Dermal fillers / dermal grafting.
This method maybe effective in treating depressed scars. Fillers last 4-8 months. Dermal grafts for acne scars last longer.
Intense pulse light / Broad band light.
This is a form of ‘laser’ treatment, and can dramatically reduce red scars / macular scars. Combined with Fractional laser resurfacing, IPL / BBL can stimulate collagen formation.
Microdermabrasion can be used to treat mild blackhead/ comedomal acne, however it is NOT a recognized treatment for acne scars. Acne scars lie in the deeper layers of skin (dermis), whilst microdermabrasion only treats the very superficial layers of the skin (epidermis). We have replaced microdermabrasion with AHA Glycolic peels, due to the superior results of chemical peels.
Scar and cyst excisions
With deep scars and persistent cysts, excision maybe needed. Deep scars such as ice pick scars are best treated with either punch excision or TCA cross. Fractionated laser is NOT effective in treating this type of scarring however maybe used on the surrounding skin.
Blue and red light treatments
These wavelengths of light have been effective in treating acne and acne scarring. Treatments are best conducted early in the process of scarring. Improvements can be expected in mild cases of acne scarring. A series of treatments are advised. The wavelength of red light has been shown to stimulate collagen formation, and aid in wound recovery. We often combine LED treatments with Fraxel/ Fractionated laser resurfacing and chemical peels for added benefits.
This method is used to treat raised scars- hypertrophic or keloid scarring. These scars generally occur on the upper back, chest, shoulders and jawline areas and present as hard lumpy areas. Several courses of injections can flatten out these areas over time. The result is generally excellent. Fractional laser can also reduce the hardness of these scars, however 3-4 treatments are often needed.
Topicals / creams for scar treatment
Retinoids are generally used to treat acne, however they may also aid in collagen production. Dermatologist often prescribe retinoids topically (in a cream base) to maintain acne remission and in some situations help with collagen remodeling.
Sunscreens form the basis of reducing post inflammatory hyperpigmentation. Macular scarring (red flat scars) is greatly reduced by regular use of a non -comedogenic sunscreen.
This surgical technique is often combined withFraxel / ProFractional laser systems to treat deep bound down scars. This technique breaks down collagen that puckers the scar downwards. The surrounding scar is injected with local anesthesia, and a needle is inserted to run parallel to the skin to deeper structures. Release of the bands that bind down the scar visibly lifts the scar, smoothing the skin’s appearance. Punch excision can also be used to treat deeper ice pick scars.