How to get rid of pitted acne scars. What are the best treatments for pitted acne scars. Which methods do dermatologists recommend for treating pitted acne scars. How long does it take to see results from pitted acne scar treatments.

Understanding Pitted Acne Scars: Causes and Types

Pitted acne scars are indented marks left behind after severe acne breakouts. They occur when inflammation damages the skin’s collagen, creating small depressions or “pits” on the skin’s surface. Unlike raised scars, pitted scars result from a loss of tissue.

There are three main types of pitted acne scars:

• Boxcar scars: Broad depressions with sharp, defined edges
• Ice pick scars: Deep, narrow pits that extend into the dermis
• Rolling scars: Shallow depressions with sloping edges, giving skin a wavy appearance

Understanding the type of scarring you have is crucial for determining the most effective treatment approach. Each scar type may respond differently to various therapies.

The Role of Prevention in Minimizing Pitted Acne Scars

While treating existing scars is important, preventing new ones from forming is equally crucial. Dr. Jeriel Weitz, a board-certified dermatologist, emphasizes the importance of early intervention: “The best way to prevent acne scars from forming is to properly treat the initial acne lesions. Delaying treatment of acne lesions can increase your risk of scarring.”

Key prevention strategies include:

• Seeking prompt treatment for active acne
• Avoiding picking or squeezing acne lesions
• Consulting a dermatologist for personalized acne management
• Using gentle skincare products that don’t irritate the skin
• Protecting skin from sun damage, which can worsen scarring

Topical Treatments for Pitted Acne Scars

While severe pitted scars often require professional treatments, certain topical products can help improve their appearance and prevent new scars from forming.

Salicylic Acid: Deep Pore Cleansing

Salicylic acid, a beta-hydroxy acid (BHA), is particularly effective for treating and preventing acne due to its ability to penetrate pores. Dr. Brendan Camp, a double board-certified dermatologist, recommends using a gentle cleanser containing salicylic acid to keep pores clear and reduce the likelihood of new breakouts.

Retinoids: Boosting Collagen Production

Retinoids are vitamin A derivatives that can help improve the appearance of pitted scars by stimulating collagen production. Dr. Camp suggests using over-the-counter adapalene gel, such as Differin, which was previously only available by prescription.

How do retinoids work on pitted acne scars? Retinoids accelerate skin cell turnover, which can help smooth out the skin’s surface. They also stimulate collagen production, potentially helping to “fill in” shallow scars over time.

Professional Treatments for Pitted Acne Scars

For more significant improvement, especially with deeper scars, professional treatments performed by a dermatologist or skilled aesthetician are often necessary.

Chemical Peels: Revealing Fresh Skin

Chemical peels involve applying a solution to the skin that causes the outer layers to exfoliate, revealing fresher, smoother skin underneath. Dr. Camp notes that quality chemical peels can “expose fresh, healthy tissue and stimulate the production of new collagen to make pitted scars look less pronounced.”

Microneedling: Stimulating Natural Healing

Microneedling involves creating tiny punctures in the skin using fine needles. This controlled injury stimulates the skin’s natural healing process, encouraging collagen production. Over time, this can help improve the appearance of pitted scars.

Laser Treatments: Precision Scar Reduction

Various laser treatments can be effective for pitted acne scars. These include:

• Fractional lasers: Create microscopic wounds to stimulate collagen production
• CO2 lasers: Removes thin layers of skin to reveal smoother texture
• Pulsed-dye lasers: Can help reduce redness associated with scars

The choice of laser treatment depends on the individual’s skin type, scar severity, and desired outcome.

Dermal Fillers: Temporary Scar Correction

For immediate improvement of deeper pitted scars, dermal fillers can be an effective option. Hyaluronic acid fillers, in particular, can be injected beneath scars to “plump” them up, creating a smoother skin surface.

How long do dermal fillers last for acne scars? The effects of dermal fillers are temporary, typically lasting 6-12 months, depending on the product used and individual factors.

Combination Therapies: Maximizing Results

Often, the most effective approach to treating pitted acne scars involves combining multiple therapies. A dermatologist might recommend a treatment plan that includes:

1. Initial series of chemical peels to improve overall skin texture
2. Followed by microneedling sessions to stimulate collagen production
3. Targeted laser treatments for specific stubborn scars
4. Maintenance with topical retinoids and proper skincare

This multi-faceted approach can address different aspects of scarring and yield more comprehensive results.

