If your acne scars bother you, safe and effective treatments are available. Treatment options include laser treatments, minor skin surgeries, microneedling, chemical peels, and fillers. As we age, acne scars often become more noticeable because our skin loses collagen.The key to effective treatment is to select the best one for each scar type. Before getting treatment for acne scars, it is important to clear your acne. New acne breakouts may lead to new acne scars.
Laser Treatments: There are two major categories of lasers used in acne scar therapy. They are the resurfacing (aka ablative) lasers and the non-ablative lasers. Ablative lasers remove the outer layers of the skin, burning away scar tissue and stimulating the dermal collagen to tighten, reducing the amount of scar visibility. Non-ablative lasers trigger changes within the dermis without injuring the epidermis.
Injectable Fillers: Fillers work best on shallow, saucer-shaped acne scars. The market has seen an increase in the number and ever-improving quality of filler substances used to help "plump up" acne scars. They have immediate results and last anywhere from three to 12 months depending upon the filler used.
Punch Excision: Ice pick acne scars have hard, irregular jagged borders and often the depth is irregular as well. Simple excision of these scars with a sutured closure allows the dermatologist to bring the dermis back together, and close the area with a fine, uniform line. The tiny linear scar may be allowed to fade on its own, or the procedure may be performed before a more generalized resurfacing is performed such as dermabrasion, microneedling, chemical peel or laser resurfacing.
Chemical Peels: A chemical peel involves the application of a high-potency acid upon the skin. The more potent the acid, the deeper the penetration into the skin.
Topicals for Acne Scars: The use of a topical vitamin A creams (which help with exfoliation as well as stimulate collagen) or antioxidant-packed rejuvenating creams (often containing vitamin C) have been shown to help stimulate collagen bundle formation.