Acne Scars: How to Treat the Dreaded Skin Condition in its Early and Severe Stages

Get Rid Of Your Acne Scars!

The skin lesion known as acne affects up to 80% of individuals in their teens and twenties, and even 5% of older adults. Even though many people recover from acne without any permanent effects, others are left with disfiguring acne scars. There are some topical skin care products, medications and home remedies that can improve mild scarring, however, most acne scars are treated with a combination of surgical procedures and skin resurfacing.

Nevertheless, it will all depend on the stages your acne scar is in: Early acne scars are the most common. This scar can leave a red or hyperpigmented mark on the skin. This is actually not a scar, but rather a post-inflammatory change. The redness or hyperpigmentation is seen as the skin goes through its healing and remodeling process, which takes approximately 6-12 months. If no more acne lesions develop in that area, the skin can heal normally. Any color change or skin defect still present after 1 year is considered to be a permanent defect or scar.

How to Prevent Early Acne Scars

The effective way or only way to prevent post-inflammatory transformations triggered by acne is to prevent them from ever occurring. How u ask? Well, once you understand the factors that cause acne and use the correct treatments for the different acne types you can accomplish this feat.

How to Treat Early Acne Scars

The post-inflammatory transformation produced by acne is nothing more than the healing process the skin goes through. However, there are certain methods and remedies that can facilitate the healing process.

- Tretinoin(Retin-A, Renova, Avita) triggers the skin's remodeling process and helps heal post-inflammatory changes.

- Appropriate formulations of Alpha-Hydroxy Acids (AHAs) and Beta-Hydroxy Acid (BHA) that contain the correct concentrations and are at the appropriate pH also help the skin's remodeling process.

- Too much sun exposure may cause skin damages and slow down the healing process – A good sun screen is imperative.

- Squeezing, popping and p at your acne scabs must be avoided at all costs. Scabs are an important part of the healing process and pulling this off before it’s ready it will may cause deep and disfiguring scars.

The following are more severe types of acne scars:

Acne Scars - Boxcar

Vertical edges and an oval to round appearance is the Boxcar scar. They reach 0.1-0.5 mm in depth and are commonly treated with traditional skin resurfacing methods. Deep boxcar scars are >0.5 mm in depth and require full-thickness treatment procedures.

Acne Scars – Ice pick

The appearance of the ice pick scar is disfiguring. The narrow, sharp like appearance makes the skin look like you have been punctured with an ice pick. They are usually narrower than 2 mm and extend into the deep dermis or subcutaneous layer. This scar is commonly way too deep to be treated with resurfacing procedures like laser resurfacing and dermabrasion.

Acne Scars - Rolling

Rolling scars occur as a result of gathering of alternatively normal-looking skin to the subcutaneous tissue below. This process provides the skin with an undulating or rolling appearance. Traditional skin resurfacing techniques have no effect on rolling scars. The subcutaneous fibrous glands must be broken up for it to disappear.

Nowadays in the skin care world there are way too many traditional procedures that eliminate or treat all types of acne scars. Each procedure, of course, has there own benefits and risks. However they can eliminate and eliminate your acne scars fast. At times procedures can be used together for faster, more effective results. Here are the following traditional procedures:

Dermal Fillers

There are many types of dermal fillers that can be injected into acne scars to raise the surface of the skin and give a smoother look. Examples of dermal fillers are fat, bovine collagen, human collagen, hyaluronic acid derivatives, and polytheyl-methacrylate microspheres with collagen. The injection of these materials does not permanently correct acne scars, so further injections are necessary.

Punch Excision

This method of surgically correcting acne scars is used on deep scars such as icepick and deep boxcar scars. This procedure uses a punch biopsy tool which is basically a round, sharp "cookie-cutter" tool that comes in diameters ranging from 1.5 mm to 3.5 mm. The size of the tool is matched to the size of the scar to include the walls of the scar. Under local anesthesia the scar is excised with the punch tool and the skin edges are sutured together. The newly produced scar eventually fades and may not be noticeable. If it is noticeable, it is more amenable now to resurfacing techniques.

Punch Excision with Skin Graft Replacement

With this method the scar is excised with the punch tool as above. Instead of suturing the skin edges together, the defect is filled with a punch skin graft usually taken from behind the ear. With this procedure a color and texture difference may be noticeable, but a skin resurfacing technique can be used 4-6 weeks after the grafting to correct this difference.

Punch Elevation

This method of surgically correcting acne scars is used on deep boxcar scars that have sharp edges and normal appearing bases. The same punch tool as above is used to excise the base of the scar leaving the walls of the scar intact. The excised base is then elevated to the surface of the skin and attached with sutures, steri-strips, or skin glue called Dermabond. This method lessens the risk of color or texture differences as can be seen with graft replacement, and lessens the risk of producing a visible scar as can be seen when wound edges are sutured.

Subcutaneous Incision

Subcutaneous incision, also known as Subcision, is used to break up the fibrous bands that cause rolling scars. Subcision is performed under local anesthesia by inserting a specially beveled needle under the skin so that it is parallel to the skin surface. Staying in the plane between the dermis and the subcutaneous tissue, the needle is gently advanced and retracted in a piston-like motion cutting the tethering bands. This procedure causes bruising which fades after about 1 week. The risks of subcision include bleeding and the formation of subcutaneous nodules. Bleeding can be controlled with proper use of anesthetics and bandaging, and the subcutaneous nodules can be treated with injection of corticosteroids into the nodule.

Laser Resurfacing

Laser resurfacing is a popular treatment for many skin defects. The most popular laser types used for resurfacing of acne scars are the carbon dioxide (CO2) and erbium:YAG (Er:YAG) lasers. Lasers work by essentially burning the top layers of skin to a precise depth. The skin then heals replacing the burned layers with newer appearing skin. The correct post-operative care of skin that has undergone laser resurfacing is a very important factor in determining the success of the procedure.

These are procedures or methods proven effective in the acne scar removal process. Acne affects over 80% of teens and might continue into adulthood. So, I suggest instead of using topical products or resorting to home remedies to rid you of the dreaded skin condition, try these surgical procedures placed above, you won’t regret!


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Comments 2 comments

alex6299 7 years ago

There are some advises that should be followed in acne scars the main thing is to wear sunscreen daily to protect scarred skin from further damage, a fading cream will lighten the scars that help them to blend in with surrounding skin. Use sole lotions, serums and creams containing hydroxyl acids.

Nick 5 years ago

I personally have had punch excisions, silicone microdroplet injections, fractional lasers, dermabrasion, on-invasive lasers, subcutaneous incisions, and I can say all of it made no difference in my rolling-type, depressed acne scars. The only way to get substantial results is to completely regenerate skin in the scarred areas, to fill up the depressions and make the skin surface smooth so it does not catch light, giving the 'pitted' look. I;ve had my acne scars for over 10 years now, and with age and continued cystic breakouts, I actually look worse than I did right after Accutane therapy. I've learned through all of this that you just have to move on and accept this permanent condition. Current treatment options are still very remedial and offer no lasting improvement other than swelling that lasts a few weeks to a month, so do not watse your money.

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