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There are several types of acne scars that can occur as a result of severe or persistent acne. These scars can be classified into two main categories: atrophic scars and hypertrophic scars.
Atrophic scars: Atrophic scars are depressions or indentations in the skin that occur when there is a loss of tissue. There are several types of atrophic scars:
Boxcar scars: These are broad depressions with sharp edges that give the skin a pitted appearance.
Rolling scars: These scars are broad and shallow, giving the skin a wavy appearance.
Ice pick scars: These are deep, narrow scars that extend into the dermis and have a V-shaped appearance.
Hypertrophic scars: Hypertrophic scars are raised, thickened areas of skin that occur when there is an excess of collagen production during the healing process. These scars can be red or purple and can feel firm or lumpy.
Keloid scars: Keloid scars are a type of hypertrophic scar that extends beyond the original site of the injury or inflammation. They can be itchy and painful and can continue to grow over time.
It's important to note that some people may develop a combination of different types of acne scars. The type of acne scars that occur can depend on factors such as the severity of the acne, the individual's skin type, and their healing process.
The best treatment for acne scars depends on the type and severity of the scars, as well as the individual’s skin type and overall health. Here are some common treatments for acne scars:
Topical treatments: Topical treatments such as retinoids, vitamin C, and glycolic acid can help improve the appearance of acne scars by exfoliating the skin and promoting collagen production.
Laser resurfacing: Laser treatments reduce the appearance of acne scars by remodeling scar tissue and promoting collagen production.
Fillers: Dermal fillers or collagen stimulators can be injected into acne scars to help smooth out the skin’s texture and reduce the appearance of scars.
Radiofrequency Microneedling: Fine gold plated needles that emit radiofrequency energy help to remodel scar tissue and stimulate collagen production
Surgical procedures: In more severe cases, surgical procedures such as punch excision or subcision may be recommended.
It’s important to consult with a qualified doctor to determine the best treatment plan for your specific acne scars, as some treatments may not be suitable for all skin types or may have side effects. It’s also important to maintain a healthy skincare routine and avoid picking or squeezing acne, as this can lead to further scarring.
Acne scars develop as a result from active acne- During an acne breakout, inflammation causes trauma to skin tissue — resulting in scarring
This depends on several factors- skin color, type of acne scars, ability to tolerate downtime and personal preference. The treatment plan needs to be personalised.
Yes, acne scar removal treatments involve the use of high powered medical grade lasers and energy based devices- which carry the risk of burns, blisters, skin infection, hyperpigmentation, herpes virus reactivation
Typically 2-3 sessions will be required before visible results are seen, results may vary
Yes! Different treatments target different depths of the skin- hence are able to work in synergy for better results. A good combination would be laser resurfacing (targets the epidermis) and Radiofrequency Microneedling (targets the dermis)
Yes, acne scar treatments give long term results, provided acne is controlled and no new scarring develops
This would depend on the treatment and intensity- typically after a laser or RF microneedling treatment the skin would be red and sensitive for a few days
Certain skincare products cause irritation and need to be stopped for 5-7 days- such as vitamin C, retinols, acids.
Don’t put on thick makeup on the day of treatment, avoid intense sun exposure for a week prior to treatment