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?
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?
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
- 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.
- Males tend to have worse acne scars.
- Treatment results appear as early as the month 4th
References
- Heidi Wat, Douglas C. Wu and Henry Hin Lee Chan, Fractional resurfacing in the Asian patient: Current state of the art, Lasers in Surgery and Medicine, 49, 1, (45-59), (2016).
- Katrine E. Karmisholt, Elisabeth H. Taudorf, Camilla B. Wulff, Emily Wenande, Peter A. Philipsen and Merete Haedersdal, Fractional CO2 laser treatment of caesarean section scars—A randomized controlled split‐scar trial with long term follow‐up assessment, Lasers in Surgery and Medicine, 49, 2, (189-197), (2016).
- Brandon E. Cohen, Jeremy A. Brauer and Roy G. Geronemus, Acne scarring: A review of available therapeutic lasers, Lasers in Surgery and Medicine, 48, 2, (95-115), (2015).
- Jung U Shin, Dorjsuren Gantsetseg, Jin Young Jung, Inhee Jung, Sungsik Shin and Ju Hee Lee, Comparison of non‐ablative and ablative fractional laser treatments in a postoperative scar study, Lasers in Surgery and Medicine, 46, 10, (741-749), (2014).
- Rui Yin, Lin Lin, Yan Xiao, Fei Hao and Michael R. Hamblin, Combination ALA‐PDT and ablative fractional Er:YAG laser (2,940 nm) on the treatment of severe acne, Lasers in Surgery and Medicine,46, 3, (165-172), (2014).
- Kabir Sardana, Mukesh Manjhi, Vijay K. Garg and Vivek Sagar, Which Type of Atrophic Acne Scar (Ice‐pick, Boxcar, or Rolling) Responds to Nonablative Fractional Laser Therapy?, Dermatologic Surgery, 40, 3, (288-300), (2014).
- Xing‐Hua Yuan, Shu‐Xia Zhong and Shan‐Shan Li, Comparison Study of Fractional Carbon Dioxide Laser Resurfacing Using Different Fluences and Densities for Acne Scars in Asians: A Randomized Split‐Face Trial, Dermatologic Surgery, 40, 5, (545-552), (2014).
- R. Wanitphakdeedecha, R. Phuardchantuk and W. Manuskiatti, The use of sunscreen starting on the first day after ablative fractional skin resurfacing, Journal of the European Academy of Dermatology and Venereology, 28, 11, (1522-1528), (2013).
- S. Eimpunth, R. Wanitphadeedecha and W. Manuskiatti, A focused review on acne‐induced and aesthetic procedure‐related postinflammatory hyperpigmentation in Asians, Journal of the European Academy of Dermatology and Venereology, 27, 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.
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