Effective Acne Scar Solutions
December 18, 2010 by Anti-Aging and Skin Care Tips
Filed under Skin Rejuvenation
Effective Acne Scar Solutions
Effective Acne Scar Solutions
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Home Page > Health > Acne > Effective Acne Scar Solutions
Effective Acne Scar Solutions
Posted: Dec 16, 2010 |Comments: 0
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Acne has long-term physical effects. They persist indefinitely, and remain after the initial acne symptoms have disappeared. Without doubt, the most important long-term legacy from acne is its scarring. Acne scarring has a characteristic appearance and affects the same skin areas as the acne outbreak did. This means that the patient’s face and upper torso are usually most affected. Significant scarring on the face can be very distressing to the patient. Acne scar solutions may go some way to improving the appearance of scarred skin and help alleviate the self-consciousness that so often accompanies a severely scarred person for life.
As a result of extensive scientific investigation, the biological mechanism which results in acne scarring is now well established. In the skin, inflammation causes collagen over-production during the process of healing. Skin thickening and localised permanent skin deformation results. Acne leaves characteristic depressed areas which are indented acne scars. These are sometimes described as ice-pick scars due to their shape and appearance.
Surgical Therapies
Anyone who has been left badly scarred by acne is well advised to seek expert guidance from a dermatologist regarding acne scar solutions. Techniques such as micro-dermabrasion or laser therapy may be suggested by the medical practitioner. These are ways to remove the outermost layer of skin in controlled conditions. They can eventually improve the skin’s appearance. The sunken characteristics of deep acne scar tissue can be challenging, however.
The dermabrasion technique is implemented using high-velocity air to drive fine abrasive powder over the skin’s surface. Alternatively a very fine vibrating abrasive surface such as a disk is carefully applied to the skin by the therapist. Dermabrasion can be an unpleasant experience. Local anaesthetics are usually offered to help minimize the patient’s discomfort. Be aware that surface bleeding is normal during the procedure. The abraded skin may take many months to heal completely. After healing, the skin’s appearance is more uniform and natural.
Unlike micro-dermabraion, laser therapy is one of the acne scar solutions which does not involve direct skin contact. Instead, a beam of intense laser light is shone onto the surface of the skin. This is intended to attack the skin cells so that re-healing occurs and produces fresh, smooth skin. It is generally necessary to undergo several rounds of laser treatment in order to obtain satisfactory results. Laser therapy is a good way to deal with small, localized regions of severe scarring.
For individual scars which feature roll-tissue, thickened skin or keloid inclusion, the best acne scar solution may be individual excision. In this procedure, a surgeon cuts out the scar tissue and closes the skin. In recent years, the use of collagen injections has been employed to improve the appearance of depressed scars by filling the tissue behind them.
Lotions And Potions
An incredible number of home-remedy acne scar solutions are documented. There is no clinical evidence to support their efficacy, but anecdotal evidence does suggest that some may have benefits in improving the skin’s condition and appearance. The up-side is that most home remedies are cheap to prepare and safe to use, with few if any side-effects.
One of the popular home acne scar solutions makes use of lemon juice. This is claimed to lighten the skin colour changes that sometimes accompany acne scars. For exfoliating the skin surface, baking soda and similar fine abrasives may be useful. This is in effect a milder and shallower alternative to the conventional micro-dermabrasion described above.
Skin condition is worth some attention, as the skin’s elasticity can be harmed by acne scars. Consider using a good-quality moisturising product to help counteract this effect.
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Don McRandall provides expert tips on proven ways to clear acne. For more great information on acne scar solutions, and access to a free step-by-step mini-course that will teach you what you need to know today about acne and its treatment, visit: http://www.acneinformationcenter.com.
Questions and Answers
Ask our experts your Acne related questions here…200Â Characters left
I have acne problem since last6 yrs..This cause the acne marks in my skin..That luk very odd…i m takeing ayrvedic treatment also…but can u pls suggest me the very effective remedy for acne scars
If really compare, will home remedies might get the same effect as laser to acne scars? and do deep scars can cure with home remedies? If apply twice a week but i apply everyday is it ok?
