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. Boxcar scars can develop as a result of acne, or sometimes, chickenpox. Numerous treatments are available to reduce their appearance, such as dermarolling, microdermabrasion, and surgery.
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Boxcar scars are also known as craters or pockmarks. While they are not physically harmful, they can cause distress and low self-esteem, particularly when they appear on the face.
Boxcar scars are a type of atrophic acne scar. An atrophic scar is a depressed scar that heals below the normal layer of skin tissue.
Boxcar scars form when the skin tries to heal after an injury but does not produce enough collagen. Collagen is a substance that helps support the skin, so a lack of collagen causes pitting.
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Any type of acne can cause boxcar scars. They sometimes develop following chickenpox, too. Some risk factors make acne scars more likely, such as:
According to the American Academy of Dermatology (AAD), while genetics and other risk factors influence who will or will not develop acne scars, they are not a guarantee. It is not always clear why one person develops scars while another does not.
There are a variety of ways to try to minimize the appearance of boxcar scars. The method a person chooses may depend on the depth and severity of the scars.
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Dermarolling, or microneedling, involves rolling or pressing tiny needles over the skin in order to create small injuries. This stimulates collagen production, which can reduce the appearance of depressed scars.
Chemical peels involve a dermatologist applying acids to the top layer of skin to exfoliate it. This allows new skin cells to grow. It is a form of resurfacing treatment.
Found that superficial chemical peels effectively treat atrophic scars with relatively few side effects or complications. A 2015 review suggests that five sequential sessions of
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Chemical peels can cause side effects, such as pain, redness, or flaking. This is more likely with stronger acid solutions. People may need to follow a special skincare routine while undergoing treatment and wear SPF to prevent sun damage.
Dermabrasion and microdermabrasion are facial resurfacing techniques that involve removing the epidermis, or top layer of skin cells, to encourage new skin cells to grow.
Laser resurfacing is another type of skin resurfacing that can help minimize the appearance of mild to moderate boxcar scars. There are
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Ablative laser treatment can produce more drastic results, with significant improvements after only one treatment. However, there is also a higher risk for infection than non-ablative treatments.
Fillers are skin injections that contain substances to plump up the skin. Depending on the type of filler, it may contain collagen or fat from another part of the individual’s body.
Fillers can reduce pitting and even out the skin. However, most give temporary results, lasting between 6-18 months. Some types of filler are permanent.
How To Get Rid Of Acne Scars: Treatments And Home Remedies
Medical professionals can also remove acne scars surgically. This option is best for those with a small number of scars. There are two types of procedure:
Some people use dermarollers and dermastamps at home. However, it is important to be aware that home kits may carry some risks.
It can be difficult to sterilize dermaroller needles at home properly. If a person does not sterilize or change the needle head frequently enough, they may be at risk for infection.
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The needles that come in home dermarolling kits are also shorter than the ones professionals use and penetrate the skin at an angle. This may mean they do not work as effectively as professional microneedling treatments.
Boxcar scars are not something that requires immediate medical attention, but they can have a significant impact on mental health. If that is the case, people should speak to a doctor or dermatologist about their options.
There are numerous ways to reduce the appearance of boxcar scars. Minor surgery may help reduce a small number of scars, while procedures such as peels, laser treatment, or dermarolling may reduce more widespread scars.
Acne Deep Scar Reduction Treatment
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But what if there were a way to get rid of deep acne scars for good? To stop disguising them with layers of foundation and start feeling confident about your skin again?
There is – several in fact. Spa MD offers a number of different treatments that help get rid of and improve the appearance of deep acne scars.
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Many people have heard of microdermabrasion, but not many people actually know what it is. Microdermabrasion is a procedure that uses very fine crystals to essentially buff and polish your skin. Think of it as extreme exfoliation. By using a steady stream of crystals, we will actually remove the outermost layer of dead skin cells, revealing the fresh, healthy skin beneath.
Microdermabrasion is a painless, noninvasive procedure that we can perform right here at Spa MD. The procedure lasts only an hour and the results are instantaneous. Microdermabrasion is suitable for all skin types, and is a perfect treatment for people who would prefer to avoid harsher techniques. Microdermabrasion can help improve the appearance of deep acne scars, but we also use it to treat sun damage, age spots, hyperpigmentation, and fine lines.
The effects of laser skin resurfacing can be dramatic, restoring
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