What Type of Treatment Would Be Best to Get Rid of These Scars? (photo)

asked 6 months ago by cape cod in cape cod, ma
Latest answer by Sanusi Umar, MD
Question viewed 237 times
Tags: ice pick scar, options, rolling scar

I have some scars on my cheeks I would like to get rid of and I am wondering what type of treatment would be best to get rid of them. One of them is a rolling scar, the rest are icepick I believe.

6 answers to What Type of Treatment Would Be Best to Get Rid of These Scars? (photo)

Treatment Options For Acne Scars

Keep in mind that your acne scars are made of thickly configured collagen fibers. They have the same composition as the collagen elsewhere on your skin. But the arrangement pattern is completely different. Lasers for acne scars basically aim to change the collagen structures of the scar tissue. Heat is deliberately applied to the dermal layer, which responds by producing normal collagen. Over the course of several treatments, this collagen fades out the acne scars. Fraxel... more

Sanusi Umar, MD
Redondo Beach Dermatologic Surgeon

www.finetouchdermatology.com

Treating acne scars

In my experience, fractionated resurfacing works the best for the atrophic (rolling) acne scars and 95% TCA applied with the sharp tip of a toothpick for the deep ice-pick type scars works beautifully. This is done as a series of treatments, usually 5 at one month intervals.

Stacey Tull, MD
Chesterfield Dermatologic Surgeon

I recommend Subcision and Fraxel Repair Laser treatement of this type of acne scars.

It appears that you have the classic mid-cheek rolling acne scars. In my hands a combination of extensive subcision and Fraxel Repair laser gives me the best results in a single treatment for this type of acne scars.

Mark Taylor, MD
Salt Lake City Dermatologic Surgeon

www.gatewaylasercenter.com

Acne Scars

There are many treatments for acne scars, both surgical and nonsurgical. Liquid silicone injection is a very good nonsurgical treatment and works well due to it's smoothness and permanence but can cause granuloma (scar tissue) formation or lumpiness if not done correctly. I prefer the surgical approach which includes either laser, dermabrasion, or both. Although these treatments can be considered non-surgical, due to the depth necessary to treat acne scarring, I consider them... more

Jacob Freiman, MD
Miami Beach Plastic Surgeon

Acne Scar Treatments

Based on the photos, it appears you have clusters of broad-based and pitted (ice-pick) acne scars on the cheeks. The broad-based (rolling) scars will do very nicely with filler treatment. In my office, I use liquid injectable silicone (Silikon 1000) for these type of acne scars as it is very precise and permanent. I find pitted scars do best with small punch excision. I recommend you consult a board-certified dermatologist who has a lot of experience in treating acne... more

Channing R. Barnett, MD
New York Dermatologist

www.barnettdermatology.com

I would recommend fillers

From the pictures I think you'd be best to see a good injector and have some filler (Restylane) put in. I've had great success with scarring like yours and Restylane. Though you will need to have the procedure repeated over the years, I think it will smooth out the scarring and alleviate the deep pocking very nicely.

F. Victor Rueckl, MD
Las Vegas Dermatologist

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