Does laser treatment for acne scars work ?
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acne scar solutions, acne scar solution, acne scar repair, best acne scar treatments, acne scar remover
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Don McRandall provides expert tips on proven ways to clear acne. For more great information on acne scar solutions, and access to a free step-by-step mini-course that will teach you what you need to know today about acne and its treatment, visit: http://www.acneinformationcenter.com.
Acne Scarring
December 17, 2010 by Anti-Aging and Skin Care Tips
Filed under Skin Rejuvenation
Acne Scarring
Acne Scarring
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Home Page > Health > Acne Scarring
Acne Scarring
Posted: May 11, 2006 |Comments: 0
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Acne Scarring
A detailed and comprehensive discussion of acne scars starts with causes of scarring, prevention of scarring, types of scars, and treatments for scars.
Before talking about scars, a word about spots that may look like scars but are not scars in the sense that a permanent change has occurred. Even though they are not true scars and disappear in time, they are visible and can cause embarrassment.
Macules or “pseudo-scars” are flat, red or reddish spots that are the final stage of most inflamed acne lesions. After an inflamed acne lesion flattens, a macule may remain to “mark the spot” for up to 6 months. When the macule eventually disappears, no trace of it will remain—unlike a scar.
Post-inflammatory pigmentation is discoloration of the skin at the site of a healed or healing inflamed acne lesion. It occurs more frequently in darker-skinned people, but occasionally is seen in people with white skin. Early treatment by a dermatologist may minimize the development of post-inflammatory pigmentation. Some post-inflammatory pigmentation may persist for up to 18 months, especially with excessive sun exposure. Chemical peeling may hasten the disappearance of post-inflammatory pigmentation.
Causes of Acne Scars
In the simplest terms, scars form at the site of an injury to tissue. They are the visible reminders of injury and tissue repair. In the case of acne, the injury is caused by the body’s inflammatory response to sebum, bacteria and dead cells in the plugged sebaceous follicle. Two types of true scars exist, as discussed later: (1) depressed areas such as ice-pick scars, and (2) raised thickened tissue such as keloids.
When tissue suffers an injury, the body rushes its repair kit to the injury site. Among the elements of the repair kit are white blood cells and an array of inflammatory molecules that have the task of repairing tissue and fighting infection. However, when their job is done they may leave a somewhat messy repair site in the form of fibrous scar tissue, or eroded tissue.
White blood cells and inflammatory molecules may remain at the site of an active acne lesion for days or even weeks. In people who are susceptible to scarring, the result may be an acne scar. The occurrence and incidence of scarring is still not well understood, however. There is considerable variation in scarring between one person and another, indicating that some people are more prone to scarring than others. Scarring frequently results from severe inflammatory nodulocystic acne that occurs deep in the skin. But, scarring also may arise from more superficial inflamed lesions. Nodulocystic acne that is most likely to result in scars is seen in these photos:
(Photos used with permission of the American Academy of Dermatology
National Library of Dermatologic Teaching Slides)
The life history of scars also is not well understood. Some people bear their acne scars for a lifetime with little change in the scars, but in other people the skin undergoes some degree of remodeling and acne scars diminish in size.
People also have differing feelings about acne scars. Scars of more or less the same size that may be psychologically distressing to one person may be accepted by another person as “not too bad.” The person who is distressed by scars is more likely to seek treatment to moderate or remove the scars.
Prevention of Acne Scars
As discussed in the previous section on Causes of Acne Scars, the occurrence of scarring is different in different people. It is difficult to predict who will scar, how extensive or deep scars will be, and how long scars will persist. It is also difficult to predict how successfully scars can be prevented by effective acne treatment.