The Importance of Professional Guidance

While there are many at-home treatments available, seeking professional guidance is crucial for effectively treating pitted acne scars. A board-certified dermatologist can:

• Accurately assess your scar type and severity
• Recommend the most appropriate treatment plan
• Perform professional treatments safely and effectively
• Monitor progress and adjust treatments as needed
• Provide guidance on maintaining results long-term

Remember, what works for one person may not be the best option for another. Personalized treatment plans yield the best results.

Managing Expectations: The Reality of Pitted Acne Scar Treatment

It’s important to approach pitted acne scar treatment with realistic expectations. While significant improvement is possible, complete elimination of deep scars is often challenging. Factors that influence treatment outcomes include:

• Scar depth and type
• Skin type and tone
• Age of the scars
• Individual healing capacity
• Consistency in following treatment plans

Most treatments require multiple sessions and ongoing maintenance to achieve and maintain results. Patience and persistence are key in the journey to smoother skin.

Lifestyle Factors in Pitted Acne Scar Management

Beyond medical treatments, certain lifestyle factors can contribute to the overall health of your skin and potentially improve the appearance of pitted acne scars:

Nutrition for Skin Health

A balanced diet rich in vitamins and antioxidants can support skin health and healing. Key nutrients include:

• Vitamin C: Supports collagen production
• Vitamin E: Protects skin from oxidative stress
• Omega-3 fatty acids: Reduce inflammation
• Zinc: Supports skin healing and regeneration

Hydration and Skin Elasticity

Proper hydration is essential for maintaining skin elasticity and promoting healing. Drinking adequate water and using hydrating skincare products can help keep skin plump and potentially minimize the appearance of shallow scars.

Sun Protection: A Non-Negotiable Step

Sun exposure can worsen the appearance of scars and hinder healing. Consistent use of broad-spectrum sunscreen (SPF 30 or higher) is crucial for protecting healing skin and preventing further damage.

Stress Management and Skin Health

Chronic stress can impact skin health and healing. Incorporating stress-reduction techniques such as meditation, yoga, or regular exercise can support overall skin health and potentially improve treatment outcomes.

The Psychological Impact of Pitted Acne Scars

The effects of pitted acne scars often extend beyond physical appearance. Many individuals experience psychological distress, including:

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

Addressing these emotional aspects is an important part of comprehensive scar treatment. Some strategies include:

1. Seeking support from a therapist or counselor
2. Joining support groups for individuals with acne or acne scars
3. Practicing self-compassion and positive self-talk
4. Focusing on overall health and well-being, not just appearance

Remember, seeking help for the emotional impact of scars is just as valid and important as treating the physical scars themselves.

Emerging Treatments and Future Prospects

The field of dermatology is constantly evolving, with new treatments for pitted acne scars on the horizon. Some promising areas of research include:

Stem Cell Therapy

Researchers are exploring the potential of using stem cells to regenerate damaged skin tissue and improve the appearance of scars. While still in experimental stages, early results show promise for severe scarring.

Advanced Energy-Based Devices

New generations of lasers and radiofrequency devices are being developed to target scars more precisely with less downtime. These technologies aim to stimulate collagen production more effectively while minimizing damage to surrounding tissue.

Personalized Treatment Approaches

As our understanding of genetics and individual skin biology improves, treatments may become more tailored to each person’s unique skin type and healing capacity. This personalized medicine approach could lead to more effective and efficient scar treatments in the future.

While these emerging treatments offer hope, it’s important to approach them with caution and always consult with a board-certified dermatologist before trying any new or experimental treatments.

Long-Term Management and Maintenance

Treating pitted acne scars is often a long-term process that requires ongoing care and maintenance. Even after achieving significant improvement, continued efforts are necessary to maintain results and prevent new scarring. A comprehensive long-term management plan might include:

• Regular use of topical treatments like retinoids to maintain skin texture
• Periodic “touch-up” professional treatments to address any regression
• Consistent use of sun protection to prevent scar discoloration
• Ongoing acne management to prevent new breakouts and potential scarring
• Adjusting treatments as the skin ages and its needs change

Working closely with a dermatologist to develop and adjust your long-term skincare plan is key to maintaining the best possible results over time.

