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
All the best,
Dr Davin Lim
Laser, surgical &
Acne scarring requires a combination approach with fillers, lasers, mcironeedling/PRP. Please see an expert for treatment. Best, Dr. Emer.
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.
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.
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.
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.
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