Nevertheless, the only sure method of preventing or limiting the extent of scars is to treat acne early in its course, and as long as necessary. The more that inflammation can be prevented or moderated, the more likely it is that scars can be prevented. (Click on Acne Treatments for more information about treatment of mild, moderate and severe acne). Any person with acne who has a known tendency to scar should be under the care of a dermatologist. (Click on Find a Dermatologist to locate a dermatologist in your geographic area).
Types of Acne Scars
There are two general types of acne scars, defined by tissue response to inflammation: (1) scars caused by increased tissue formation, and (2) scars caused by loss of tissue.
Scars Caused by Increased Tissue Formation
The scars caused by increased tissue formation are called keloids or hypertrophic scars. The word hypertrophy means “enlargement” or “overgrowth.” Both hypertrophic and keloid scars are associated with excessive amounts of the cell substance collagen. Overproduction of collagen is a response of skin cells to injury. The excess collagen becomes piled up in fibrous masses, resulting in a characteristic firm, smooth, usually irregularly-shaped scar. The photo shows a typical severe acne keloid:
(Photo used with permission of the American Academy of Dermatology
National Library of Dermatologic Teaching Slides)
The typical keloid or hypertrophic scar is 1 to 2 millimeters in diameter, but some may be 1 centimeter or larger. Keloid scars tend to “run in families”—that is, abnormal growth of scar tissue is more likely to occur in susceptible people, who often are people with relatives who have similar types of scars.
Hypertrophic and keloid scars persist for years, but may diminish in size over time.
Scars Caused by Loss of Tissue
Acne scars associated with loss of tissue—similar to scars that result from chicken pox—are more common than keloids and hypertrophic scars. Scars associated with loss of tissue are:
Ice-pick scars usually occur on the cheek. They are usually small, with a somewhat jagged edge and steep sides—like wounds from an ice pick. Ice-pick scars may be shallow or deep, and may be hard or soft to the touch. Soft scars can be improved by stretching the skin; hard ice-pick scars cannot be stretched out.
Depressed fibrotic scars are usually quite large, with sharp edges and steep sides. The base of these scars is firm to the touch. Ice-pick scars may evolve into depressed fibrotic scars over time.
Soft scars, superficial or deep are soft to the touch. They have gently sloping rolled edges that merge with normal skin. They are usually small, and either circular or linear in shape.
Atrophic macules are usually fairly small when they occur on the face, but may be a centimeter or larger on the body. They are soft, often with a slightly wrinkled base, and may be bluish in appearance due to blood vessels lying just under the scar. Over time, these scars change from bluish to ivory white in color in white-skinned people, and become much less obvious.
Follicular macular atrophy is more likely to occur on the chest or back of a person with acne. These are small, white, soft lesions, often barely raised above the surface of the skin—somewhat like whiteheads that didn’t fully develop. This condition is sometimes also called “perifollicular elastolysis.” The lesions may persist for months to years.
Treatments for Acne Scars
A number of treatments are available for acne scars through dermatologic surgery. The type of treatment selected should be the one that is best for you in terms of your type of skin, the cost, what you want the treatment to accomplish, and the possibility that some types of treatment may result in more scarring if you are very susceptible to scar formation.
A decision to seek dermatologic surgical treatment for acne scars also depends on:
* The way you feel about scars. Do acne scars psychologically or emotionally affect your life? Are you willing to “live with your scars” and wait for them to fade over time? These are personal decisions only you can make.
* The severity of your scars. Is scarring substantially disfiguring, even by objective assessment?
* A dermatologist’s expert opinion as to whether scar treatment is justified in your particular case, and what scar treatment will be most effective for you.
Before committing to treatment of acne scars, you should have a frank discussion with your dermatologist regarding those questions, and any others you feel are important. You need to tell the dermatologist how you feel about your scars. The dermatologist needs to conduct a full examination and determine whether treatment can, or should, be undertaken.
The objective of scar treatment is to give the skin a more acceptable physical appearance. Total restoration of the skin, to the way it looked before you had acne, is often not possible, but scar treatment does usually improve the appearance of your skin.