In conclusion, while pitted acne scars can be challenging to treat, a combination of professional treatments, consistent skincare, and patience can lead to significant improvements. Remember that each person’s skin is unique, and what works best will vary from individual to individual. With the right approach and expert guidance, it’s possible to achieve smoother, more even-textured skin and regain confidence in your appearance.

How to Get Rid of Pitted Acne Scars

They’re one of the most stubborn forms.

By

Erin Celletti

Erin Celletti

Erin Celletti has nearly 10 years experience, covering nearly all beats. Bylines include Byrdie, BRIDES, TeenVogue, Allure, TODAY Parents, HuffPost, Yahoo, and The Sunday Edit.

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Updated on 12/06/21 03:29PM

Medically reviewed by

Onyeka Obioha, MD

Medically reviewed by
Onyeka Obioha, MD

Onyeka Obioha, MD is an LA-based board certified dermatologist and fellow of the American Academy of Dermatology, as well as a member of the Skin of Color Society.

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Dealing with acne can be frustrating, to say the least. And when you throw acne scars into the mix, it can get 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 and Jeriel Weitz for expert insights 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, MD, is a double board-certified dermatologist specializing in medical and cosmetic dermatology at MDCS Dermatology in New York City.
• Jeriel Weitz is a board-certified dermatologist at Schweiger Dermatology Group 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.

“Scarring from acne is caused by the inflammatory response that occurs in response to acne lesions,” says Weitz. “The best way to prevent acne scars from forming is to properly treat the initial acne lesions. Delaying treatment of acne lesions can increase your risk of scarring. Additionally, try not to pick or squeeze acne lesions as this increases inflammation and your risk of scarring. I recommend seeing a board-certified dermatologist as soon as possible who can help create a treatment regimen for your acne. ”

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

01
of 11

Give Your Skin a Deep, Exfoliating Clean With Salicylic Acid

Salicylic acid is a beta-hydroxy acid that is lipophilic, which means it likes to mingle with oils. This property allows it to penetrate deep into pores and clean them out. Alpha hydroxy acids, like glycolic and lactic acids, are hydrophilic, so they don’t penetrate pores as well, but they are effective at exfoliating dead skin and preventing pores from clogging. Camp suggests cleansing with this gentle face cleanser by CeraVe, which contains salicylic acid and can be used to treat acne on the face, shoulders, and back.

02
of 11

Use Retinoids to Boost Collagen Production

Retinoids treat acne by regulating or normalizing the process of cell turnover, which prevents blocked pores and the formation of acne bumps. “The long-term use of retinoids is thought to help with collagen production,” explains Camp. He recommends Differin gel, which used to be a prescription adapalene product but is now available to purchase in stores.

03
of 11

Try a Chemical Peel

A quality chemical peel can expose fresh, healthy tissue and stimulate the production of new collagen to make pitted scars look less pronounced, according to Camp. “Resurfacing procedures such as resurfacing lasers, chemical peels and dermabrasion are effective options, as is microneedling and even radiofrequency devices which work by stimulating the production of new collagen,” says Weitz.

Gentle on the skin but tough on scars, chemical peels often get a bad rap for being harsh or painful, but when performed properly, they can provide deep exfoliation and are painless.

04
of 11

Give Microneedling With Radio Frequency a Try

Microneedling creates small, narrow, superficial areas of mechanical injury that work to stimulate the repair response, increase collagen production, and improve scar appearance. When combined with radio frequency, it becomes a bit more aggressive—with energy being released deeper within the skin to trigger a more robust inflammatory and collagen response.

05
of 11

Ask Your Dermatologist About Accutane

 Yulia Reznikov/Getty

A common but powerful prescription medication, isotretinoin (also known as Accutane) is a prescription acne medication that is specifically indicated for scarring acne. When other forms of treatment have been ineffective and exhausted, Camp says that isotretinoin is helpful for providing a durable remission in scarring acne. You should only begin an Accutane prescription under the guidance of your board-certified dermatologist, and it can be helpful to go into your appointment with some background knowledge of its potential side effects.

