Acne scarring can be treated with a combination of lasers, fillers, microneedling/PRP. in dark skin, fractional radiofrequency treatments help. I suggest seeing an expert. Best, DR. Emer.
Thank you for your question! Acne scarring and pigmentation can be rather cumbersome to treat, but there are solutions to reduce the appearance of both. It will require compliance from you with an aggressive result-driven skincare regimen to prepare your skin for treatments and to maintain your results. The key with your skin tone is to “pre-condition” your skin prior to clinic treatments by suppressing pigmentation. ZO Skin Health offers both hydroquinone and non-hydroquinone solutions. An effective daily regime for you would be: washing AM/PM, exfoliating, oil control, Vitamin C, AHA serum, Skin brightener, Retinol or Retin-A and daily sun protection (even in the UK).
At our office in Northern California we offer a few modalities that will aid in softening the appearance of your scars. Micro-Needling known as collagen induction therapy is an aesthetic medical procedure that creates micro channels in the skin to promote wound healing. Scared collagen is softened an replaced with desired collagen. We recommend a series of 3-6 treatments, every 4 weeks.
Another option to refine your overall texture, brighten your skin and to minimize the occurrence of your acne breakouts is the ZO 3-Step Chemical Peel you can alternate between receiving Micro-Needling and Chemical Peel treatments (only one treatment per month) to supercharge skin rejuvenation.
We wish you the very best in your journey and hope this information helps.
Acne scar treatment for black skin is likely the most complicated subject. Based on socioeconomic situations, access, etc. The experience with treating black African American skin is limited. I do have experience treating African-American skin with the most aggressive types of acne scar treatment. The one thing that you should realize are the risks that are associated with darker skin types. I wrote a chapter on this subject that was recently published. If you are okay with the risks of hyper or hypo pigmentation and this possibility of having these outcomes outweighs the current status of your scars then you might be a candidate for these more aggressive types of acne scar treatment. But this is something that you have to decide. You have to decide if you were willing to have possible hyper or hypo pigmentation versus the current scars that you have.
Acne scarring can be treated with a wide range of treatments. However, for darker skin, some methods of treatment need to be taken with caution. For instance, laser resurfacing is a great treatment for acne scars but you would need to speak with the professional to see if you would be a candidate. They would usually conduct a test spot on a concealed area, to make sure your skin doesn't have any adverse reactions before treatment. If you were looking for a treatment that was safe, and no adverse reactions based on a person's skin color, microneedling is an amazing option. Microneedling would be perfect for not only your acne scars but for your overall skin texture!