The scar treatments that are currently available include:
Collagen injection. Collagen, a normal substance of the body, is injected under the skin to “stretch” and “fill out” certain types of superficial and deep soft scars. Collagen treatment usually does not work as well for ice-pick scars and keloids. Collagen derived from cows or other non-human sources cannot be used in people with autoimmune diseases. Human collagen or fascia is helpful for those allergic to cow-derived collagen. Cosmetic benefit from collagen injection usually lasts 3 to 6 months. Additional collagen injections to maintain the cosmetic benefit are done at additional cost.
Autologous fat transfer. Fat is taken from another site on your own body and prepared for injection into your skin. The fat is injected beneath the surface of the skin to elevate depressed scars. This method of autologous (from your own body) fat transfer is usually used to correct deep contour defects caused by scarring from nodulocystic acne. Because the fat is reabsorbed into the skin over a period of 6 to 18 months, the procedure usually must be repeated. Longer lasting results may be achieved with multiple fat-transfer procedures.
Dermabrasion. This is thought to be the most effective treatment for acne scars. Under local anesthetic, a high-speed brush or fraise used to remove surface skin and alter the contour of scars. Superficial scars may be removed altogether, and deeper scars may be reduced in depth. Dermabrasion does not work for all kinds of scars; for example, it may make ice-pick scars more noticeable if the scars are wider under the skin than at the surface. In darker-skinned people, dermabrasion may cause changes in pigmentation that require additional treatment.
Microdermabrasion. This new technique is a surface form of dermabrasion. Rather than a high-speed brush, microdermabrasion uses aluminum oxide crystals passing through a vacuum tube to remove surface skin. Only the very surface cells of the skin are removed, so no additional wound is created. Multiple procedures are often required but scars may not be significantly improved.
Laser Treatment. Lasers of various wavelength and intensity may be used to recontour scar tissue and reduce the redness of skin around healed acne lesions. The type of laser used is determined by the results that the laser treatment aims to accomplish. Tissue may actually be removed with more powerful instruments such as the carbon dioxide laser. In some cases, a single treatment is all that will be necessary to achieve permanent results. Because the skin absorbs powerful bursts of energy from the laser, there may be post-treatment redness for several months.
Skin Surgery. Some ice-pick scars may be removed by “punch” excision of each individual scar. In this procedure each scar is excised down to the layer of subcutaneous fat; the resulting hole in the skin may be repaired with sutures or with a small skin graft. Subcision is a technique in which a surgical probe is used to lift the scar tissue away from unscarred skin, thus elevating a depressed scar.
Skin grafting may be necessary under certain conditions—for example, sometimes dermabrasion unroofs massive and extensive tunnels (also called sinus tracts) caused by inflammatory reaction to sebum and bacteria in sebaceous follicles. Skin grafting may be needed to close the defect of the unroofed sinus tracts.
Treatment of keloids. Surgical removal is seldom if ever used to treat keloids. A person whose skin has a tendency to form keloids from acne damage may also form keloids in response to skin surgery. Sometimes keloids are treated by injecting steroid drugs into the skin around the keloid. Topical retinoic acid may be applied directly on the keloid. In some cases the best treatment for keloids in a highly susceptible person is no treatment at all.
In summary, acne scars are caused by the body’s inflammatory response to acne lesions. The best way to prevent scars is to treat acne early, and as long as necessary. If scars form, a number of effective treatments are available. Dermatologic surgery treatments should be discussed with a dermatologist.
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About the Author:
Kerwin Chang writes for http://www.acnestuff.net where you can find out more about acne and other skin care topics.
Questions and Answers
Ask our experts your Health related questions here…200Â Characters left
Does laser treatment for acne scars work ?
Does scar zone work on acne scars ?
I have acne problem since last6 yrs..This cause the acne marks in my skin..That luk very odd…i m takeing ayrvedic treatment also…but can u pls suggest me the very effective remedy for acne scars
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Kerwin Chang writes for http://www.acnestuff.net where you can find out more about acne and other skin care topics.
Can You Get Rid of Acne Scars?
