How do I get rid of these acne scars? (Photo)

I have had very mild to moderate acne now and then for a couple of years. My skin is clearing up but I have a lot of these small, red spots left on my face. Which treatment is best for this kind of scarring?

Doctor Answers 7

Micro needling followed by Vascular laser.

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Acne scar revision is a specialised field. For the best results, one should target the acne scar type with ideal treatments. For example deep ice pick scars, and narrow box car scars can be treated with TCA CROSS peels, mixed scars, rolling, and atrophic scars treated with fractional devices such as Fraxel, fractional lasers, and INFINI radiofrequency. Atrophic scars (depressions) can be treated with either fat grafts, or with HA dermal fillers. Tethered and anchored scars are best treated with surgery.

The majority of patients will have a collection of different scar types, and hence a tailored treatment METHOD will be best. Careful examination, especially under angled lighting with scar mapping will give you an understanding of what are the best options for your scars.
All the best,
Dr Davin Lim
Laser, surgical & aesthetic dermatologist
Brisbane, Australia

Acne Scarring -- Requires a Combination of Fractional Laser Resurfacing, Fillers Like Bellafill, Subcision and Eclipse Micropen

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Acne scarring requires a combination approach with fillers, lasers, mcironeedling/PRP.  Please see an expert for treatment.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 reviews

Red Acne Scar removal

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Hi Lill. If you are concerned most with the redness and you are not getting much active acne, then our suggestion would be an exfoliating product like Glycolic acid or Retin A combined with pulsed dye laser treatments such as the V-Beam or V-Star.  

Alternatively, if you are looking for improvements in the texture of the skin, we would offer fractional laser resurfacing.  

To see an example of a patient with very dramatic red scars before and photos, click on the link below.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

Red spots with acne how to treat them

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Azelaic acid can help with this. Laser resurfacing can help as well. Topical oral steroids can help as well. I have had people improve markedly with our special approach to active acne.

Philip Young, MD
Bellevue Facial Plastic Surgeon

Red acne scars

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These are best treated with a vascular laser such as the VBeam or Excel V. If after the red is gone there are still depressed scars, I would try the Infini. See link.

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.9 out of 5 stars 75 reviews

Erythema and depressed scars? ENGLEWOOD Cliffs NJ

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In my opinion, you have erythema from old acne scars as well as depressed saucer-shaped and a few acne pits. The ideal treatment would be one which will treat all these scars. I would recommend either ablative or non-ablative fractional laser, microneedle radio frequency or aggressive micro-needling with PRP. A vascular laser can be added to treat the red scars. Hope this helps. Good luck.

Jeffrey Rapaport, MD
Englewood Dermatologic Surgeon
4.7 out of 5 stars 41 reviews

Red Scars and Best Treatment

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I would recommend the V-Beam laser for these red scars.  The V-Beam is the gold standard for treating these red marks.  Best, Dr. Green

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.