Is There an Alternative to Dermabrasion for 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... more

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.

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.

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.

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.

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.