Acne Scar Laser Treatment

Acne scars and scars have different sizes and shapes. It is crucial for you to know the type of acne that you have because this is the most important factor for Acne scar Laser Treatment. Once we identify that then we can suggest a suitable procedure to remove acne marks.

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What Are the Signs of Acne Scarring?

‍Acne atrophic scars are categorized by the dermatologists from the most frequent to the least frequent:

Ice pick scars are a kind of scar that has a V shaped depression that extends into the dermis.
Boxcar scars are big pores with flat bottoms (like a train car).
Rolling scars are depressions that have rounded edges and are surrounded by small hills and this gives the impression of rolling hills.
All the three types of depressed acne scars are caused by the loss of collagen. Even though they are not as shallow, boxcar and rolling scars are not as deep as ice pick scars. A patient can have all the three types of the scars namely boxcar, rolling and ice pick scars at a time.
It may pose a problem in identifying these scar types. Hypertrophic scars and keloids are the two types of raised acne scars that are caused by the overproduction of collagen during the healing process.

Who is Most Prone to Acne Scarring?

However, it has been found that boys and overweight teenage girls are likely to develop severe acne.

But also, patients who try to pop their acne or scrub their skin too much and use strong cleansers and hot water are likely to develop scars. Some medications like prednisone and genetic factors also increase the chances of acne.

Depressed Acne Scars

The following are some of the effective management measures that have been employed for the depressed acne scars that are common and not very deep; skin resurfacing and other treatments such as:

Ablative fractional resurfacing Fully ablative lasers such as CO2 and Erbium: YAG lasers were used by dermatologists in the past to peel off the skin. This treatment improved the appearance of the acne scars but had some negative effects such as the induction of pigmentation side effects in dark skin patients.
Non-ablative technologies The treatments use energy sources such as radiofrequency (RF), blue light, diode lasers, intense pulsed light or pulsed dye lasers that affect the deeper skin levels while the surface of the skin remains intact. Some new devices have non-ablative lasers and RF energy.
Chemical peels For mild acne discoloration, salicylic acid, glycolic acid and TCA (trichloroacetic acid) peels cause mild exfoliation of the epidermis.
Skin tightening These treatments use modalities including RF to tighten the skin, which can help in making the acne scars less noticeable.
Dermal fillers Miami Dermatology and Laser Institute board certified dermatologists deliver safe collagen or hyaluronic acid or patient fat filler injections to treat depressed acne scars. These effects typically last between six months and eighteen months. The selection of filler products depends on your individual requirements.
Microneedling A medical roller device which contains numerous thin needles penetrates skin to start collagen production.
Needle subcision A sterilized needle inserted under the scar tissue dissolves adhesions responsible for forming rolling scars.
Scar surgery Surgical intervention represents a necessary treatment for deep depressed scars and ice pick scars because it allows scar tissue lifting or scar tissue breaking.

Raised Acne Scars

LSU Plastic Surgery offers elevated acne scar patients the following treatment options:

Intralesional injections

The combination of corticosteroids and 5-fluorouracil (5-FU) administered through intralesional injections works to reduce both the size and elevation of thick raised scars.

Laser therapy

Elevated scars receive safe treatment through the combination of fractionated CO2 lasers and other light- and energy-based therapies. The pulsed-dye laser treatment relieves both pain and itching and reduces discoloration and flattens scars. Patients with light skin tones can utilize intense pulsed light as an additional treatment option.

Cryosurgery

Light-skinned patients achieve beneficial results by combining exact scar tissue freezing procedures with corticosteroid injections and cryotherapy sessions.

Scar surgery

The office-based surgical procedures aim to minimize the noticeable appearance of elevated scars. The physician will suggest post-treatment therapy because it serves as a crucial requirement for achieving optimal results.

POST CARE

Acne scar removal success depends entirely on the execution of proper post-care procedures. Your acne scar laser treatment results will benefit from a dedicated skincare practice that you should start after your procedure. The essential post-care procedures include:
Protect your skin from UV rays by wearing a wide-brimmed hat and applying high-SPF sunscreen because healing skin darkens and develops worse pigmentation from UV rays.
Use non-comedogenic products only while continuing your recommended skincare routine. Patients will receive particular serums along with moisturizers from their dermatologist which help skin recovery.
The moisturizer functions as a dual-purpose product which provides skin relief through hydration while preventing dryness and irritation. The recommended moisturizer should be applied according to instructions for the recovery process to function correctly.