06
of 11

Look Into Fraxel Laser Treatments

According to Camp, Fraxel lasers can be non-ablative, meaning that they emit columns of heat beneath the skin while leaving the surface intact, or ablative, which are more aggressive and remove a narrow column of skin. Non-ablative lasers are much less invasive than ablative, requiring multiple treatments for clinical results.

07
of 11

Consider a Subcision Procedure to Break up Scars

Performed in-office by a dermatologist, a subcision procedure involves breaking up the cord of scar tissue responsible for tethering the skin down and making a depression (the “pitted” part of the scar). During this procedure, a needle is inserted into the skin to break the collagen cord. Camp warns it can be associated with bruising, though.

08
of 11

Apply an Acne Gel to Exfoliate and Brighten

Azelaic acid is derived from grains and works to kill bacteria, exfoliate dead skin, and brighten skin complexion. Camp says that Acne Gel by PCA can either be used to treat the full face or as a spot treatment. It contains both azelaic acid and salicylic acid for extra exfoliation, revealing a smoother skin surface.

09
of 11

Try to Plump Indentations With Hyaluronic Acid

 Andrew Brookes/Getty

Injections with fillers, such as hyaluronic acid, can push out and plump up puckered skin to make it more even. Camp explains that hyaluronic acid “is a natural component of the extracellular matrix, the gel that surrounds skin cells and adjoining structures.”

10
of 11

Try Dermabrasion to Slough Scars Away

Dermabrasion (of varying depths) works in a way that’s similar to chemical peels, except the process uses an abrasive, exfoliating material to remove the top layer of skin, instead of a liquid chemical. Even more, dermabrasion can help with breakouts and reduce excess oil in pores.

11
of 11

Tighten Your Skin With Professional Radio Frequency

Skin tightening with radio frequency energy can help make depressed scars less obvious. It creates kinetic energy that triggers the body’s healing process. As a result, skin produces more collagen and softens the appearance of scars.

This Is the Exact Skincare Routine You Should Follow for Acne

Article Sources

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4. Mukherjee S, Date A, Patravale V, Korting HC, Roeder A, Weindl G. Retinoids in the treatment of skin aging: an overview of clinical efficacy and safety. Clin Interv Aging. 2006;1(4):327-348.

5. Singh A, Yadav S. Microneedling: Advances and widening horizons. Indian Dermatol Online J. 2016;7(4):244-254.

6. Chandrashekar BS, Sriram R, Mysore R, Bhaskar S, Shetty A. Evaluation of microneedling fractional radiofrequency device for treatment of acne scars. J Cutan Aesthet Surg. 2014;7(2):93-97.

7. Rasi A, Behrangi E, Rohaninasab M, Nahad ZM. Efficacy of fixed daily 20 mg of isotretinoin in moderate to severe scar prone acne. Adv Biomed Res. 2014;3:103.

8. Chandrashekar B, Nandini A. Acne scar subcision.  J Cutan Aesthet Surg. 2010;3(2):125-126.

9. Davis EC, Callender VD. Postinflammatory hyperpigmentation. J Clin Aesthet Dermatol. 2010;3(7):20-31.

10. Wollina U, Goldman A. Fillers for the improvement in acne scars. Clin Cosmet Investig Dermatol. 2015;8:493-499.

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Top 7 Treatments To Remove Deep-Pitted Or Atrophic Scars

Are you having persistent breakouts? Do you notice that acne scars that are deep indent your skin and simply refuse to fade? Well, do not lose hope just yet. Fortunately, thanks to revolutionary innovations in dermatology, advanced treatment options are now available that can help to reduce severe scarring and restore smoother-looking skin. Read on to know the best treatment options to remove or minimise the appearance of deep scars visibly!

What Are Deep-Pitted Acne Scars?

Deep pitted acne scars, also known as atrophic scars, are usually the result of severe acne. They generally appear due to the loss of tissue during cell regeneration that eventually leaves behind a skin that has a pitted appearance. They look sunken and depressed with indentations or holes compared to the surrounding skin and are usually challenging to treat. Since they adversely affect the skin texture, they become a significant aesthetic concern for people who have acne-prone skin. If you have severe acne here are some signs and symptoms of deep-pitted scars you may observe.

Must Read: Advanced Acne Scar Treatment

How To Identify Deep Scars?

