I want to know if spots that remain after acne can be removed permanently?
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Doctor Answers 3
Post-Inflammatory Hyperpigmentation (PIH) & Post Inflammatory Erythema (PIE) Typically Resolve Spontaneously
PIE typically resolves on its own over a relatively short period of time of a few weeks; sometimes evolving into PIH. PIH can often fade slowly on its own, but may take anywhere from six weeks to six months (on average about three months), although sometimes considerably longer, especially in people of color.. Prescription strength bleaching creams and a series of in-office superficial peels with glycolic acid, Jessner's Solution, or salicylic acid can accelerate this process.
Finally, although acne scars are permanent, there are individual or combinations of treatments to address each of the various types of scars. These may include relatively inexpensive approaches, such as subcision with or without fillers, and fractional microneedling. Hypertrophic scars and keloids can often be improved significantly with using intralesional injection of anti-inflammatory, antiproliferative injections, such as triamcinolone.
I have been less than impressed with the results of relatively expensive fraxels, radiofrequency treatments, and ultrasound treatments for any of the above, finding them to be far more backed by device manufacturer supported marketing hype than hard science.
For more information on the treatment approaches mentioned here, check out the archives of RealSelf.com. Be sure to consult with a board certified aesthetic physician with experience in treating acne and its consequences. Best of luck to you.
Spots from Acne and Treatment
I have many patients who seek my advice on treating the marks from acne. If they are red marks then the V-Beam will help reduce them, if pigmented then bleaching creams and peels are most effective. If you have scars then I would suggest Fraxel or eMatrix depending on the type of scar. Best, Dr. Green