Long-term improvement of acne scars?

I have a lot of depressed acne scars and pock marks along with a horrible skin texture. I have had dermabrasion, chemical peels, and most recently, Total FX and Restylane injections. The Restylane makes a difference, and I will continue with it, but there are so many depressed scars that it is hard to get to them all, and the improvement is so temporary. Can I ever really have a long-term improvement my acne scars?

2 answers to “Long-term improvement of acne scars?”

A: Long term improvement in acne scars is possible

Philip Young, MD

You can have long term improvement in some acne scars. For depressed scars, a strong chemical peel using a toothpick can help raise the depressed scars/pock marks. Also, this can be done with the co2 laser. The other way to improve those scars is just to incise them and remove the scars and carry out a... more

A: Long-term improvement of acne scars

Bryan K. Chen, MD

I would have expected Total FX to give you some noticeable improvement in your skin texture and acne scarring.  It may be that you may need to wait a few months for the full effect of that treatment to take effect. In my experience, durable (indefinite) improvement can be achieved with a combination... more

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Comments

Sadycal
8 posts
20 Mar 2009

Continued... I am not sure about the improvements from the Total FX as it has been only three months. I thought the texture would improve, and it did at first, but seems to be going back to the orange peel yucky look again. Anyway, is it just impossible to improve such horrible skin? Should I just accept it, or are there things I should try or stick with? Is there a doctor in the Los Angeles area that takes a different approach to improving acne scars such as subcision or TCA cross? My dermatologist doesn't seem to do any of that. This is just such a depressing thing to live with. I have terrible social anxiety because of this and rarely go out anymore. I'm just too embarrassed by my appearance, so I would like to know if I should continue to try or just give up. Thank you.

KittyKitty
2 posts
30 Jun 2009

Sadycal, I also wanted to say you are not alone. I have that dreaded orange peel texture as well. It seems like everytime I try to fix my skin it gets worse. Microdermabrasion messed my skin up and thats supposed to be superficial! One light peel caused more scars also. Actually it all happened when I was given Retin A as a teenager. I noticed immediately my texture changed and I had all these noticeable pores. Well that was over 15 years ago and now, the pores have connected in areas making them look like lines on top of everything else. I cannot cover it or help it all. I rarely go out myself and can't stand overhead lighting. I haven't tried anything in such a long time. I am starting to wonder if fillers would help me? I don't expect any major change but I think if certain areas could be plumped up that might help my makeup fill it in better. I don't know, it's just so depressing. I don't do much of anything anymore. Well I hardly have since I was in my 20's. I still suffer from acne as well and am now 36. OH, I also developed line type scars on sides of chin from a smoothbeam laser procedure I had done ONE time! It just seems my skin has always been too delicate. I also have long term side effects from acne meds I have taken in the past. Yeah, it's pretty sad at this point. I forgot to mention my face is red and my neck is not. I am a mess. Don't know if you wear makeup tho, but I have found that cornstarch based loose powder helps fill in holes. I use the finishing powder from everyday minerals. Nothing is perfect, but it helps a bit. Can I ask how they inject the Restylane? Where do they know where to do it? I guess my texture is so messed up I don't know how to pinpoint a spot to do it in. It seems my lower cheeks need the most help. Of course being in my thirties now, it is getting worse due to aging and laugh lines, etc. Ah, I hope fillers can help relieve it to some degree :(

Acne scars before & after photos

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