Here are the common characteristics of deep scars:

• Tissue Depth Or Depression: Flat, thin scars have an indentation that extends vertically to the deep dermis layer of skin or subcutaneous tissue.
• Loss Of Tissue/Skin Volume: These round to oval depressions have sharply demarcated edges and a width of 1.5 to 4 mm. Fibrotic indentations result in shadowing and a pitted appearance.
• Discolouration Of Skin: Acne may result in post-inflammatory hyperpigmentation. Some acne scars may vary in colour from pink, tan, skin-coloured to dark brown.
• Undulating Appearance: Often, these scars have a horizontal orientation with sharp margins or depressed tracks. Skin appears uneven due to the loss of critical rebuilding tissue without collagen.

Must Read: How To Get Rid Of Acne Scar On Your Face?

Do Pitted Scars Go Away?

No, most deep-pitted scars do not go away on their own or heal with time. However, many advanced procedures are now available to minimise them safely and effectively. Please read the next section to know more about them.

Professional Removal Treatments For Deep-Pitted Scars

Here are some popular professional solutions available at various skin clinics for treating deep-pitted scars.

• Laser Skin Resurfacing: Top dermatologists use fractionated erbium YAG laser, a USFDA-approved laser technology to create micro-injuries and treat deep-pitted scars by stimulating new collagen production. They target the scarred tissue by focusing a laser beam of precise wavelength with a handheld device. This non-invasive treatment is quick and painless with topical anaesthesia. It requires about six to eight sessions or as recommended by your dermatologist to rejuvenate the appearance and texture of your skin dramatically and make deep scars less noticeable.

• Chemical Peels: This advanced aesthetic procedure helps in the controlled exfoliation of the top layers to reduce scarring and reveal clear skin from underneath. Chemical peels use plant-based extracts along with AHAs and BHAs to effectively remove dead cells and encourage collagen production around deep scars, giving smoother skin and more even appearance. Dermatologists decide and administer the concentration of peels depending on the severity of scarring. Doctors generally recommend them only for treating superficial scars. However, nowadays, they may suggest them as a combination treatment for deep-pitted scars along with other modalities.
• MNRF: Micro-needling Radiofrequency or MNRF is a revolutionary dermatological procedure that uses radiofrequency energy to tighten the skin and make depressed scars less noticeable. The process stimulates both collagen and elastin production to remodel the skin. The heat energy generated during the treatment stimulates the cells in the connective tissues beneath the scarred surface and enables deep scar revision. The procedure gives impressive results with minimal or no side-effects. There is also almost nil downtime associated with this modality.

• Fillers: Your dermatologist may recommend fillers to treat deep-pitted scars. These fillers fill the scarred tissues and lift them to the level of the surrounding skin. They contain substances such as hyaluronic acid to add volume to the depressed scars with minimal discomfort. Hyaluronic acid fillers are USFDA-approved for safety but offer temporary results that last for nine months to two years. Subsequently, the body enzymes may gradually digest them. The filler treatment has no downtime and provides quick results.
• Surgical Removal: It is an invasive approach to remove severe scars. The surgical procedure helps in resurfacing scarred tissue and makes them less noticeable. After the scar excision, the doctors suture the skin, which may leave a smaller and less prominent scar than the original one. This is also called punch excision. The new scar is likely to fade over time, giving a smoother-looking appearance.
• Microdermabrasion: This treatment is a less intensive form of exfoliation which removes dead cells from the outermost skin layer and reduces small scars. Dermatologists spray ultra-fine crystals through a tube to scrub the skin and use vacuum suction to remove them instantly during the procedure. It requires multiple sessions to show visible improvement in skin texture.
• Dermaroller: Dermatologists recommend this treatment for minimising deep scars by encouraging your skin to produce more collagen. Your doctor may use a handheld, sterile needle-studded roller to puncture the scarred tissue gently. As the skin heals, it naturally produces more collagen and fills up the indentations. Most individuals notice results after nine months to a year though it may require repeated sessions as recommended by your skin specialist.

Must Read: What Is The Cost Of Laser Scar Removal?

Do Scar Removal Creams Help To Heal Deep-Pitted Scars?

Many OTC scar removal creams are available without a prescription, but they fail to reduce the appearance of deep pitted scars. Since scars are a result of tissue damage, topical ointments and gels cannot heal them or reduce any discomfort associated with them.

