I have a sunken acne scar that needs treatment, hoping to get the different options to fix this. Any suggestion? (photo)
Doctor Answers 6
Permanent Fix for Sunken-in Acne Scar
Acne Scar Treatments
The best results will be through a combination of eMatrix and injections of Juvderm or Restylane into the scars. I treat these scars effectively with this combination. It will take five treatments to improve these deep scars. Please consult a board certified dermatologist with expertise with acne scars.
Subcision, fat transfer
All the best
Dr Davin Lim
Laser and aesthetic dermatologist
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Subcision Can Work Well For Permanently Elevating Atrophic (Indented, Depressed, Sunken ) Acne Scars
Subcision, which breaks up the thick fibrous bands of abnormal scar collagen that pull the base of a scar downward, is one such method for permanently improving the appearance of an atrophic acne scar (or, for that matter, any atrophic scar resulting from trauma, prior surgery or infection). By breaking up the tethering bands under the skin and creating a pocket that fills with growth and wound healing factors, subcision promotes new, native collagen and elastic fiber synthesis (neocollagenesis and neoelastogenesis, respectively)--a consequence that results in long-lasting elevation and improvement. (Just fyi: the injection of a small amount of volumizing filler into the pocket can not only give immediate elevation, but may further stimulate new collagen and elastic fiber production). Following subcision treatments, medical microneedling (which also results in long-term improvement) may be used to further help blend the base of the now elevated scar with the surrounding normal skin.
A good number of the scars in the photos provided appear to be ice pick (pit) scars. These may respond to the TCA CROSS Technique, also an approach that typically yields long-lasting, if not permanent results.
Relatively expensive fraxel lasers, radiofrequency and ultrasound treatments in my experience have unfortunately proven to be far more device manufacturer backed marketing hype than hard science.
For more information on any of these procedures, check out the archives of RealSelf.com, and be sure to seek consultation and treatment with a board certified aesthetic physician with experience and expertise in the treatment of acne scars.
Permanent fix for acne scars
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.