Is dermabrasion still the best method to reduce acne scars? My dermatologist recommended it to me and I think (or hope) that there is probably a better way.
Is There an Alternative to Dermabrasion for Acne Scars?
Doctor Answers (7)
Treatment of acne scars
Dermabrasion is an excellent technique to resurface the skin and correct some acne scars. Before proceeding, be sure that you are working with a board-certified plastic surgeon who is well experienced in facial surgery and skin resurfacing. Such an expert will be able to determine whether you'd best be served by using dermabrasion, dermal fillers, or surgical procedures such as substitution of a scar or complete excision. Every scar, like every patient is unique. A surgeon who has expertise in all these techniques will help you pick the one that's best in your case.
Dermabrasion for Acne Scars
Dermabrasion is one component of a vast armamentarium of treatments for acne scars and skin resurfacing. Dermabrasion can acheive contouring of mildly depressed and wide scars on the face and perioral area. It should not be performed concurrently with Accutane treatment.
Acne scars should be individualized and assessed to determine which acne scar procedure works best for the scar.
Alternative to Dermabrasion for Acne Scars
Microdermabrasion is a waste for deep scars! There, I've said it. Little silicon pellets bounce right off the skin's surface and may cause some slight edema making scars look better for a day or two, but microdermabrasion has no durable effect. For real improvement in scar tissue, we need to get down to the level of the dermis. That can be stronger trichloraceitic acid peels or ablative lasers like the CO2 laser, but microdermabrasion just isn't penetrative enough.
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Alternative to dermabrasion
Of course there are many alternatives to dermabrasion as a treatment for deep acne scarring. Numerous lasers are available, all with their own proponents, as well as medium and deep chemical peel procedures, subcission of deep scars and use of various fillers. You need to find a doctor who will work with you to help you achieve the desired results.
Acne scars still difficult to treat
Resurfacing options (peels, dermabrasion, laser resurfacing) may all improve the scars a little. Personally, I focus first on options that address the deeper aspect of acne scaring with deep fractional CO2 lasers (i.e., Encore DeepFX) or percutaneous collagen induction therapy (a.k.a. medical needling). I consider resurfacing 2nd tier treatments for acne scaring.
Whatever option you choose, improvements will be moderate at best.
TCA peel using CROS technique
A TCA peel using varying strengths of acids can have remarkable effects through an office procedure that is very cost efficient. Typically, the charges are between $500 and $900 for a 45 minute office procedure. This is a technique that when used properly can be tailored to individual pores and scars, instead of just blanketing the face with multiple laser treatments. Definitely, an underutilized technique.
Various ways to resurface the skin
There are 3 main ways to resurface the skin and all can be used for acne scars. Unfortunately, none will totally get rid of the scars.
The 3 techniques are dermabrasion, chemical peels, and lasers. Different doctors have preferences for each but all can be used for acne scars.