What Results Can You Expect?

The advanced treatments performed by dermatologists help in reducing the depth, size and visibility of scars. They help in improving the texture of the scarred tissue and giving you blemish-free skin.

However, the results may vary depending on the severity of the scars, skin type, the modality of treatment selected, the technology available and the expertise of the dermatologist performing the procedure.

Now you know all about treatments for deep-pitted scars. Go ahead and consult an experienced dermatologist at your nearest Oliva Skin & Hair Clinic to find out a suitable procedure for you and make an informed decision.

Treatment of scars in Krasnodar – prices, sign up online at “EVA Clinic”

Scars, or as they are often called scars, are a constant companion of a person. There are few people who can boast of the absence of scars on the body. Throughout life, our skin is tested for strength. Household injuries, cuts, burns, surgeries and simply inflammatory skin diseases, this is not a complete list of the causes of scarring. Scars leave marks not only on the skin, but also on the soul. They can cause an inferiority complex and undermine self-confidence.

A scar is a connective tissue that replaces a skin defect resulting from injuries, operations, and inflammatory processes. In the process of scar formation, healthy skin with a layered structure is replaced by connective tissue, loses hair follicles, glands, and is deprived of the ability to perform most of its functions.

Types of scars:

• Normotrophic
• Atrophic
• Hypertrophic
• Keloid

Normotrophic scar (physiological) is the most favorable option. A neat linear shape in the form of a thin white stripe. It is located on the same level with the surrounding tissues, is characterized by the absence of peripheral growth and discomfort.

This is how superficial wounds and burns, scratches, abrasions or skin incisions made by an experienced surgeon during surgical interventions heal. Specialists try to make tissue incisions along “natural” folds, taking into account the so-called “skin lines of force”. This always allows you to get good cosmetic results.

Hypotrophic (atrophic) – the most common type of scar. A common characteristic of such scars is a depression in relief. They are located below the level of the surrounding tissue, varying from multiple punctate and pitted scars to crater-like skin defects. The skin over the atrophic scar is thin and flabby, with transverse striation. Often such scars are devoid of pigment and therefore look white. The characteristic appearance of these scars is due to a defect in the connective tissue under the scar, namely a deficiency of collagen and elastin, the main proteins that form the skin’s framework. There are many reasons for the occurrence of atrophic scars – acne (post-acne scars), surgical procedures (scars after cryodestruction), errors in wound treatment, deficiency of oxygen, vitamin, iron and other cofactors for collagen formation.

One of the varieties of atrophic scars are striae . Stretch marks or stretch marks are atrophy of the middle layers of the dermis with a rupture of elastic fibers. Occur against the background of pregnancy, obesity, treatment with corticosteroid drugs, with hormonal imbalance.

Post-acne scars – are also atrophic scars, the formation of which is caused by destructive inflammatory changes in the dermis, which leads to the destruction of collagen fibers. Due to the violation of the structural integrity of collagen, the skin sags at the bottom of the scar, connective tissue strands are formed, which cause the scar to be retracted.

Hypertrophic scar – thick, dense with a bumpy surface, rising above the level of the skin due to a large proliferation of connective tissue. Unlike keloid scars, they do not go beyond the original skin defect. They can be located on any part of the skin and do not depend on genetic factors. The main reasons for wound healing with a hypertrophic scar are: serious operations with a large skin incision, burns of 3-4 degrees, suppuration of wounds, trauma of a normotrophic scar.

Keloid scar – a special type of scar is a dense formation of pink or red connective tissue, a distinctive feature is that the scar grows beyond the initial skin defect, often has a genetic predisposition. Keloid is characterized by preferred sites of localization (neck, chest, collarbone, upper back, shoulders). A keloid scar may form several years after the initial injury, and is more common in dark-skinned individuals. Also characteristic is the growth of the scar and unpleasant subjective sensations from itching to soreness.

CORRECTION OF Cicatricial Changes in the Skin.

There are situations when scar removal is strictly necessary – these are scars that lead to impaired function, for example, localization of the scar in the joints makes it impossible or restricts movement in full, if the scar deforms the eyelid or mouth, which leads to eversion of the eyelid and the inability to open mouth.

Another group of indications for scar correction is cosmetic defects that do not lead to functional impairment, but often have a negative impact on the psycho-emotional state.

