Does Dermaroller Work for Deep Acne Scars?

i have tried subcision,erbium laser,scar revesion...but nothing worked for me, so is dermaroller better than this?? i m suffering from deep acne for nearly four year.i consultated a doctor..he suggested me subsicion..then he tried pixel laser..scar revesion..erbium laser...but these thing didnt worked well...he treated me for nearly 2 years...but all thing failed...i was satisfied...then i changed my dermatologist...he said me to undergo dermaroller which has excellent result than previous is dermaroller really better for deep acne scar on my cheeks and temple region?

Doctor Answers 11

Microneedling is best for milder scars.

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Microneedling is best for milder scars.
A dermaroller or other microneedling treatment can improve the appearance of shallow, diffuse acne scarring along with improving all-over skin tone and texture. For very deep acne scars, I would recommend combining microneedling with another treatment such as dermal fillers, laser resurfacing or scar treatment, including scar excision. In some cases, combining microneedling with a regimen of other procedures may give you the best results. Since some of the treatments you’ve tried already are actually more aggressive than microneedling, I’m not sure you’ll get the results you hope for from a dermaroller.

Los Angeles Plastic Surgeon
4.3 out of 5 stars 68 reviews

Doubt It Would Help

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Call me a skeptic on this. If the other methods did not work, I doubt this one will. This technique uses small needles which penetrate the epidermis but do not go into the superficial dermis. If the Pixel, which is similar to the Fraxel did not work, and in addition the erbium laser did not work, I did whether the less aggressive treatment of the Dermaroller would work.

You might try to find someone skilled with the pulsed CO2 laser which remains the gold standard of this kind of therapy. Another choice would be a physician, be it a board certified plastic surgeon or a dermatologist who is skilled in deep chemical peels or dermabrasion.

Good luck. I know this can be frustrating.

Arnold R. Oppenheim, MD
Virginia Beach Dermatologist

Method rather than machine or device

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Short answer- yes it can. Acne scar treatment should be directed on the scar type, skin type and the downtime of the patient. 

For deep scars these can be classed as ice pick scars- my preferred option is TCA CROSS or 1-2 mm punch excision. ( see video on how I perform TCA CROSS)

Other classes of deep scars include tethered, anchored or atrophic scars. My treatment of choice for these scar types is a new treatment called INFINI RF micro needling. This markedly differs from Dermarolling ( very old and outdated). Stamping is always better than rolling, and delivering up to 3.5 mm depth is superior to rolling. The ground breaking progress is delivering controlled heat to remodel scars using insulated needs and energy known as radio frequency. 

It is the technique and method, rather any any device that gives you the best results. 

All the best

Dr Davin Lim 
Acne scar dermatologist. 
BRISBANE, Australia. 

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Depends on type of acne scars

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For pits, Dermapen works beautifully.  For ice pick like scars, I prefer to excise those. 

Sheila S. Nazarian, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 56 reviews

Derm roller can help but not completely eliminate such scars

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Very deep acne scars can be improved by a derm roller but not eliminated completely. Depending on the level of the scar it may require C02 laser ablation to correct. Generally for acne scars a combination approach is necessary and no one single approach works all the time. For single, deeper scars a punch excision or punch graft may be the better option. 

Sameer Bashey, MD
Beverly Hills Dermatologic Surgeon
5.0 out of 5 stars 9 reviews

Dermaroller for deep scars

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Dermaroller may blunt the edges of deep scars, but probably will not get rid of them. Dermaroller is more effective on milder or shallower scars.

Anthony Barabas, MBBS
Cambridge Plastic Surgeon
5.0 out of 5 stars 20 reviews

Dermaroller works for acne scars, but other treatments may also be required.

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Dermaroller/ collagen induction therapy does give good results for acne scars, however, not all scars, especially deep ones, respond to this treatment. If the scars are very deep, you could consider having a punch excision.


Derma Roller for Acne Scars

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Thanks for the question.  In our practice, the surgical derma roller is part of the armamentarium for management of chronic deep acne scars.  This treatment is combined with fractionated laser treatments and a sound oral and topical nutriceautical regime.  Once the skin reaches an improved steady state, volumization of the scars may be attempted with injectable fillers, although these scarred down areas may be resistant to treatment. Overall, this combination treatment offers modest to significant improvement in our patient population, depending on the degree of baseline scarring. At present, there is no "magic bullet" for complete eradication of this condition.

Best of luck,

Glenn Vallecillos, MD, FACS

Glenn Vallecillos, MD, FACS
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 30 reviews

Dermarolling for deep acne scars

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The Dermapen, a type of dermaroller we use in our office, is not ideal for deep acne scars. Dermapen and dermarolling in general work well for acne scars that are superficial and still require multiple treatments. I will usually excise the deep acne scars and then offer my patients dermabrasion to improve the appearance of the scar. In darker skin types, dermabrasion is not an option but Dermapen or dermarolling is and can help with improving the appearance of shallow or superficial scars after the deeper scars are addressed. Much of it also has to do with postoperative care and acne control.

Mike Majmundar, MD
Atlanta Facial Plastic Surgeon
4.5 out of 5 stars 50 reviews

Dermaroller for acne scars

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If all those other treatments did not improve your acne scars then I am sure you will not be happy with the dermaroller.  The best treatments I have found are a combination of Sculptra injections and FX CO2 laser.  The combination seems to give the best improvement.  Good luck.

Janet M. Neigel, MD
Florham Park Oculoplastic Surgeon
4.6 out of 5 stars 21 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.