December 16, 2010 by Anti-Aging and Skin Care Tips
Filed under Skin Rejuvenation
Can You Get Rid of Acne Scars?
Can You Get Rid of Acne Scars?
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Can You Get Rid of Acne Scars?
Posted: Aug 11, 2008
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Acne may not be a life threatening disease but it can certainly make life more difficult for those who suffer from it. For some acne sufferers even when the pimples are gone they are still self-conscious about the way they look because of scarring that can occur. Even if you’ve outgrown acne as an adult you may still have the scars from the acne you had in your teenage years.
So, is there any way to get rid of acne scars? The answer to that question is maybe. You may be able to get rid of your scars but even if you cannot completely rid yourself of the scars you can certainly reduce the appearance of the scars.
There are many different treatments available today to treat scarring. These treatments can be quite effective but they can also be quite expensive. Some of the popular treatments available include:
Dermabrasion:
This treatment can greatly reduce the appearance of scars but it is expensive, painful, and many people report that their scars have come back over time. The dermabrasion process is very much like using sandpaper on your face. The skin is numbed and then a rotating abrasive disc is used to remove the top layer of skin.
Laser Resurfacing:
Like dermabrasion, laser resurfacing is a technique that involves removing the top layer of skin but rather than using mechanical means a laser is used to vaporize the top layer of skin. Laser resurfacing can be just as painful as dermabrasion and even more expensive. Another similarity is that scars can eventually return.
Chemical Peels:
This technique also involves removing the top layer of skin. Acid is applied to the skin to remove the top layer. It’s less expensive than dermabrasion and laser resurfacing and can be helpful for mild scarring.
If you’re looking for a less expensive and less painful way to reduce the appearance of scarring there are countless lotions, potions, creams, and ointments that claim to reduce the appearance of scarring. There are certainly some ingredients that are all natural and that will greatly improve the appearance of your skin but before trying any of these products it’s a good idea to see if you can find some reports from actual users of the product to find out if they had good results.
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Find out what works and what doesn’t. Get acne product reviews and get the truth about acne treatments. http://www.acne-product-reports.info
What Are The Most Reliable Pitted Acne Scar Treatment Options?
December 14, 2010 by Anti-Aging and Skin Care Tips
Filed under Skin Rejuvenation
What Are The Most Reliable Pitted Acne Scar Treatment Options?
What Are The Most Reliable Pitted Acne Scar Treatment Options?
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Home Page > Health > Acne > What Are The Most Reliable Pitted Acne Scar Treatment Options?
What Are The Most Reliable Pitted Acne Scar Treatment Options?
Posted: Aug 09, 2009 |Comments: 0
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Believe it or not, there are a number of possible pitted acne scar treatment options available for those who are looking to either diminish the appearance of such nasty blemishes or even be rid of them forever. While pitted acne scars are truly a menace and are often very stubborn and hard to get rid of, that does not mean that you should give up! Instead, look into some of these different methods of treatment, or even discuss them with a professional dermatologist to see what the best course of action might be for you.
Give Dermabrasion a Try
One of the most often recommended options for pitted acne scar treatment is dermabrasion. Dermabrasion is one of the longest standing methods of skin treatment for treating acne scars, and it simply involves removing a layer of skin to allow a new layer to be created and take its place. The procedure itself is pretty simple and only takes about an hour. Beforehand, you will have your skin numbed in order to make the procedure a comfortable one, and the recovery period is not very long, either. Dermabrasion works best for people with either fair or dark skin, but not usually for skin tones that are more olive in nature.
Consider Laser Resurfacing
Another method of pitted acne scar treatment would be laser resurfacing. Laser resurfacing treatments are very similar to dermabrasion in that they have the same general idea of removing the damaged layer of skin and promoting the healthier layer underneath. However, laser resurfacing treatments go about it in a different way, by using a pulsating laser to treat the skin. This allows a more precise treatment that can also work very quickly by taking just a few minutes for a small area.