It is impossible to completely remove the scar, but it is possible to achieve smoothness of the skin relief in the scar area, normalize the color and texture, and make it minimally noticeable. Today, many methods of scar correction are known: surgical excision, cryotherapy, laser resurfacing, physiotherapy, compression procedures, injections of drugs into tissues, the use of external dosage forms, but none of them, being used as monotherapy, is universal to achieve maximum correction of cicatricial changes.

In our clinic, combined methods for the correction of cicatricial changes have been developed and successfully applied, combining hardware (destructive, collagen-stimulating) effects and injection (using drugs related in biochemical composition to the intercellular substance of the dermis) techniques, which allows the maximum impact on the pathologically altered dermis.

INSTRUMENTAL METHODS

Scar correction with Fotona SP Dynamis laser (Nd:YAG; Er:YAG)

Laser resurfacing is the most effective method of scar correction. With its help, hypertrophic scars after surgical interventions, traces of injuries, post-acne, chickenpox, unsuccessful tattoo removal are eliminated.
Scar correction on the Fotona laser device combines several independent procedures: fractional photothermolysis, resurfacing, coagulation of blood vessels.

The choice of a specific technique depends on the type and characteristics of the scar, but all of them have a number of obvious advantages:

• high accuracy of influence – both in depth and in area. This means that the surrounding skin will not be affected or injured during the

procedure.

• the ability to work with scars of any size, shape and location.
• simultaneous disinfection of the affected area, which eliminates secondary inflammation.

Laser resurfacing

Under the influence of a laser beam, water evaporates from the reticular layer of the dermis, collagen becomes more compact, and activated fibroblasts synthesize new collagen in the freed space, which leads to the formation of a normal dermis structure. It is most effective in the correction of normo- and hypertrophic scars. For the correction of atrophic scars, it is performed in combination with injections of biodegradable fillers based on hyaluronic acid and collagen to raise the level of the scar to the surface of healthy skin.

Fractional photothermolysis

Exposure to scar tissue with pinpoint laser pulses, which creates microscopic healing zones in the skin. As a result of such exposure, fibroblasts are stimulated, new collagen is synthesized. Scar tissue becomes elastic and aligned with the surface of the surrounding skin. Fractional photothermolysis is used to treat all types of scarring of the skin, except for keloids.

Compared to the CO2 laser, the Fotona Erbium laser has a lower thermal effect. The so-called “cold ablation” takes place with minimal thermal damage, which minimizes the risk of pain and the formation of a new scar.

The result of laser treatment of scar tissue cannot be seen immediately. The regeneration processes are slow, the final appearance of the skin takes 6 months after the procedure. Scars with a height and depth of more than 1.5 mm require a second modifying procedure.

Fractional ablative RF correction on the device InMode

Carried out using a fractional needle nozzle Fractora – this is a radio frequency (RF) effect on pathologically changed skin in the scar zone. The nozzle has needle electrodes that easily pass through the skin. RF exposure is based on heating the skin from the inside, which leads to contraction and thickening of collagen fibers, and also activates the destruction of old collagen molecules by enzymes and the synthesis of new collagen. With the help of RF exposure, it is possible to correct atrophic scars, stretch marks, post-acne.

INJECTION METHODS FOR CORRECTION OF Cicatricial Changes in the Skin.

Autoplasma therapy

It is widely used in medicine at the present time, in cosmetology, in addition to correcting age-related changes, pigmentary disorders, alopecia and acne, it gives good results in the treatment of cicatricial changes, both at the stage of their formation and for the correction of already existing chronic scar.

The method is based on the powerful regenerating effect of platelet-rich plasma, which has biostimulating properties, growth factors secreted by platelets are necessary for cell maturation and a normal cell cycle, they stimulate the reconstruction of blood vessels in the injured area and the formation of new connective tissue. With the introduction of platelet autoplasma into the damaged area, the process of skin regeneration is accelerated. In addition to the stimulation of fibroblasts, the destruction of melanin by macrophage cells is activated, which contributes to the correction of post-inflammatory pigmentation in the scar zone.

We use autoplasma in the treatment of scars both at the stage of their formation, for faster regeneration and prevention of pathological scarring, and at the stage of correction of old scars in combination with fractional laser and RF devices, which reduces the rehabilitation period, accelerates healing and increases the effectiveness of the procedure.

