I have heard about people who had great results of up to 95% reduction of their acne scar with dermal grafting, and its results are permanent. Do you think such procedure would suit me? I am looking for permanent solutions, are there any alternatives? What kind of price range am I looking at? Thanks.
Am I A Good Candidate For Dermal Grafting for Acne Scars? (photo)
Doctor Answers 4
Acne Scar Treatment with dermal grafting
95% improvement from dermal grafting is pretty good. I think that this is on the higher end of expectations. Acne scarring is challenging. Dermal grafting could mean punch grafts taken from somewhere else and implanted into your skin and the scars. Sometimes this can lead to differences in color and texture and is obvious. I would suggest a multilayered approach and co2 laser resurfacing
Dermal grafting and acne scarring
Dermal grafting is exceptionally difficult, painful, and expensive. While patients may experience good improvement, it is not a tried-and-true treatment for acne scarring and is still in the beginning stages of research.
Dermal grafting for acne scars
It is always very difficult to give an opinion of this nature from a photo. However, I usually do not perform dermal grafting for acne scars; however, it is a viable option for depressed acne scars that can be released and elevated with dermal material. However, it requires making a small incision or entry to insert the grafts; these small entry wounds can be associated with small scars themselves.
Our preference is to elevate these scars via a larger bore needle and inject a filler or even saline to stimulate your own collagen ingrowth and remodeling. This process can take many treatments.
Certain ice pick scars may be better excised. (This determination requires a face to face consultation.)
One or more fractional laser resurfacing after these above steps can further improve the results.
Acne scars are not completely reversible. Improvement is the goal. Expect multiple treatments and verying techiniques to achieve the best possible result.
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Dermal grafts can be an excellent treatment for scars such as atrophic, and rolling scars, however are relatively time consuming to perform and can be expensive. They are usually finished off with laser resurfacing.
Scar such as yours should respond well to a combination of full resurfacing, and possibly dermal grafts. I note you are after a permanent solution, however with the event of new fillers such as Juvaderm Volbella, fillers now last over 18-24 months in some cases, and cost a fraction of what dermal grafts and full resurfacing cost.
As stated, the best treatment for anyone will be a tailored approach.
As for the percentage of improvement, most physicians and Specialists should quote on the basis of the scars- sometime we do achieve 95+%, other times 50%, it once again depends on your scars.
I hope this helps everyone understand the mindset behind the art of acne scar revision
Dr Davin Lim
Cosmetic and Laser Dermatologist
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.