Acne Scars

Acne scars can be an unfortunate and unwanted side effect of acne. For those who have suffered from acne, scars can be a constant reminder of past breakouts. Fortunately, there are several treatment options available to help reduce the appearance of acne scars.

Types of Acne Scars

Ice Pick Scars

Ice pick scars are a localised form of deep acne scars. They are best treated with surgical modalities such as punch excision and punch elevation or by a particular technique known as TCA CROSS. TCA CROSS is a technique which utilises high concentration trichloracetic acid inserted within the scar to cause a controlled burn and scar destruction, encouraging new, more normal skin production.

Box Car Scars

These are wider and larger than ice pick scars, but are often treated in a similar manner. They are often also suitable for treatment with ablative or fractionated laser treatments, and radio frequency needling.

Keloid Scars

These are thickened scars, which are often a challenge to treat. Repeated treatments with steroid injections, combined with Pulsed dye laser or fractionated ablative and non-ablative lasers may improve these over time.

Rolling Scars

One of the most challenging types of scars to treat, rolling scars are often addressed with a combination of ablative or fractionated laser treatments, surgical release techniques such as ‘subscision’, and dermal fillers.

Mixed Scars

Many people will have a combination of the above types of scars.

CO2 Laser Treatment for Acne Scars

CO2 laser treatment is a popular option for reducing the appearance of acne scars. The CO2 laser works by removing layers of skin, which allows new skin cells to grow and replace the damaged tissue. This process is also known as skin resurfacing.

During the procedure, Dr Manoharan will use a CO2 laser to vaporize the damaged skin cells. This stimulates the production of collagen, which is essential for healthy skin. Collagen helps to fill in the gaps left by acne scars and smooth out the skin’s surface.

The procedure typically takes about an hour, and most patients are able to return to their normal activities within a week. It is essential to follow post-treatment care instructions carefully to ensure the best possible results.

Radiofrequency Microneedling for Acne Scars

Radiofrequency Microneedling (RFMN) is another popular option for reducing the appearance of acne scars. This procedure uses a device with a handpiece that contains tiny pins. The pins penetrate the skin’s surface and deliver radiofrequency energy to the deeper layers of skin.

The radiofrequency energy stimulates the production of collagen, which helps to fill in the gaps left by acne scars. The procedure also helps to improve skin texture and tone.

RFMN is typically performed under topical or local anaesthetic, and takes about 30 minutes to complete. Most patients experience minimal discomfort and are able to return to their normal activities within 1-2 days based on the intensity of treatment.

Subcision for Acne Scars

Subcision is a surgical technique that involves using specialised cutting needles to separate the scar tissue from the underlying skin. This helps to release the scar tissue, allowing the skin to heal and fill in the gaps left by acne scars. It is particularly necessary for deeper scars, which present as rolling scarring on the surface of the skin.

During the procedure, Dr Manoharan will anaesthetise your skin, and then use cutting needles to delicately break down deep scar tissue under the skin. This stimulates the production of collagen, which helps to fill in the gaps left by acne scars. The procedure typically takes about 30 minutes to complete and can be performed as an outpatient.

Occassionally, this procedure is performed on its own; usually however, it is combined with other treatments such as laser resurfacing, radiofrequency microneedling or injectables.

Post-treatment Care

Following any of these procedures, it is important to follow the post-treatment care instructions carefully. This will help to ensure the best possible results and reduce the risk of complications.

Some general post-treatment care instructions may include:

• Avoiding direct sunlight and wearing a broad-spectrum sunscreen with at least SPF 30
• Avoiding hot showers or baths for the first few days after treatment
• Icing the area if bruising is present
• Using gentle cleansers and moisturizers
• Avoiding picking or scratching the treated area

Choosing the Right Treatment for You

If you are considering treatment for acne scars, it is important to speak Dr Manoharan or his experienced team. They can help you determine which treatment option is best for you based on your skin type, the severity of your acne scars, and your individual goals.

CO2 laser, RF microneedling, and subscision are all effective treatment options for reducing the appearance of acne scars. Each option has its own unique benefits and considerations. Ultimately, the best treatment for you will depend on your individual needs and goals.

Conclusion

Acne scars can be a frustrating and unwanted reminder of past breakouts. Fortunately, there are several treatment options available to help reduce their appearance. CO2 laser, RF needling, and subcision are three popular treatment options that can help improve skin texture and reduce the visibility of acne scars. Do not let acne scars hold you back – explore your options for treatment today.