The Best Ways To Get Rid of Acne Scars – Cleveland Clinic

Acne is every teen’s nightmare, and acne can sometimes even extend into adulthood. But long after pimples clear up and the redness and irritation are gone, some of us carry unwanted reminders: scarring. Unsightly scars left behind from acne can be tough to bear.

But whether your acne scars are raised or sunken, there are several good ways to mask or minimize them — think laser resurfacing, chemical peels and microneedling.

“I’m always amazed at how much healing the skin can do once you get the inflammation under control,” says dermatologist Amy Kassouf, MD.

Dr. Kassouf explains the best acne scar treatments that are available and how they can help minimize your acne scars.

Acne is a common skin condition affecting about 80% of those between the ages of 11 and 30 at some point. It can be on your face, chest, back and shoulders. It may seem like the irritation will never go away, but it does. When it goes away, you may be left with acne scars.

Although it’s not possible to get rid of your acne scars quickly, it’s never too late to treat them. Teenage patients may have to wait until their early 20s before undergoing treatment to make sure there’s little risk of future acne flare-ups.

While there are plenty of over-the-counter products that claim to improve a scar’s texture, color and appearance, there’s no real way to get rid of acne scars naturally and at home. Over-the-counter products may include the following ingredients:

• Alpha hydroxy acids.
• Lactic acids.
• Retinoids.
• Salicylic acid.

But your best bet is to consult a dermatologist. First, they’ll focus on getting your acne under control. The fewer breakouts you have, the fewer scars you’ll get. And the good news is that not all acne scars are permanent.

When your doctor turns attention to the scars your acne has left behind, they’ll typically explore the following treatment options.

Laser resurfacing

Vascular-specific lasers target blood vessels and can help lighten flat or raised scars that are pink or purple and help flatten raised scars. Doctors often use fractional or carbon dioxide ablative lasers to treat acne scars.    

“Afterward, the skin is swollen and red, and may bleed, for up to five days,” says Dr. Kassouf. “Also, you may need between three and five treatment sessions.”

Laser treatments aren’t just for acne. Doctors use lasers to treat other types of scarring as well, including those from burns, skin cancer and tattoo removal.

Chemical peels

Your dermatologist may apply a chemical solution to your skin. This causes it to blister and eventually peel off, creating new, regenerated skin that’s usually smoother than the old skin.  

Peeling typically causes redness, and sometimes swelling and cold sores, for up to seven days. This treatment is also less expensive because you’ll usually only need one treatment session.

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“Lasers are more precise, so if a chemical peel doesn’t work, people often try laser,” Dr. Kassouf notes.

Microneedling

Also known as collagen-induction therapy, microneedling uses either a fine-needle roller or pen device to create tiny holes in the top layer of your skin. The procedure stimulates collagen production, which helps improve fine lines and skin texture. 

Redness occurs afterward and typically lasts a couple of days. Most people will need four to six microneedling treatments for best results.

Your doctor may use more than one type of treatment, too, depending on your needs. For instance, they may treat some scars with a laser and others with microneedling.

“When you have damaged skin, no treatment will make it look perfect again,” states Dr. Kassouf. “But, depending on its severity, an acne scar can diminish by as much as two-thirds after treatment.”

Punch excision

If you have a pitted scar that won’t heal well with standard treatment, your doctor may opt for punch excision.

“This is where the whole scar and hair follicle are removed prior to resurfacing,” explains Dr. Kassouf.

A round tool is used to completely remove a scar by puncturing the top layer of skin. Then, skin sutures are used to close the area, which should result in a smaller, flatter scar that fades over time.

Subcision

Another treatment that may be helpful before any of the lasers or peels is called subcision, a procedure that involves releasing a scar that’s bound to the muscle or deeper tissues so that it can move freely again.

This technique, which uses a surgical probe or needle, is used with deeper scars to bring them to the surface to enhance their response to the laser, chemical peel or microneedling.

You may notice minor bruising for about one to two weeks after treatment.

Fillers

Yes, fillers are typically used to treat wrinkles. But they can also be used to help with sunken acne scars.

Hyaluronic acid fillers like Restylane® and Juvederm® help plump your skin and can smooth out any sunken areas, while collagen fillers like Bellafill® lift the acne scar and can add volume.

