid of scars after acne

October 11, 2016

Many of us have suffered from acne , especially during adolescence.Over time, the rash disappeared, but the consequences remained in the form of scars. Removing these marks is quite problematic, but there are a number of procedures that can rid the skin of acne scars or minimize their appearance.

Post-acne scars are formed in 95% of cases, therefore prevention is of great importance – that is, timely and high-quality treatment of acne . But what if the time is lost, and scars are already clearly visible on the face?

Thanks to the achievements of modern cosmetology, this problem has a solution.

First, it is important to identify the type of acne scars as they come in all shapes, sizes, depths, and even colors. The most common are sinking, pitting-like scars. Such sinking scars are located in the dermis and are composed of collagen fibers, which provides a “retraction” of the epithelium.

The methods of treatment are based on damage to the epidermis (for shallow scars) and dermis (for deep scars), so that new young tissue covers this defect.

Lasers

There are two main categories of lasers used to treat scarring. Ablative lasers (resurfacing) remove the outer layers of the skin by burning away scar tissue and allowing skin collagen to shrink to reduce the size of the scar. Non-ablative lasers cause changes in the dermis without affecting the epidermis. By heating the collagen fibers, they cause them to contract, reducing the size of the scars.

Chemical peeling

Chemical peeling – application of a strong acid that damages the surface layer of the skin, stimulating its renewal.This method is good for treating superficial scars. However, acne scars are often too deep and narrow, so it is better to work on the edges, reducing their height.

Subcision

Subcision is reduced to the dissection of the cords formed from connective tissue and connecting adipose tissue with the tissues of the bottom of the scar. As a result, the bottom of the scar rises, but complete alignment usually does not occur. The final leveling of the scar to the level of the skin surface is performed by laser resurfacing .

Mechanical Dermabrasion

Mechanical dermabrasion of the face involves the removal of the uppermost layer of the skin. It is here that dead and keratinized cells are located. It is more often used for superficial scars.

The most rational combination of various techniques is currently considered, as well as their addition to mesotherapy.

Since controlled damage to the skin is required to smooth out the relief of the skin, these types of treatment must be carried out strictly by a cosmetologist .After all, excessive damage to the skin can lead to the appearance of new scars, and insufficient damage to a weak effect of treatment. In addition, it must be borne in mind that after the procedure, a recovery period will be required.

Currently, many cosmetic and plastic surgery clinics in Europe treat acne scars . The leading position in European dermatology is currently occupied by the Dermatological Clinic prof. Dirshka , Dusseldorf, Germany . The clinic has the most modern equipment and highly qualified specialists in the field of dermatology , cosmetology and plastic surgery.

If you have a desire to get rid of scars after acne, to get a smooth, well-groomed face skin, the company UCMS “Treatment Abroad” is ready to organize a trip to the clinic of prof. Dirshki or another dermatological clinic in Europe .

You can find out all the details in any convenient way from the managers UCMS “Treatment abroad” .Our toll free: 8 800 200 49 17

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Acne treatment. How to cure acne and pimples | Daily Medical

Acne occurs suddenly and can easily ruin not only the appearance, but also the mood. When you search for “acne treatment” on Google, you will find many recipes for homemade masks and talkers, but they only give a cosmetic result, and are often completely ineffective. This is because acne or acne, as they call it in medical circles, is not a cosmetic flaw, but a marker that indicates malfunctioning of the body.Today we will find out what acne is and how it appears, how to treat acne and prevent complications.

Causes of acne

Acne occurs as a result of inflammation of the sebaceous glands. The gland duct becomes clogged and a comedone (pimple) forms.

Acne vulgaris often accompanies adolescents during puberty from 12 to 19 years.

Among other causes of acne, there are:

90,018 90,019 stress;

  • changes in hormonal levels as a result of pregnancy, taking oral contraceptives, in the premenstrual period;
  • 90 019 damage, skin irritation;

  • incorrectly selected skin care and cosmetic products;
  • problems of the gastrointestinal tract;
  • improper nutrition;
  • smoking, alcoholism;
  • taking medications;
  • diseases of the endocrine system;
  • increased sweating;
  • genetic predisposition.
  • Acne can also occur as a result of prolonged exposure to the skin of oil products, dioxin, lubricants. Therefore, at risk are people who, by the nature of their activity, are constantly in contact with these substances.

    Acne symptoms

    The main symptom of acne is the appearance of nodules and pustules on the face. There are three types of acne:

    • comedone (closed, open) – formed as a result of blockage of the mouth of the hair follicle with keratinized skin particles;
    • pustule (epidermal, dermal) – an abscess in which an active inflammatory process takes place, usually quite painful.
    • papule – looks like a pustule, but there is no pus in it, it appears as a result of inflammation of the follicles.

    In some cases, there is an acute course of the disease, which is characterized by increased body temperature, headaches, numerous acne eruptions all over the body.

    Stages of acne

    Depending on the stage of development, the clinical picture of the disease also differs:

    1. At the initial stage of the disease, no more than 10 non-inflamed acne appears.
    2. With the transition to the middle stage, the number of acne increases and can reach 40 pieces.
    3. The severe stage is characterized by the fusion of multiple rashes, hyperpigmentation, scarring.

    Doctors also distinguish several forms of acne:

    • focal lesions with pustules and ulcers, accompanied by fever;
    • focal appearance of fistulas with abscess followed by scarring;
    • the formation of papulonecrotic rashes in the forehead;
    • Infant eruptions on the cheeks.

    Treatment of acne and acne begins with determining the form and stage of the disease.

    Acne Treatment

    To determine the cause of acne, you should undergo a full examination. This problem should be addressed to a dermatologist. It is he who will prescribe the necessary studies and tests for acne.

    Diagnostics for establishing the causes of acne includes:

    • taking tests for a certain type of hormones that regulate the work of the sebaceous glands;
    • taking tests for glucose tolerance;
    • consultations of related specialists, to exclude diseases of a gynecological, endocrine nature, which have caused rashes.

    Acne in adolescents often occurs at the beginning of puberty, when there is an active work of the sebaceous glands. Since the pores on the face, back and chest are the widest, these areas are more likely to be affected by rashes.

    The therapy includes two types of drugs:

    • outdoor;
    • internal.

    The treatment of acne must be approached systemically. Masking rashes is not only ineffective, but also harmful: this way you can aggravate the condition of your skin.

    No matter how convincing the advertisement looks, alas, there is no single magic acne remedy that would suit everyone and help to cope with the disease once and for all. Only a doctor will be able to determine the reason for which your acne appeared, and will prescribe a competent treatment regimen.

    The mild stage of the disease is treated with external agents, the task of which is to prevent the development of an active inflammatory process and the growth of bacteria. After establishing the diagnosis, the doctor will prescribe you ointments, gels and creams with active ingredients in the composition.In the fight against acne, it is important to properly care for your skin. A specialist will definitely advise you on means for cleaning and moisturizing your skin.

    Treatment of acne in adolescents and adults with more severe acne lesions is to take medications in conjunction with topical therapy. First of all, treatment is aimed at eliminating the root cause of the rash – problems with hormonal levels, gastrointestinal tract, etc.

    If you decide to start treatment for acne, the dermatologist of the Daily Medical Medical Center will help you to approach the issue comprehensively.With us, you can undergo a full examination of the body, pass the necessary tests and get advice from other specialists, if necessary. You can find out more information about the appointment of a dermatologist by clicking on the link. In Daily Medical, experienced dermatologists – Tsekova Yulia Yurievna and Antibura Viktoria Vladimirovna – are receiving patients.