Biodegradable dermal fillers based on hyaluronic acid and collagen.

Used as an auxiliary method for the treatment of atrophic scars to correct its relief. The filler is inserted under the bottom of the scar with preliminary separation of the connective tissue cord, which ensures that the bottom of the scar is raised to the level of the surrounding tissue. The procedure is carried out before laser skin resurfacing and must be repeated after 6 months.

Both hardware and injection techniques allow achieving impressive results. With the help of laser technologies, you can quickly and safely restore youth and health to the skin, and injection techniques allow you to correct lost volumes and replenish deficiencies of important structural elements necessary for the normal functioning of skin cells, moisturize, smooth fine wrinkles, restore tone and elasticity.

We successfully develop and apply combined protocols of hardware and injection techniques, which in synergy gives a more pronounced and faster rejuvenation result.

Eva-Clinic uses only certified equipment and registered drugs. The doctors of the clinic undergo continuous training in Russia and abroad. The professionalism of the doctor is the guarantee of your beauty and health.

How to get rid of scars and scars: 5 methods

November 25, 2021

Any deep injury to the inner layers of the skin remains forever. If acne scars are already very difficult to reduce and impossible to completely remove, then what can be said about postoperative scars or injuries.

In fact, even a surgeon can only minimally influence the appearance of a postoperative scar. Much depends on the nature of the operation, on the nature of the injury, if it is a scar after an injury, on the body’s ability to heal, and on immunity. It takes 6-12 months for a deep cicatricial scar to heal completely after surgery. In fact, it depends only on the surgeon, even if we are talking about plastic surgery, whether there will be suture marks around the scar, less often – even cuts, good incision sites.

1. Hypertrophic – thick and prominent scars, pale pink or dark purple, depending on age and healing characteristics. Such scars do not go beyond the actual site of the incision and sutures.
2. Keloid – scars that are capable of growth. Keloid scars move from the site of injury to the dermis to intact areas of the skin, sometimes this is accompanied by itching or pain.

The greatest danger of scars turning into hypertrophic and keloid scars is on the chest, shoulders, knees, back, next to the ears.

To prevent scar growth, first use simple methods and non-invasive means that do not involve intervention in the dermis. Then, if the treatment does not give the desired result, other methods are used. It will not be possible to remove the scar, but these methods are aimed at making it less noticeable.

1. Vitamin E.
   Vitamin E in capsules, which is sold in a pharmacy, is a powerful antioxidant and prevents or at least slows down the growth of scar tissue. But the best results from vitamin E can be seen when applied to a fresh scar twice a day. There is a danger of irritation or allergies – in this case, you should stop using the vitamin.
2. Occlusion.
   Occlusion – avoiding contact of the scar with air by applying a tight pressure bandage – is considered effective against the formation of keloid scars. This method is recommended after plastic surgery, since the scars there are usually clean and do not require special care. At home, the bandage can be replaced with a medical plaster. The patch should be worn for at least a month, changing it every 3-4 days as it gets dirty.
3. Special cream.
   Good quality scar creams purchased from a beautician or pharmacy are more likely to prevent hypertrophic scar thickening and keloid expansion. There are special silicone creams or plates that can be glued to the scar. When dried, the silicone cream forms an impenetrable film, which, however, has a moisturizing effect. In the warm season, silicone cream protects the scar from the sun.
4. Laser.
   Laser therapy, despite its high efficiency, is prescribed only after a course of local treatment. Treatment with oils, vitamins and creams can be carried out while the scar has not healed, when the skin is actively seeking to heal. And these remedies help the skin. Laser scar correction can be done after the scar has completely healed. Hypertrophic scars are more amenable to laser correction, keloid scars can grow even more from the laser. For fresh scars, it is good to carry out correction with a pulsed dye laser – after the first procedure, the scar becomes paler, after 3-4 – it may begin to decrease.
5. Steroids.
   If even laser therapy does not bring the desired result, and even more – the hypertrophic scar grows into a keloid, steroid injections can help. The steroid is injected directly into the scar, where it destroys the collagen that has formed the thickening. The steroid shot also reduces itching and pain in the scar tissue. But at the same time, the steroid can destroy collagen in healthy skin.