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Sculptra®, which is a poly-L-lactic acid filler, works over time by stimulating collagen production to raise any recessed acne scars.

Your doctor may also suggest an autologous fat transfer, in which fat from another part of your body is harvested and injected into the acne scar area.

For all varieties of filler, you may experience swelling, redness and discoloration. And depending on what type of filler is used, you may need multiple treatments.

Dermabrasion

Similar to laser resurfacing, dermabrasion uses a special tool that creates friction to remove your skin’s top layer. Think about it as a “sander” that smooths your skin.

Once that top layer of skin is removed, a moist dressing will be applied to help it heal, which can take a couple of weeks.    

Microdermabrasion is similar to dermabrasion, but typically involves multiple treatments with shorter recovery times. Microdermabrasion doesn’t go as deep or leave as permanent of a change as laser treatments but is less expensive and requires less preparation. 

Steroid injections

A common treatment, steroid injections can be used to flatten raised acne scars. You’ll need multiple treatments before you see any noticeable difference.

Side effects can include mild pain, bruising and possibly bleeding. Alternating injections with laser treatments can often enhance results.

Can you prevent acne scars?

Acne can be related to medications or other supplements, so always review medicines like birth control and workout supplements with a doctor. 

There are a few things you can do to reduce your risk of getting acne scars:

• Quit smoking or don’t start smoking.
• Keep your hands off your face. Resist the urge to pick or squeeze your pimples.
• Treat your acne as soon as possible to reduce the chance of scars.

Scarring can happen at any age, no matter if you’re a teenager and your hormones are changing or you’re an adult. Sometimes, when adults lose weight or lose elasticity in their skin as they age, scarring from years past becomes more evident.

“For other adults, they just find that the time is finally right to take care of themselves,” Dr. Kassouf says. “I had a 60-year-old who said she has dealt with this scar all her life and wanted to do something about it. I’ve seen beautiful results with adults.”

Acne scars: Diagnosis and treatment

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How to remove acne scars

Each human body is individual, which is why some of us have perfect skin all our lives, while others suffer from rashes for many years. This unpleasant cosmetic defect has the peculiarity of transforming over time into the so-called post-acne. Post-acne is the atrophic consequences of acne in the form of congestive elements and scars that occur at the site of acne (on the cheeks, on the forehead, shoulders, back) due to the insufficient ability of the epidermis to self-regenerate and for a number of other reasons.

To better understand the nature of post-acne, let’s find out what kind of rashes lead to it.

Types of rashes on the face

Each of the types of rashes that will be discussed below is provoked by one or another factor, and, accordingly, in order to avoid the development of the disease, it is important to start treating the underlying cause in a timely manner.

Comedones are “sebaceous plugs” (open or closed) that clog a pore and can be a catalyst for serious inflammation. With proper skin care and timely, high-quality cleansing, comedones quickly disappear and do not pose a threat to the skin. If there is an infection, the comedone turns into a papule.

• Pustule – is a pustular formation that occurs in the focus of inflammation due to the active action of waste products of microorganisms. It has a white or greenish-white color, the size is from a grain to a pea.
• Papule – is a swelling, a cavityless nodule, rising above the skin, which is characterized by painful sensations during palpation. Papules can vary in color from red to bluish.
• Lightning pimple – is the most severe form of the disease, because, in addition to damage to the deep layers of tissue, it entails a change in the formula of leukocytes in the blood, an increase in body temperature, and is manifested by severe pain in the skin, muscle tissue and bones.
• Nodular cystic pimple (furuncle) – Another severe form of acne, which is a pimple surrounded by inflamed red-purple skin. These rashes are connected to each other by fistulous ducts. If the disease becomes chronic, then dark spots, scars, scars can form in their place. Possible complications include the formation of abscesses.

Causes of scarring after acne

Acne is prone to both owners of oily skin, and combination or even dry. Rashes have a different character. In general, acne is a local, chronic inflammatory process caused by a number of factors: hormonal disorders, infectious conditions, disorders of the gastrointestinal tract and the endocrine system, as well as incorrect skin care.

