ACNE SCAR TREATMENT 2018 | Ask Dr Daniel Chang

ACNE SCARS

Acne scars used to be a big problem which many people faced, and many lived with. Now, with greater advances in aesthetic medicine, this is one problem you do not need to live with. In fact, you can easily fix it, and look and feel your very best!

WHAT CAUSES ACNE SCARS?

Acne scars are the result of the breakdown of collagen and elastin in your dermis. They frequently occur at sites which were acne prone in the past, namely your temples, cheeks etc.

How was your doctor assess your acne scars?

 

Assessment

Step 1: Assess if you have acne scars ( texture issue ) vs pure pigmentation

Step 2: Under angled lighting with photographs

Step 3: Animate and observe the acne scars for tethering and changes on movement

 

How is acne scarring treated?

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ACNE SCAR TREATMENT 2018 | Dr Daniel Chang

Treatment

Treatment: Some people may recommend a one size fits all approach. I believe in a Bespoke Treatment plan based on your skin type, scar type, and extent.

Here is an example.

Ice Pick Acne Scars : These are traditionally very tough to treat. Especially those over your nose. In my experience, careful use of Rejuran +/- TCA cross +/- Punch excision will help.

Box Acne Scar | Rolling Acne Scars: These type of scars respond very well to treatment. One can expect pretty nice results. In my experience a combination approach works best. Fractional Laser + Rejuran + RF Microneedling + Subcision + PRP

Key take home message

  1. Doctors cannot assess scars via photographs. Neither can it be done via telemedicine. Scar assessment has to be during a *live* face to face consult.
  2. Males tend to have worse acne scars.
  3. Treatment results appear as early as the month 4th

References

  1. , Fractional resurfacing in the Asian patient: Current state of the artLasers in Surgery and Medicine49, 1(45-59)(2016).
  2. , Fractional CO2 laser treatment of caesarean section scars—A randomized controlled split‐scar trial with long term follow‐up assessmentLasers in Surgery and Medicine49, 2(189-197)(2016).
  3. , Acne scarring: A review of available therapeutic lasersLasers in Surgery and Medicine48, 2(95-115)(2015).
  4. , Comparison of non‐ablative and ablative fractional laser treatments in a postoperative scar studyLasers in Surgery and Medicine46, 10(741-749)(2014).
  5. , Combination ALA‐PDT and ablative fractional Er:YAG laser (2,940 nm) on the treatment of severe acneLasers in Surgery and Medicine,46, 3(165-172)(2014).
  6. , Which Type of Atrophic Acne Scar (Ice‐pick, Boxcar, or Rolling) Responds to Nonablative Fractional Laser Therapy?Dermatologic Surgery40, 3(288-300)(2014).
  7. , Comparison Study of Fractional Carbon Dioxide Laser Resurfacing Using Different Fluences and Densities for Acne Scars in Asians: A Randomized Split‐Face TrialDermatologic Surgery40, 5(545-552)(2014).
  8. , The use of sunscreen starting on the first day after ablative fractional skin resurfacingJournal of the European Academy of Dermatology and Venereology28, 11(1522-1528)(2013).
  9. , A focused review on acne‐induced and aesthetic procedure‐related postinflammatory hyperpigmentation in AsiansJournal of the European Academy of Dermatology and Venereology27, s1(7-18)(2012).

To learn more about

Threadlifts, pls click here Facelift, V-Lift.

Dermal fillers, pls click here ABCs to Dermal Fillers. 

Pigmentation, pls click here Pigmentation.

Acne, pls click here. Acne.

 

 

Contact us: 

Facebook: ASIA AESTHETIC CENTRE

Instagram: @drdanielchang

 

 

 

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Categories Skincare and Aesthetic Medicine

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