The best treatment for acne scars depends upon an
individual’s skin type, age, ethnicity, sun exposure, overall health and most
importantly, the type of acne scars present (ice pick scars, boxcar scars,
rolling scars, hypertrophic scars and variable degrees of hyperpigmentation).
In order to give you an accurate treatment plan, a consultation is required to
properly assess your skin.
An important step for all skin types is sun protection
including the use of daily sunscreen, sun hats and sunglasses, all of which
help prevent aging and sunburns.
When it comes to acne scar treatments, a combination of
treatments are available including cosmeceuticals (medical grade skin care
products specific for acne including ZO® Skin Health or ZO® Medical,
Skinceuticals® or Glo-Minerals®), advanced laser resurfacing procedures (CO2
laser, Er:YAG laser, Fraxel DUAL®, PicoSure® FOCUS Lens Array), chemical peels
(light, medium, deep including the blue peel), dermabrasion,
augmentation/fillers, excision and/or subcision, punch techniques,
microneedling/rolling, injections (corticosteroids, 5-FU), cryosurgery,
electrodesiccation and microdermabrasion.
These are advanced techniques so be sure to get an
experienced dermatologist or plastic surgeon consultation for recommendations
and treatment options.
The best method of scar revision is actually to find out the best METHOD, rather than the brand of laser.
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 &
A combination of microneedling or Ematrix or Fraxel with fillers are the best treatments for these types scars. Please consult an expert. Best, Dr. Green
I suggest posting photos and seeing an expert. A combination of treatments is needed to get the best outcomes. Dr. Emer.
In my opinion, the lasers that are best to treat breakouts are not the same lasers that are used to treat acne scars. IPL (non laser), pulsed Dye Laser, and 1064 yag are good for breakouts. Radio frequency heating (non laser) has also been reported to assist in active acne. Lasers that are used for treating acne scars are fractionated erbium and fractionated CO2 lasers. In addition microneedle radio frequency (infini) is excellent for deeper contoured scars.
An acne scar expert would be valuable to help you navigate through treating as well as repairing your scars. Hope this helps. Good luck.
I believe what Dr Rappaport is recommend is sound advice. I'll add that I use the Gold toning handpiece of my Spectra laser for active acne with great success as well as the Excel V. Early acne scars are best treated the same as acne. Late scars need fractional lasers or the Infini.