When inflammation intensifies and spreads to the deeper layers of the skin, acne marks (acne scars) form in place of acne. Since the human body, during inflammation, begins to produce white blood cells faster than usual, as a result, post-acne occurs in the form of pigmentation, scars of various types, congestion.

Causes of scarring after acne are:

• Long-term, unresolved problems with the skin of the face.
• Incorrect selection of cosmetic and care products.
• Deep inflammatory process.
• Untimely acne treatment or treatment by a low profile doctor.
• Self extrusion of pimples.
• Injury to small capillaries.
• Attachment of infection.

Is it possible to get rid of acne scars at home?

When dealing with post-acne, it is important to understand that this pathological process also occurs in the deep layers of the dermis and entails serious changes in the skin. For this reason, self-treatment (without qualified medical care) can be fraught with beauty and health. Therapy for acne scars should be complex, which means stopping inflammation, improving blood circulation, deep skin hydration, and regeneration.

A wide range of home peels, serums, creams, pharmaceutical ointments can also be used in home treatment, but only after consultation with a specialist.

It is important not to self-medicate as there is a high risk of irreparable damage to the skin.

How to deal with acne scars in cosmetology

Is it possible to remove acne scars? Of course, modern medicine has several effective methods, each of which has proven effectiveness and is successfully used in our clinic.

• Peeling. Peeling is a chemical exfoliation of the upper, damaged skin layer due to the action of active acids. Peelings are distinguished by the depth of exposure (superficial, medial, superficial-median and deep), as well as by the type of acid. Exfoliation reduces inflammation due to the bactericidal action of acids, eliminates keratinized, defective cells, removes stagnant elements, lightens pigmentation and starts the process of natural skin restoration at the level of the epidermis and dermis.

• Mesotherapy. This is an injection procedure that involves the subcutaneous administration of formulations of several medicinal substances or mono-preparations based on hyaluronic acid, vitamins, micro- and macroelements, peptides, collagen, etc. Mesotherapy with broad-spectrum drugs stimulates skin regeneration processes, due to which scar tissue is replaced by new healthy cells. It also has an antiviral antiseptic effect, as a result of which the bacteria that cause the disease die. Mesotherapy generally improves the quality and immunity of the skin, rejuvenates and nourishes it from the inside.
• Plasma therapy. It is also an injectable procedure that helps to solve the problem of congestive spots by subcutaneous injection of the patient’s own blood plasma, which is enriched with growth factors. Growth factors stimulate skin cells to regenerate, increase skin immunity, strengthen the lipid barrier. The procedure reduces the appearance of post-acne scars.
• Laser resurfacing. This is the most effective treatment for acne scars. Due to the point evaporation of defective skin cells with laser energy, it becomes possible to remove the top layer of the skin and at the same time start the process of neocollagenesis in deeper layers. Thanks to this, the skin relief is leveled, post-acne traces disappear, pigmentation disappears, the skin becomes healthier, more elastic. Laser resurfacing can be carried out with varying degrees of intensity and depth, which allows you to remove even the oldest and deepest acne scars.

Which method is indicated in each specific case will be determined by the Diamond Laser clinic dermatologist based on the results of an in-person consultation. Also, these methods can be combined to achieve the best post-acne treatment result.

Is it possible to quickly get rid of acne scars?

Asking the question “how to get rid of acne scars?” It is important when the treatment was started. The sooner you resort to qualified dermatological care, the sooner and more pronounced the effect will be. The best time for therapy is considered to be up to six months from the moment of scar formation. Such a scar is “fresh”, the cells are less atrophied, respectively, the treatment will be more effective than with old post-acne scars.

In other words, treat acne scars on the face as soon as they are discovered. This will achieve the maximum effect, in which the skin of the face will be smooth and even without traces of pathology.

You can make an appointment with a dermatologist regarding the treatment of post-acne traces by calling the phone numbers listed in the “Contacts” section of our website!

The information published in the article is for informational purposes only, is not a call to action and should not be considered as expert advice. All decisions regarding the receipt of medical care should be made by the patient in full consultation with the doctor.

