Acne Scar Surgery

Comprehensive acne scar treatment will determine a plan of treatments that best suits your needs. The optimal treatment approach for acne scarring depends upon the type of scarring and is often a combination of several techniques. Visit our dermatology clinic in Beverly Hills to see how we can help you relieve your stress about acne scarring.

Dr. Monika Kiripolsky is a board-certified dermatologist and cosmetic surgeon specializing in the treatment of acne scarring using a combination of multiple modalities including lasers, IPL, chemical peels, filler injections, microneedling, radiofrequency and surgery. Her office is located in Beverly Hills, California.

Acne affects more than 80% of the population over the course of our lifetimes. Contrary to popular belief, acne is not a condition limited to teenagers. Inflammation related to active acne can lead to scarring, red and brown skin discoloration (“post-inflammatory hyperpigmentation” or PIH), textural irregularities, and enlarged pores.

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The optimal treatment approach for acne scarring depends upon the type of scarring and is often a combination of several techniques. The following treatments can be used alone or in combination to lessen the appearance of acne scarring:

Lightening agents (azelaic acid, kojic acid, and hydroquinone) and retinoids (tretinoin and retinol) can be used at home to treat the ruddy, brown discoloration related to acne scarring. 

Salicylic acid treats not only the ruddy, brown discoloration associated with PIH, but also penetrates into the oil glands to treat active acne and to prevent new acne from forming. Trichloroacetic acid (TCA) can also be administered carefully in high concentrations to treat individual icepick scars.

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This technique involves inserting a needle with a tiny blade at the end of it into areas of depressed acne scars to release the underlying scar tissue from “tethering down” boxcar and rolling acne scars. Subscission is often performed during the same session as microneedling, radiofrequency + microneedling, and/or fractionated CO

Microneedling causes “controlled wounding” of the skin. This involves using thin needles to mechanically remodel the skin, stimulating increased production of hyaluronic acid, collagen and elastin. The final effect is improved texture and tone of the skin with an overall decrease in pore size. Adding radiofrequency to microneedling amplifies production and remodeling of collagen and elastin, which results in even more skin tightening.

Thickened, hard acne scars are referred to hypertrophic scars and keloids. These are best treated by focal injections of steroids and/or 5-fluoruracil. Injection therapy softens and flattens out these thicker acne scars.

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This technique involves using a circular blade to remove icepick scars (tiny, but deep scars) that are often resistant to other treatments. After the depressed scar is popped out, a tiny stitch is placed in the area and is subsequently removed after a week.

In summary, Dr. Kiripolsky uses the most technologically-advanced methods on the market to optimally treat various types of acne scarring. And, often a combination of the above treatments is ideal to achieve maximal improvement in the appearance of acne scars. Each treatment regimen is formulated specifically for you and the type(s) of acne scarring that you have.

If you are interested in discussing treatment options for active acne and/or discoloration or scarring from prior acne, please call 424-652-6563 to schedule your appointment at our dermatology clinic in Beverly Hills. Monika Kiripolsky passionate about partnering with you to make your skin as flawless as possible. Acne scars are a type of scar that can occur after someone has had acne. Acne is a skin condition that occurs when the hair follicles become plugged with oil and dead skin cells. When the plug becomes infected with bacteria, it can break open and cause inflammation. If the inflammation is severe, it can damage the skin and lead to scarring.

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Acne scars are usually the result of severe acne, but they can also occur after less severe cases of acne. There are several different types of acne scars, including rolling scars, boxcar scars, and icepick scars. Rolling scars are broad depressions in the skin that have gentle slopes. Boxcar scars are round or oval depressions with sharp edges. Icepick scars are deep, narrow scars that look like they were made by an ice pick.

Acne scars can be very difficult to deal with. They can cause feelings of insecurity and low self-esteem. Some people may avoid social situations because they are embarrassed by their scars. Acne scars can also lead to physical discomfort. They can be itchy, painful, and tender.

Acne scars can be a difficult thing to deal with, but depending on the severity of the scars, there are medical treatments available that can help. Learn more about some of the most popular treatments that we offer to help with acne scars:

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The best way to prevent acne scars is to avoid picking or popping pimples. This can help to prevent the inflammation that can lead to scarring. This is especially important for people who are prone to keloid or hypertrophic scarring. If you do have active acne, it is important to treat it early and aggressively to minimize the risk of scarring.

Looking for an acne scar treatment that really works? You're in luck. Our experts at ELLEMES Medical Spa can help you get your confidence back by finding the perfect treatment plan for your unique skin type. Give us a call today to learn more about our services in Atlanta, GA.

At ELLEMES, we believe that healthy skin is beautiful skin. That's why we offer complimentary skincare consultations with our expert estheticians. During your consultation, we will take the time to get to know your skin and your skincare goals. We will then develop a personalized skincare plan that is tailored specifically for you. Schedule your complimentary skincare consultation today!

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Located in Atlanta, GA, we are a full-service medical spa that offers a wide range of services to help you look and feel your best. recently published an article on the latest in acne scar treatments. What are the newest developments in treating acne scars, and what should dermatologists keep in mind when treating patients with skin of color?

For an expert opinion on the current and future landscape of acne scar treatments, I contacted dermatologist DiAnne Davis, MD, FAAD, a cosmetic dermatologist in Dallas.

Some of the latest developments in treating acne scars use several different treatment approaches at the same time for a synergistic effect to improve the acne scars. Whether it be subcision plus fractional non-ablative or fractional ablative laser therapy, subcision combined with biostimulating injectables, or radiofrequency and microneedling with PRP, there are many different ways to approach acne scars. By combining several treatments into one you can definitely make a powerful impact on improving the acne scars.

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All patients with skin of color are not the same, especially when it comes to laser therapy. I have definitely learned that over the last couple of years of practicing since I finished my cosmetic fellowship. If you have any concerns of how the patient will respond, I always recommend doing test spots either behind their ears or in another hidden location to see how their skin will respond.

In terms of the acne scars that I see skin of color patients concerned with, the most common would be post-inflammatory hyperpigmentation. Safer options will always include chemical peels, microneedling, and/or radiofrequency microneedling to address concerns regarding pigmentary alterations. 

Atrophic scars can definitely be more challenging to treat. Depending on the size of the atrophic scars I may recommend a small 1.5 mm or 2 mm punch excision followed by one small stitch to approximate the skin edges in order to remove the scar entirely.

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I also love combining Pico- and/or Nano-second fractional non-ablative laser technology to really help with the remodeling of the dermis to help improve the atrophic scars.

If I see a patient that is coming to me for acne and I see acne scars I want to first address their acne but also discuss ways that we can start treating their acne scars as soon as possible. As a dermatologist, I think we always have to keep in mind the effects that acne scars can have on our patients’ quality of life and we should not turn a blind eye to what the patient may not be saying during our medical encounters.

Sometimes my treatments may come in the form of an oral medication such as isotretinoin. Other times I may recommend topical prescriptions while also combining microneedling treatments.

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