The Dual Plane Treatment of Acne Facial Scars


Acne scarring is a HUGE bummer for some of us, and even the best makeup can’t completely cover it up at times. It’s easy to feel hopeless and discouraged about it, but the good news is that there ARE ways to resolve it, and bring your skin back to beautiful. “Many of my patients have no idea that repairing their scarred skin is actually quite simple,” says plastic surgeon Dr. Joseph Rucker. “Whether it’s something as easy as a lightening crème for milder cases, or a visit to see me for the very deep acne scars, there is no reason to force yourself to wait any longer to treat it. You deserve to feel and look beautiful!”  Read on as Profiles goes over your different options for ridding yourself of acne scarring.

What caused my acne scars, anyway? In the simplest terms, your tissue has been injured from active acne episodes, which create inflammatory responses to the bacteria and dead cells in your plugged hair follicles. When your tissue suffers an injury, the body rushes to repair it - sometimes resulting in scar contracture, irregular skin surface and color.

Beware! Things that worsen acne scarring:

•            Sun Exposure. UVA/UVA rays can cause scars to darken and slow the healing process.

•            Picking and squeezing. These nasty habits lead to further inflammation and injury of the skin, which adds to the skin’s discoloration and scarring.

•            Vitamin E. You may have heard that applying topical vitamin E to a scar will help it heal faster; however, we now know that applying the nutrient directly onto a scar can actually hinder its healing.

Types of acne scars: 

•            “Ice Pick” scars: These deep pits are the most common of acne scarring.

•            “Box Car” scars: Angular scars that usually occur on the temple and cheeks. Can be either be superficial or deep. These are similar to chicken pox scars.

•            Rolling scars: Scars that give the skin a wave-like appearance.

•            Hypertrophic scarring: Raised, usually inflamed or reddened scars. More common on the back or chest. Appears thick and lumpy, sitting above the surface of the skin.

Treatment options:

Non-invasive treatments: Prior to any acne scar treatment, any active acne must be controlled. This usually requires a course of oral antibiotics, and individualized topical skin treatments. After pretreatment, any of the following treatments may be proposed:

•            Topical medications:  Steroids are sometimes used to reduce the inflammatory phase.

•            Microdermabrasion: A gentle diamond exfoliation can cleanse the pores that may harbor infection.

•            Skin lighteners: Try evening out your skin tone with Enza Essentials™ Lightening Perfection Crème.

•            Natural remedies: Vitamin A & C, camphor, sulfa, green tea and lavender


The Dual Plane Treatment Plan for Acne Scars: 
If you aren’t seeing the results you desire with non-invasive options, then setting up a consultation for the Dual Plane Treatment Plan is a great start to get you where you want to be. Imagine an irregular skin surface appearing as a 3D mountain range. Our goal is to flatten this mountain range to make it smoother.  To reduce scarring, this approach relies upon tightening of the skin, and a stimulation of collagen production.  While this treatment reduces the height of the raised scarring on our mountain range, it sometimes also deepens the valleys (the lower areas) resulting in a less than optimal result.  In order to correct this, a second step is implemented.  By using a microscopic radiofrequency needle to reduce the height of the raised mountains, your result is a beautiful and even skin complexion. 

Article by
Eau Claire Plastic Surgeon