How Can I Treat This Deep Acne Scar? (photo)

asked 7 months ago by gsxr600 in Stamford, CT
Latest answer by James C. Marotta, MD
Question viewed 415 times
Tags: options, pigmentation, treatment

This scar was left from a pimple, I wonder what my treatment plans are? will it be less noticeable over time or should use some kind of filler compound? What can be done to reduce the pigmentation in the surrounding areas?

5 answers to How Can I Treat This Deep Acne Scar? (photo)

Treatment of Acne Scars

Acne scars may be treated utilizing many different modalities including surgical excision and closure, punch release and suturing, punch skin grafting, subcision, fat grafting, injection of temporary fillers like Radiesse, Restylane, Juvederm or permanent silicone injections, and finally laser or dermabrasion. It is difficult to tell from your picture which of these modalities would be ideal for that scar because I use them in different situations. It seems though you may be... more

James C. Marotta, MD
Long Island Facial Plastic Surgeon

For a single deep acne scar, excision is sometimes the best option.

A single deep acne scar may best be treated with simple excision. If a residual scar is left from the excision, laser scar revision may be able to blend the surgical scar. I would recommend extensive subcision and Fraxel Repair laser for the rest of this patient's scars. Some fillers may also be necessary to achieve the best results.

Mark Taylor, MD
Salt Lake City Dermatologic Surgeon

www.gatewaylasercenter.com

Subscission, fillers and perhaps fractional ablative laser

The large deep scars could be undercut ["subscission"] for example using the tip of a 16 ga needle. Volume could be restored, for example by very controlled injections of Juvéderm® using a BD-!! 31 ga syringe. Finally, fractional ablative laser [for example, Cutera's Pearl Fractional] could be used to turn on the repair and remodelling processes to improve the smaller scars. I think I also see some deep, narrow ["icepick"] scars -- these might... more

Kevin C. Smith, MD
Niagara Falls Dermatologic Surgeon

Treating a Deep Sunken Acne Scar

The treatment would depend on the scar's maturity. The scar can be released from the scar tissue pulling it down and dimpling it followed by filling with either fat or a filler such as fat, Restylane, Perlane, Juvederm or Radiesse. Surgical removing the scar and closing the depression with approximating the edges of the defect together is another option. You should consult a member of The American Society of Plastic Surgeons - wwwPlasticSurgeryorg to learn your options. Peter A Aldea, MD more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Acne scar

It depends on how old the scar is. If it's old than sometimes the best treatment for larger pit scars is to simply cut it out. Believe it or not the surface scar usually heals great. Subcision release and filling is also an option.

Ronald Schuster, MD
Baltimore Plastic Surgeon

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