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 is stubborn and tough to get rid of, and you may feel victorious after you've finally managed to get your acne under control!
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However, the side effect of acne that not many people talk about are the acne scars that acne leaves behind. Acne scars can be tough to deal with, but don't worry, we'll go over many different ways to treat acne scars.
Acne scars can appear due to the damage in collagen caused by acne. Acne scars are the texture changes, and discoloration that can happen after having acne. Depending on the type of scar, it may remain there for several months, or even years.
Dealing with acne is only half the battle as an inflamed pimple will stretch our collagen fibers over time. This can lead to long term damage on our skin’s surface.
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Out of the above acne scar types, hyperpigmentation is the one easiest to reduce and some hyperpigmentation can fade on their own even without treatment. According to dermatologist Dr. Davin Lim, hyperpigmentation and erythema are grade 1 scars - which are flat scars that leave a dark or red mark.
Hyperpigmentation are the dark spots and discoloration which can range from shades of black, brown, purple, and red and the easiest to treat.
Boxcar scars are shallow with a strong straight and defined edge. Rolling scars are depressed scars with less of a defined edge or ridge, and ice pick scars are deep and narrow which are more difficult to treat.
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If you have keloid scars, it's best to see a skincare professional to help treat keloids as many typical acne scarring treatments will be contraindicated to treating keloids.
What's the difference between acne marks and acne scars? Acne marks refer to the discoloration or dark spots from post inflammatory hyperpigmentation. Most hyperpigmentation can fade on their own although it can take months or years.
Acne scars can leave a serious impact on one’s self-confidence. It’s hard for some to look beyond the discoloration and uneven texture after having acne scars, but they can be improved and there are several methods for getting rid of acne scars.
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Microneedle is meant to stimulate new collagen fibers, which is the foundation of skin to push the old damaged skin out and fill in acne scars over time.
Microneedling promotes the absorption of topical products so be careful of what products you apply onto the skin after microneedling. It can be great for absorption of skincare that has trouble penetrating through the skin barrier.
For an at-home microneedling treatment, use shorter needle sizes that are no longer than 0.5mm and pick a stamp design tool versus a roller. The er 2.0 is a high quality tool that can be used once a week or once every other week and they provide a natural Vitamin C Serum designed to be used with it for acne scars.
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Consult your dermatologist for guidance or go in for an in-office treatment if you have very deep ice pick scars that may need more aggressive treatment.
Take note that the sooner you start treating acne scars, the easier it is to treat them as old scars tend to be more difficult to treat compared to new ones.
Retinoids such as retinol, adapalene, tretinoin, or Vitamin A products have been considered a go-to ingredient for both acne scars and acne.
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Take note that retinol is not as strong as prescription-strength retinoids so retinol or derivatives of it are what you find in drugstore skincare products.
A word of warning is that retinoids and its derivatives may cause purging for the first couple of weeks and they can cause irritation to the skin so best to start off slow and use a moisturizer.
These peels work in the same way as the kinds you use at home to dissolve the uppermost layers of skin, only that they work on a deeper level.
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Deeper peels such as TCA peels should be done by a professional and can improve moderate to severe acne scars with the proper aftercare and with the supervision of a professional.
Be careful not to try these deep peels by yourself, as not all skin types are suitable for this acne scar treatment and it can run the risk of causing more scarring or hyperpigmentation especially for those with darker skin tones.
You can use skincare products that are made with more gentle acids or lower concentration of exfoliating acids for light acne scarring and discoloration. Look for ingredients like glycolic acid, lactic acid, mandelic acid, and salicylic acid.
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These type of microneedling procedures are done by a professional which use longer needles and numbing cream is commonly applied to numb the skin. Professional microneedling may be better able to address deep severe scarring.
PRP microneedling is a procedure in the office with a device that injects your own plasma into your skin for the healing properties to heal acne scars.
RF microneedling combines radiofrequency with LED which uses heat and microneedles together. The device is handled by a professional. The needles and heat will both break down scar tissue, and stimulate collagen to fill in scars.
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Most laser treatments work by sending pulses of light that create heat energy to damage the top layer of skin. These lasers can induce the wound healing response, so that new tissue and collagen can form in its place.
Certain types of ablative laser such as co2 laser may not be suitable for darker skin tones as they could increase the risk of hyperpigmentation since darker skin tones contain more melanin.
Depending on the type of laser, they can treat mild to severe acne scarring. It requires a consultation with a dermatologist before you can undergo laser resurfacing and a few sessions may be needed to see desired results.
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Non ablative laser treatments such as fraxel dual are less aggressive and may be suitable for skin types that are more prone to scarring or pigmentation issues.
Glycolic acid is an AHA which stands for alpha hydroxy acid. This AHA is one of the most effective AHAs and
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