How to get rid of acne scars, how to remove acne scars – Medicalaser

CONTENTS:

1. Causes of acne and post-acne
2. How an acne scar is formed
3. Varieties of post-acne
4. Is it possible to get rid of acne scars on my own
5. How to deal with acne scars: salon treatments
6. When is the best time to start treatment
7. Post-Acne Prevention

Not everyone has been generously endowed with perfect facial skin. Many – both women and men – suffer from rashes on the face. This unpleasant cosmetic problem often turns into an even more unpleasant one – the so-called post-acne. These are ugly marks on the skin that appear on the skin after acne disappears. They may look like spots and scars.

Trying to mask the unsightly marks of recent acne, people suffering from this problem spend a lot of time and cosmetics, and still feel insecure. At the same time, the pores become even more clogged, as a result of which new acne appears. In addition, naturalness is in fashion today, and a layer of foundation and powder does not look too natural.

Therefore, many salon visitors want an answer to the question of whether it is possible to get rid of acne scars. Fortunately, it is possible, and there are various ways to get rid of acne scars, which will be discussed below.

Causes of acne and post-acne

For some reason, it is commonly believed that only those with oily skin are prone to acne, but this is not true. In fact, those with combination or even dry skin are also prone to the formation of rashes on the face. The nature of the rashes can be different. In general, acne is a local inflammatory process in a specific area of ​​the skin. It can be caused by hormonal failure, impaired functioning of the gastrointestinal tract (for example, due to malnutrition), as well as incorrect skin care.

With increased inflammation and its spread to the deeper layers of the dermis, post-acne appears in place of acne – ugly marks in the form of spots or scars.

Why do post-acne appear?

1. Due to long-term problems with the skin of the face.
2. With the wrong selection of cosmetics and care products.
3. In the presence of deep inflammatory elements.
4. When ignoring acne, the lack of appropriate treatment.
5. Due to the treatment of rashes by an unskilled specialist.
6. When self-squeezing pimples.
7. Injury to small capillaries.
8. When an infection is introduced.

How an acne scar is formed

As we have already said, scars appear when the skin becomes inflamed. In the fat sac, due to colonization, an inflammatory process occurs. The human body responds to inflammation with a faster-than-normal production of white blood cells as well as inflammatory molecules. As a result, post-acne is formed in the form of pigmentation, scars of various types. If there is an individual tendency, then “dented” scars appear. If the reaction of the body is disturbed, bulging scars appear. Before you remove acne scars, you need to understand what type of post-acne we are dealing with.

Varieties of post-acne

Stubborn traces that remain on the skin after rashes are of different types:

• Spots.
• Normotrophic scars.
• Atrophic scars.
• Hypertrophic scars.
• Keloid scars.

The first type of post-acne – spots – is pigmentation, which appears as a result of increased synthesis of melanin pigment. This is the most harmless type of post-acne, which passes relatively quickly (up to a year).

Normotrophic scars are pale scars located flush with the dermis.

Atrophic scars may be pitted or indented, oval, round or generally irregular in shape. These scars are unpigmented.

Hypertrophic scars are bulging formations. They may have a pinkish or bluish tint. They rise above the skin, which is caused by increased growth of collagen fibers.

Keloid scars are rough formations that rarely appear on the face. They cause pain in a person, often itchy.

At the moment, the most common type of acne scarring is atrophic. Such scars are formed due to a lack of collagen, which is responsible for the uniform healing of the skin.

Raised scars often appear after acne. In this case, on the contrary, in the process of wound healing, too much collagen is formed, so the tissue as a result rises above the rest of the skin in the form of a scar. If you do not take the treatment of acne scars on the face, such scars remain forever.

Is it possible to get rid of acne scars on my own

In search of answers to the question of how to quickly get rid of acne scars, women, as a rule, first look for “home” solutions to the problem. But is it possible to get rid of acne scars on your own at home?

The fact is that traces of the so-called post-acne affect the deep layers of the dermis and provoke serious skin changes. Therefore, it is impossible to completely remove acne marks on your own without resorting to the help of professionals. But with the help of “home” methods, you can improve the appearance of post-acne, however, this will take a lot of time. The skin needs a comprehensive approach that includes reducing inflammation of the skin, improving its blood circulation, deep hydration, and ensuring the synthesis of new cells.

