Acne Scar is a very common condition seen in people like Acne. Acne scars have an unsightly appearance and can also affect the patient by affecting their self-esteem
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Who develops Acne Scar
Scarring in Acne begins early and can affect 90% of patients depending on the severity of Acne and delay in treatment. Some people are more likely to see Scars when their Acne clears. The risk increases when a person.
- Has inflammatory (swollen, reddish, and painful) Acne These often include Acne cysts and nodules. This type of Acne tends to penetrate deep into the skin, which damages the skin.
- Delays or does not treat inflammatory Acne the longer a person has inflammatory Acne, the greater the risk of scarring.
- Picks, squeezes, or pops Acne this increases inflammation, which increases the risk of scarring.
- Genetic tendency having a blood relative who developed Acne Scars, genes play a large role.
Types of Acne
Has inflammatory (swollen, reddish, and painful) Acne These often include Acne cysts and nodules. This type of Acne tends to penetrate deep into the skin, which damages the skin.
- Delays or does not treat inflammatory Acne the longer a person has inflammatory Acne, the greater the risk of scarring.
- Picks, squeezes, or pops Acne this increases inflammation, which increases the risk of scarring.
- Genetic tendency having a blood relative who developed Acne Scars, genes play a large role
When acne breakout penetrates the skin , they damage the skin below it . Once teh acne clears the skin tries to heal. This healing process can lead to :
- Producing less collagen
- Producing too much collagen
- Stimulating pigment cells
Depending on the type of healing response , the acne scars will be different :
- Depressed Scars- occur due the production of less collagen . depending on the collagen produced they can be icepick scars, rolling scars, box scars . they all appear as pits of different depth.
- Raised Scars – occur due to the increased production of collagen like keloids.
- Pigmented scars – appear as small , flat brown to black spots in the area of acne .They occur due to activation of pigment cells.
How to Effectively Treat Acne Scars
Acne scars once developed require different treatment modalities depending on the type of scar . People get confused with the various names that float around in the market to make the treatment more lucrative . We have to understand that basically only the following treatment modalities are available that can be either used in combination or alone to treat an Acne Scar. At Clinic Eximus , we use a combination of methods to give you lasting results for Acne Scar .
Collagen Induction Treatment
The basis of this Treatment is to stimulate Collagen production. Since we understood earlier that the amount of collagen produced determines the type of scar. Hence the Depressed scars, which are caused by reduced collagen are the best first for this type of Treatment.
Collagen induction can be achieved by various techniques like.
Microneedling
This Treatment stimulates the skin to produce more collagen and thus treating depressed Scars like the Icepik ,Box Scar and Rolling Scars. It uses devices with microneedles that puncture the skin, thereby creating an injury which the body repairs by producing collagen.
- It is painless as it is done after applying a numbing cream.
- Very effective even for Old Scars.
- Different serums can be used to boost collagen production along the Microneedling.
- Minimal downtime .
Resurfacing Treatment
When a patient wants to reduce the appearance of Acne scarring over a large area, then Resurfacing Treatments are recommended. Resurfacing allows the layers of skin to be removed at a Microscopic level, thereby stimulating skin to produce new skin cells leading to production of an even skin. Resurfacing works well on Acne Scars that are flat and not very deep.
Different techniques are available to do resurfacing like.
Erbium Laser Resurfacing
Uses Erbium Laser to Resurface Can be used in deeper Scars Laser downtime.
Chemical Peels
Chemical Peels can give amazing results in Treatment of different types of Acne Scars. They can also be used to treat deep Acne Scars. Peels like Jessners, Cross Peel , Yellow peel achieve desired results with lesser costing than Laser Treatments.
Microdermabrasion
It uses specialised machines to micro abrade the skin at microscopic level. It is useful for superficial and shallow scars Effective No downtime Painless, no numbing require
Filler Treatment
- It is a Treatment of choice for depressed Scars .
- Hyaluronic acid fillers can be used
- Fat from persons own body can also be used
- The effect remains from a few months to years depending on the filler used.
Acne Scar Surgical Treatment
- Usually indicated for depressed Scars that have a centre that is tethered down to the Underlying Skin
- Principle is to dislodge the tethered centre and stimulate collagen production .
- Called as Subcision and is very effective.
- Usually combined with 1 or other modality of Treatments.
Injection Treatment
- Indicated for Raised Scars
- Injections of different medicines are given to dissolve the extra collagen that is formed, giving an even look
- Can be combined with other forms of treatments
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