Will the microdermabrasion take the deep scars from acne away? If not, what might be suggested?
Deep Acne Scar Removal
Doctor Answers 22
Microdermabrasion not the best choice for Deep scars
While microdermabrasion features little downtime and is readily available, it will not unfortunately give you the best results if you have deep scars.
Deep scarring implies injury to the deeper layers of skin- layers that microdermabrasion do not address.
Full Dermabrasion is better for scarring that is raised and needs to be evened out or for deep scars that have the ability to form new collagen and "fill out" the scar.
Lasers can also be used for some forms of scarring and would yield better results than microdermabrasion.
If the scars are really deep or "ice pick" scars, then a filler using collagen or hyaluronic acids could be used to "plump up" the scar, making it blend in better with the surrounding skin.
Lastly some deep scars can be revised with minor surgery - this will depend on scar location, size, texture, etc.
Best thing to do is to sit down with a Board certified and experienced Physician who can examine your scars and go over all the best options that apply to your case.
Microdermabrasion is great for maintaining healthy skin but not so great at deep scar removal.
Deep acne scar solutions
No, even if the microdermabrasion is done very deeply, deep acne scars are better treated by regular dermabrasion or carbon dioxide (CO2) laser resurfacing. Both of these treatments require about a week and a half of recovery time. It is a wound that requires diligent care by you and there is a risk of scarring from the procedure.
Some deep scars are able to be treated by alternative methods if the scar is able to be raised up. Injecting a filler below the scar can lift it close to the level of the surrounding skin. Sometimes a process called subcision is done to break up the attachment of the scar to the underlying tissue which holds it down and then the filler is injected.
If the deep scars are very narrow, they are called ice pick scars and can first be treated by punch grafts. In this procedure, the small scar is surgically removed and replaced with a plug of skin taken from behind the ear so its donor scar is not seen. This “punch graft” is taken and placed into the new hole created by the removal of the ice pick scar. After the graft heals, resurfacing is usually done about two months later to even out the texture.
Newer lasers and plasma energy devices, such as Fraxel Restore, Fraxel Repair and Portrait Plasma, can achieve some improvement with deep scars. The wound healing with Fraxel Restore is very quick, but it requires a series of many treatments to elevate and smoothen the scars. The improvement seen with Fraxel Repair and Plasma Portrait is better than one treatment of Fraxel Restore but usually there is only one treatment given with Fraxel Repair and Plasma Portrait PSR II or III.
The improvement might be better with the older dermabrasion and CO2 laser resurfacing, but there is a chance of developing permanent skin lightening with these procedures and there is a greater chance of scarring. So, there are a multitude of possibilities available and the physician should sort out your skin type, level of scarring, type of scarring and your timetable for convalescence during the consultation and then offer the best treatment plan for you.
It is important to choose a physician who treats all levels of scarring and has had experience in performing the different types of scar treatments rather than seeing a physician who has purchased one laser and uses that for everything after they have had a training session from the laser company.
Although being a member of laser and dermsurgery societies does not mean the physician has such experience, it at least indicates the physician tends to perform more of these procedures than the average dermatologist. Two such societies are: The American Society for Dermatologic Surgery and the American Society for Laser Medicine and Surgery. Both societies can be found on the web.
Deep Scar Fixers
Microdermabrasion is a waste for deep scars! There, I've said it. Little silicon pellets bounce right off the skin's surface and may cause some slight edema making scars look better for a day or two, but microdermabrasion has no durable effect. For real improvement in scar tissue, we need to get down to the level of the dermis. That can be stronger trichloraceitic acid peels or ablative lasers like the CO2 laser, but microdermabrasion just isn't penetrative enough.
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Correction of deep acne scars in Los Angeles
Great question. Our office specializes in the treatment of acne scars using a combination of sublative, ablative, fractional, acne surgery, punch excision, and chemical peels. A multifaceted approach works best and we have all the technology to improve acne scars.
Deep Acne Scar Removal
Fraxel For Acne Scars
Microdermabrasion will not work for deep scars.
Microdermabrasion will not work for deep scars. Useful options would be fractional CO2 laser/ fractional radiofrequency ablation/ TCA CROSS/ scar elevation or excision/ dermabrasion, and if nothing works, a filler then.
Microdermabrasion could treat deep acne scars, if done aggressively
There are many different types of microdermbrasion machines. Some versions and machines are more fit for physicians to use where more suction is applied. The more suction allows you to go deeper for a more aggressive cleaning and resurfacing. The more aggressive the more results and also the more risk.
Other forms of treatment include laser resurfacing, dermabrasion, and chemical peels. All of these forms essentially entail abrading and taking away the top layers of skin to remove the scars and allow deeper skin cells within the hair follicle to resurface the abraded areas for a new layer of skin and more often than not less scars. Microdermabrasion is just a more superficial form of this.
Acne scarring - microdermabrasion is not the answer
Thank you for the question. For deep acne scarring microdermabrasion alone will not be very effective. Microdermabrasion only affects the stratum corneum or the most superficial layers of the skin. Therefore it won't penetrate deep enough to reach the depth of most significant acne scarring. In this case the best treatment will include some type of laser resurfacing like Fraxel or Fractionated CO2 laser resurfacing. These can be highly effective in treating most acne scarring. Then once the resurfacing is completed, using some type of microdermabrasion to maintain the skin health is a good idea. Hope that is helpful.
Finding Effective Treatment for Deep Acne Scars
Microdermabrasion is a surface treatment and won't have any appreciable impact on scars of any depth.
Acne scarring is notoriously hard to improve to the levels most sufferers are hoping for. It is impossible at this point to actually "remove" acne scars since the damage is not only the scarred tissue, but the loss of tissue.
The idea behind lasers and radio frequency is to selectively "re-damage" the scarred area and promote new collagen. The deeper the scar, the more aggressive the treatment required for appreciable results.
We use use either Fraxel laser or Fractora depending upon skin coloration. To get the best possible results, you'll need a series of treatments. If you have ice pick scars, it's likely you will also need subcision or even punch incision and grafting.
It's disheartening to tell hear you can't expect perfectly smooth skin, and equally disheartening to tell patients that's the case.
CO2 lasers likely give the most improvement the fastest, but the procedure can be painful, recovery is difficult and patients with more pigment in their skin can have some very noticeable increased pigmentation after treatment.
There is an acne scar filler named Bellafil which has permanent components. The difficulty with a filler that can't be dissolved is that if there is overfill or fill outside the scar depression, that's another negative to deal with for a long time.
Fillers can be used in some instances and when a patient chooses that option, the safest route is a hyaluronic gel like Juvederm or Restylane.
Be very selective in the doctor you choose. Experience is a crucial teacher and the more expertise your doctor has, the better outcomes you will get (plus fewer negative side effects.)
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.