Here are two ways to treat acne scars at home:

• Using special cosmetics. From cosmetics against post-acne, you can use soft peels with fruit acids, which provide deep cleansing. Also suitable are special serums and essences for recovery, whitening creams and masks, and products to stimulate the production of natural collagen.
• Application of pharmaceutical preparations to problem areas. Of the therapeutic agents, products that have a resolving or regenerating effect, created specifically against scars, are suitable. It can be ointments, various creams and so on. As a rule, such preparations contain substances such as sodium heparin, allantoin, silicon, cepalin, etc., which have anti-inflammatory, analgesic, moisturizing, stimulating, antibacterial properties.

How to deal with acne scars: salon procedures

How to restore the face after acne, tell professionals – beautician or dermatologist. Specialists prescribe individual treatment for each patient, select suitable procedures. Post-acne manifests differently for everyone, so the doctor prescribes a procedure that allows you to solve the problem of a particular patient.

There are several salon techniques that are recommended for those who do not know what to do with acne scars:

• Peeling . This procedure, due to the removal of the upper layer of the dermis, can significantly reduce post-acne. Peeling in the salon can be different. They offer several options for the depth of impact – there is a superficial, there is a deep one. The procedure is performed using acids (usually retinolic, glycolic or phenolic acids). There is also a hardware peeling, it can be mechanical and ultrasonic.
• Mesotherapy . This procedure allows you to reduce the appearance of post-acne by stimulating the production of collagen. When carrying out mesotherapy, hyaluronic acid preparations, vitamins A and C are used. After the procedure, the skin acquires firmness and elasticity, which becomes a pleasant bonus for getting rid of post-acne. Mesotherapy can be performed both by injection and non-injection methods. But this technique is suitable only for patients with minor injuries, it does not work on large areas of the skin.
• Cryotherapy . This method involves point exposure to cold on problem areas of the skin. Due to extreme cold, the skin is quickly renewed, as the body uses reserve forces to restore it.
• Laser resurfacing . It is considered the most effective technique for those who want to remove acne scars on the face. Thanks to the laser installation, it becomes possible to remove the top layer of dead cells and ensure the growth of new ones, thereby nullifying the manifestations of post-acne. Scars are smoothed out, and at the same time wrinkles.

How to remove acne scars in order to say goodbye to them forever and as soon as possible? The best way is with a laser. The most commonly used erbium laser apparatus and fractional CO2 laser. The result will be noticeable after the first sessions.

When is the best time to start treatment

When it comes to dealing with acne scars, how soon you start treatment is important. The sooner the patient seeks help from a cosmetologist, the better the result will be. It is optimal to treat scars that have formed in the period up to six months.

“Fresh” scars that are less than six months old can really be removed by the following methods:

• Introduction of hyaluron and various plant extracts under the skin.
• Mesotherapy.
• Peels.
• Biorevitalization.

Well, the laser remains the most effective method. It can be combined with the action of acids and various active substances that restore collagen in areas where there are scars. Also, cosmetologists often additionally provide skin nutrition by introducing vitamins. For each salon visitor who decides to remove acne scars, an individual daily care program is drawn up. Also, the doctor selects a prophylactic that will not give a chance to new acne.

If the scar is more than six months old, the following methods are used:

• Peels with strong exfoliants (acids with a strong exfoliating effect).
• Local surgical interventions.
• Laser therapy.

Old post-acne, again, the best way to cope with the laser. The beam of the laser apparatus stimulates the synthesis of collagen, and the surface of the scar is leveled.

Post-acne prevention

In order not to be tormented by the search for an answer to the question of how to remove dimples on the face from acne, it is better to prevent their occurrence. So, it is necessary to start acne treatment in time, which is suitable for a particular patient. The following measures also help to prevent scarring:

• Do not pop pimples.
• Do not injure pimples.
• Take proper care of your skin according to its type.

Injury to the skin in the area of ​​acne has unpleasant and even dangerous consequences in the form of prolonged healing of acne, the formation of deep skin lesions, severe post-inflammatory pigmentation, and the appearance of scars. Moreover, in this case, a secondary infection often appears, which significantly worsens the condition of the skin.