New pitted scars. How can I get rid of these? (Photo)

Question

I just got 2 pitted scars about 2 weeks ago after I popped 2 pimples and got infected, the scars are still red, what should I do to get rid of these very new scars?

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Chet Mays, MD · Answer

Thank you for your inquiry! Scar creams can be used on scars to minimize appearance as well as silicone scar sheets. Lasers can also be used to as well. We would love to see you in person or virtually to discuss treatment options or schedule a consult with a licensed aesthetician.

Anna Chacon, MD, FAAD · Answer

Thank you for your question about managing new pitted scars caused by acne.

At two weeks old, your scars are still in the early stages of healing, which is an excellent time to start interventions that can improve their appearance. Here are some recommendations:

Topical Treatments:

Silicone Gel or Sheets: These can help flatten and reduce the redness of scars. Apply as directed, typically once or twice a day.
Retinoids: Topical retinoids, such as tretinoin, can help promote cell turnover and improve skin texture. These are usually prescribed by a dermatologist.
Scar Creams: Over-the-counter scar creams containing ingredients like vitamin E, onion extract, or hyaluronic acid can also be beneficial.
Sun Protection:

Protect the scarred area from sun exposure by using a broad-spectrum sunscreen with at least SPF 30. Sun exposure can worsen the appearance of scars and make them more noticeable.
Gentle Skin Care:

Keep the area clean and moisturized. Avoid picking at the scars or using harsh scrubs, as this can worsen the scarring.
Professional Treatments:

Microneedling: This procedure involves tiny needles that create micro-injuries in the skin, promoting collagen production and improving the appearance of scars. It’s typically performed by a dermatologist.
Chemical Peels: Light to medium chemical peels can help exfoliate the skin and promote regeneration, improving the texture and appearance of pitted scars.
Laser Therapy: Laser treatments, such as fractional laser or CO2 laser, can help resurface the skin and reduce the appearance of pitted scars. These treatments are usually considered after the initial healing phase.
Consult with a Dermatologist:

Since your scars are new, it’s a good idea to consult with a dermatologist who can assess your skin and recommend the most appropriate and effective treatments. They can provide personalized advice and possibly prescribe stronger treatments if needed.
Remember, early intervention can significantly improve the outcome, but it's important to be patient as scar treatment and healing can take time.

Best regards,

New pitted scars. How can I get rid of these? (Photo)

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