Either one of these pitted acne scar treatment options are very good choices for those that really want to be rid of pitted acne scars for good. There are certain advantages and disadvantages to both, but it is definite that either method will certainly get the job done when it comes to making acne scars either less noticeable or helping to make them disappear altogether. The best way to proceed is to consult with your dermatologist, as they will have the ability to discuss which of the treatment options is best for your skin type or which is best suited for your specific acne scarring.
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There’s no reason you should sit there and be embarrassed about your acne scars any longer when there are pitted acne scar treatment methods to either diminish the appearance of such nasty blemishes or even be rid of them forever. And now I would like to invite you to visit my blog for more tips and advice to get rid of your scars fast… Go To: http://www.acne-scars-remedy.com and be sure to download your FREE copy of my “Ultimate Acne Scar Guide.
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Does laser treatment for acne scars work ?
I have acne problem since last6 yrs..This cause the acne marks in my skin..That luk very odd…i m takeing ayrvedic treatment also…but can u pls suggest me the very effective remedy for acne scars
Does scar zone work on acne scars ?
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Home Page > Health > Causes of Acne Scarring
Causes of Acne Scarring
Posted: Sep 26, 2009 |Comments: 0
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A detailed and comprehensive discussion of acne scars starts with causes of scarring, prevention of scarring, types of scars, and treatments for scars.
Before talking about scars, a word about spots that may look like scars but are not scars in the sense that a permanent change has occurred. Even though they are not true scars and disappear in time, they are visible and can cause embarrassment.
Macules or “pseudo-scars” are flat, red or reddish spots that are the final stage of most inflamed acne lesions. After an inflamed acne lesion flattens, a macule may remain to “mark the spot” for up to 6 months. When the macule eventually disappears, no trace of it will remain—unlike a scar.
Post-inflammatory pigmentation is discoloration of the skin at the site of a healed or healing inflamed acne lesion. It occurs more frequently in darker-skinned people, but occasionally is seen in people with white skin. Early treatment by a dermatologist may minimize the development of post-inflammatory pigmentation. Some post-inflammatory pigmentation may persist for up to 18 months, especially with excessive sun exposure. Chemical peeling may hasten the disappearance of post-inflammatory pigmentation.
Causes of Acne Scars
In the simplest terms, scars form at the site of an injury to tissue. They are the visible reminders of injury and tissue repair. In the case of acne, the injury is caused by the body’s inflammatory response to sebum, bacteria and dead cells in the plugged sebaceous follicle. Two types of true scars exist, as discussed later: (1) depressed areas such as ice-pick scars, and (2) raised thickened tissue such as keloids.
When tissue suffers an injury, the body rushes its repair kit to the injury site. Among the elements of the repair kit are white blood cells and an array of inflammatory molecules that have the task of repairing tissue and fighting infection. However, when their job is done they may leave a somewhat messy repair site in the form of fibrous scar tissue, or eroded tissue.
White blood cells and inflammatory molecules may remain at the site of an active acne lesion for days or even weeks. In people who are susceptible to scarring, the result may be an acne scar. The occurrence and incidence of scarring is still not well understood, however. There is considerable variation in scarring between one person and another, indicating that some people are more prone to scarring than others. Scarring frequently results from severe inflammatory nodulocystic acne that occurs deep in the skin. But, scarring also may arise from more superficial inflamed lesions. Nodulocystic acne that is most likely to result in scars is seen in these photos:
(Photos used with permission of the American Academy of Dermatology
National Library of Dermatologic Teaching Slides)
The life history of scars also is not well understood. Some people bear their acne scars for a lifetime with little change in the scars, but in other people the skin undergoes some degree of remodeling and acne scars diminish in size.
People also have differing feelings about acne scars. Scars of more or less the same size that may be psychologically distressing to one person may be accepted by another person as “not too bad.” The person who is distressed by scars is more likely to seek treatment to moderate or remove the scars.
