I Am an African American Women with Bad Acne Scars, What Would You Recommend to Get Rid of It? (photo)

And i think my skin is also discolared. How can i go back to my regular skin tone?

Doctor Answers 4

Acne Scarring in African America Skin and dark skin

The discoloration could benefit from topical agents. The scars may need multiple different procedures. I would like to get your scars to raise up to the level of your normal skin then consider fractional co2 resurfacing.


Bellevue Facial Plastic Surgeon
4.2 out of 5 stars 93 reviews

Acne Scarring in African America Skin and dark skin

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The discoloration could benefit from topical agents. The scars may need multiple different procedures. I would like to get your scars to raise up to the level of your normal skin then consider fractional co2 resurfacing.


Bellevue Facial Plastic Surgeon

African American Woman with Acne Scars and Discoloration

It is hard to assess how deep your scars are from these photos.  They are definitely darker than your normal skin.  You can start by using some bleaching cream.  This may help fade the hyper- pigmentation, but should not affect  your normal skin color as much as the abnormal color.  A chemical peel such as the VI Peel can also help with discoloration and is safe for African American skin.  Sunscreen is absolutely important for you as well.  Depressed acne scars are difficult to deal with in any patient. If the scars are stretchable, you may want to try some filler to raise the scars up and help stimulate collage production.

Sheri G. Feldman, MD
Beverly Hills Dermatologist
5.0 out of 5 stars 1 review

African American Woman with Acne Scars and Discoloration

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It is hard to assess how deep your scars are from these photos.  They are definitely darker than your normal skin.  You can start by using some bleaching cream.  This may help fade the hyper- pigmentation, but should not affect  your normal skin color as much as the abnormal color.  A chemical peel such as the VI Peel can also help with discoloration and is safe for African American skin.  Sunscreen is absolutely important for you as well.  Depressed acne scars are difficult to deal with in any patient. If the scars are stretchable, you may want to try some filler to raise the scars up and help stimulate collage production.

Sheri G. Feldman, MD
Beverly Hills Dermatologist

Acne scar treatments in African Americans

Thank you for the question.  Brown skin is special skin.  Because we turn darker with heat (like when we're in the sun), we cannot use heat based devices such as lasers to improve our skin because the risk of getting darker is high.  Instead, we have to rely on other treatments.  

I would consider excising the very deep scars first, then use Bellafill to fill the less deep scars (this performs subcision at the same time, then perform microneedling to improve the acne scars and any small scars you may get from the excision of the deep acne scars.  Most individuals need 5-6 microneedling sessions to get a good improvement in their scars.  

Acne scar treatments in African Americans

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Thank you for the question.  Brown skin is special skin.  Because we turn darker with heat (like when we're in the sun), we cannot use heat based devices such as lasers to improve our skin because the risk of getting darker is high.  Instead, we have to rely on other treatments.  

I would consider excising the very deep scars first, then use Bellafill to fill the less deep scars (this performs subcision at the same time, then perform microneedling to improve the acne scars and any small scars you may get from the excision of the deep acne scars.  Most individuals need 5-6 microneedling sessions to get a good improvement in their scars.  

Acne Scar Treatment for African American Skin

There are different options for treating acne scars and hyperpigmentation, such as bleaching creams (hydroquinone), chemical peeling, dermabrasion, and laser therapy. For patients with darker skin tones, I typically use the Fraxel Dual laser, with some combination of treatments. These lasers are able to address the deeper collagen structures that cause scarring, as well as the melanin production that causes discoloration.

Sanusi Umar, MD
Redondo Beach Dermatologic Surgeon
4.6 out of 5 stars 32 reviews

Acne Scar Treatment for African American Skin

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

There are different options for treating acne scars and hyperpigmentation, such as bleaching creams (hydroquinone), chemical peeling, dermabrasion, and laser therapy. For patients with darker skin tones, I typically use the Fraxel Dual laser, with some combination of treatments. These lasers are able to address the deeper collagen structures that cause scarring, as well as the melanin production that causes discoloration.

Sanusi Umar, MD
Redondo Beach Dermatologic Surgeon
4.6 out of 5 stars 32 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.