
Adult onset Acne, Pimples

Acne scars
What causes acne scars?
What are the different types of acne scars?

boxscar ice-pick atrophic
Hypertrophic and keloidal
How can we treat acne scars?
Acne scars are 3 dimensional, hence submitting a photo will not do justice to your scar. It requires real time examination (touch and animation), combined with lighting from various angles. That is why you may notice your scars differently in the bathroom mirror and in the dressing table mirror.
Dr Daniel Chang’s 3 STEP ACNE SCAR Treatment Formula:
1- Control acne
2- Treatment – Fractional laser + skinboosters ( to promote collagen growth)
3- Maintainence with lasers ( to optimise collagen stimulation)
STEP 1: CONTROL YOUR ACNE. (Refer to this page on acne for more information)
Achieving good control of your acne is the important principle towards helping your acne prone skin. This prevents new scars from forming, which is a big step forward. Dont be too worried about your existing acne scars. Focus on prevention first.
STEP 2: Treatment based on scar type. Below are the 4 main types.
Ice pick scars => can be treated with TCA CROSS, Fractional and Microneedling
Rolling and box scars scars => are best treated with a combination of RF Microneedling, PRP, fractional lasers and subcision
Hypertrophic scars can be treated with
- Microbotox
- Intralesional steroid
Atrophic scars -> A combination approach is what I would recommend to improve the appearance of such scars.
- Laser Resurfacing +/- RF microneedling
- Subcision
- Dermal fillers – Skinboosters – Please refer to my Page on Skinboosters
- Intralesional saline – ( Latest evidence from Journal of Dermatology Sept 2016)
What is the science behind acne scar treatment?
How can we treat chickenpox scars?
Collagen stimulation is the science behind this and takes at least 3 months, so I would suggest at least 4 monthly sessions of the above to kickstart your fibroblasts into action. Combination treatment is the key, as per the latest studies. But chicken pox scars are notoriously difficult to treat so we are aiming for 40% correction.
STEP 3: Maintainence with lasers to regulate optimum collagen growth.
Videos:
Here is how the procedure is done.



What to expect post laser resurfacing (CO2, Erbium) treatment?
- Redness x 2 days
- Bronzing of skin x 2 – 3 days
- Flaking off – dead tissue x 2 days
Pesky pores…
Please refer to the PORE page.
What is it?
Who gets it?
What triggers it?
How can we treat it?
Moisturizers can be divided into 2 forms, occlusives (which form a layer on your skin to reduce water loss) and humectants (which are substances that hold the water in the skin).
How can we prevent flares?
Skincare tips:
To learn more about
Aesthetic treatments, do click here Ultimate Guide to Korean Medical Aesthetics.
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.