Prevention of Acne Scars
As discussed in the previous section on Causes of Acne Scars, the occurrence of scarring is different in different people. It is difficult to predict who will scar, how extensive or deep scars will be, and how long scars will persist. It is also difficult to predict how successfully scars can be prevented by effective acne treatment.
Nevertheless, the only sure method of preventing or limiting the extent of scars is to treat acne early in its course, and as long as necessary. The more that inflammation can be prevented or moderated, the more likely it is that scars can be prevented. (Click on Acne Treatments for more information about treatment of mild, moderate and severe acne). Any person with acne who has a known tendency to scar should be under the care of a dermatologist. (Click on Find a Dermatologist to locate a dermatologist in your geographic area).
Types of Acne Scars
There are two general types of acne scars, defined by tissue response to inflammation: (1) scars caused by increased tissue formation, and (2) scars caused by loss of tissue.
Scars Caused by Increased Tissue Formation
The scars caused by increased tissue formation are called keloids or hypertrophic scars. The word hypertrophy means “enlargement” or “overgrowth.” Both hypertrophic and keloid scars are associated with excessive amounts of the cell substance collagen. Overproduction of collagen is a response of skin cells to injury. The excess collagen becomes piled up in fibrous masses, resulting in a characteristic firm, smooth, usually irregularly-shaped scar. The photo shows a typical severe acne keloid:
(Photo used with permission of the American Academy of Dermatology
National Library of Dermatologic Teaching Slides)
The typical keloid or hypertrophic scar is 1 to 2 millimeters in diameter, but some may be 1 centimeter or larger. Keloid scars tend to “run in families”—that is, abnormal growth of scar tissue is more likely to occur in susceptible people, who often are people with relatives who have similar types of scars.
Hypertrophic and keloid scars persist for years, but may diminish in size over time.
Scars Caused by Loss of Tissue
Acne scars associated with loss of tissue—similar to scars that result from chicken pox—are more common than keloids and hypertrophic scars. Scars associated with loss of tissue are:
Ice-pick scars usually occur on the cheek. They are usually small, with a somewhat jagged edge and steep sides—like wounds from an ice pick. Ice-pick scars may be shallow or deep, and may be hard or soft to the touch. Soft scars can be improved by stretching the skin; hard ice-pick scars cannot be stretched out.
Depressed fibrotic scars are usually quite large, with sharp edges and steep sides. The base of these scars is firm to the touch. Ice-pick scars may evolve into depressed fibrotic scars over time.
Soft scars, superficial or deep are soft to the touch. They have gently sloping rolled edges that merge with normal skin. They are usually small, and either circular or linear in shape.
Atrophic macules are usually fairly small when they occur on the face, but may be a centimeter or larger on the body. They are soft, often with a slightly wrinkled base, and may be bluish in appearance due to blood vessels lying just under the scar. Over time, these scars change from bluish to ivory white in color in white-skinned people, and become much less obvious.
Follicular macular atrophy is more likely to occur on the chest or back of a person with acne. These are small, white, soft lesions, often barely raised above the surface of the skin—somewhat like whiteheads that didn’t fully develop. This condition is sometimes also called “perifollicular elastolysis.” The lesions may persist for months to years.
Treatments for Acne Scars
A number of treatments are available for acne scars through dermatologic surgery. The type of treatment selected should be the one that is best for you in terms of your type of skin, the cost, what you want the treatment to accomplish, and the possibility that some types of treatment may result in more scarring if you are very susceptible to scar formation.
A decision to seek dermatologic surgical treatment for acne scars also depends on:
* The way you feel about scars. Do acne scars psychologically or emotionally affect your life? Are you willing to “live with your scars” and wait for them to fade over time? These are personal decisions only you can make.
* The severity of your scars. Is scarring substantially disfiguring, even by objective assessment?
* A dermatologist’s expert opinion as to whether scar treatment is justified in your particular case, and what scar treatment will be most effective for you.
Before committing to treatment of acne scars, you should have a frank discussion with your dermatologist regarding those questions, and any others you feel are important. You need to tell the dermatologist how you feel about your scars. The dermatologist needs to conduct a full examination and determine whether treatment can, or should, be undertaken.
The objective of scar treatment is to give the skin a more acceptable physical appearance. Total restoration of the skin, to the way it looked before you had acne, is often not possible, but scar treatment does usually improve the appearance of your skin.
The scar treatments that are currently available include:
Collagen injection. Collagen, a normal substance of the body, is injected under the skin to “stretch” and “fill out” certain types of superficial and deep soft scars. Collagen treatment usually does not work as well for ice-pick scars and keloids. Collagen derived from cows or other non-human sources cannot be used in people with autoimmune diseases. Human collagen or fascia is helpful for those allergic to cow-derived collagen. Cosmetic benefit from collagen injection usually lasts 3 to 6 months. Additional collagen injections to maintain the cosmetic benefit are done at additional cost.
Autologous fat transfer. Fat is taken from another site on your own body and prepared for injection into your skin. The fat is injected beneath the surface of the skin to elevate depressed scars. This method of autologous (from your own body) fat transfer is usually used to correct deep contour defects caused by scarring from nodulocystic acne. Because the fat is reabsorbed into the skin over a period of 6 to 18 months, the procedure usually must be repeated. Longer lasting results may be achieved with multiple fat-transfer procedures.
Dermabrasion. This is thought to be the most effective treatment for acne scars. Under local anesthetic, a high-speed brush or fraise used to remove surface skin and alter the contour of scars. Superficial scars may be removed altogether, and deeper scars may be reduced in depth. Dermabrasion does not work for all kinds of scars; for example, it may make ice-pick scars more noticeable if the scars are wider under the skin than at the surface. In darker-skinned people, dermabrasion may cause changes in pigmentation that require additional treatment.
Microdermabrasion. This new technique is a surface form of dermabrasion. Rather than a high-speed brush, microdermabrasion uses aluminum oxide crystals passing through a vacuum tube to remove surface skin. Only the very surface cells of the skin are removed, so no additional wound is created. Multiple procedures are often required but scars may not be significantly improved.
Laser Treatment. Lasers of various wavelength and intensity may be used to recontour scar tissue and reduce the redness of skin around healed acne lesions. The type of laser used is determined by the results that the laser treatment aims to accomplish. Tissue may actually be removed with more powerful instruments such as the carbon dioxide laser. In some cases, a single treatment is all that will be necessary to achieve permanent results. Because the skin absorbs powerful bursts of energy from the laser, there may be post-treatment redness for several months.
Skin Surgery. Some ice-pick scars may be removed by “punch” excision of each individual scar. In this procedure each scar is excised down to the layer of subcutaneous fat; the resulting hole in the skin may be repaired with sutures or with a small skin graft. Subcision is a technique in which a surgical probe is used to lift the scar tissue away from unscarred skin, thus elevating a depressed scar.
Skin grafting may be necessary under certain conditions—for example, sometimes dermabrasion unroofs massive and extensive tunnels (also called sinus tracts) caused by inflammatory reaction to sebum and bacteria in sebaceous follicles. Skin grafting may be needed to close the defect of the unroofed sinus tracts.
Treatment of keloids. Surgical removal is seldom if ever used to treat keloids. A person whose skin has a tendency to form keloids from acne damage may also form keloids in response to skin surgery. Sometimes keloids are treated by injecting steroid drugs into the skin around the keloid. Topical retinoic acid may be applied directly on the keloid. In some cases the best treatment for keloids in a highly susceptible person is no treatment at all.
In summary, acne scars are caused by the body’s inflammatory response to acne lesions. The best way to prevent scars is to treat acne early, and as long as necessary. If scars form, a number of effective treatments are available. Dermatologic surgery treatments should be discussed with a dermatologist.
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I have acne problem since last6 yrs..This cause the acne marks in my skin..That luk very odd…i m takeing ayrvedic treatment also…but can u pls suggest me the very effective remedy for acne scars
Does laser treatment for acne scars work ?
Does scar zone work on acne scars ?
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