What can be done to get rid of boxcar acne scarring and smooth out skin? (photos)

I have had acne since going through puberty but got to a point where I had it under control. I would use Tretinion when I couldn't control it and suddenly my skin started scarring leaving these boxcar type scars. I am dark skin tone so every deem I go to turns me away :(

Doctor Answers 5

Picosure Focus laser, energy based RF microneedling with PRP

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Firstly, ensure that a general dermatologist controls your acne. This is essential. Brown areas can be treated with bleaching creams. For your skin type and scar type I prefer gentle lasers such as Picosure Focus. This laser can target brown marks and scars. Additionally microneedling with PRP can give good results with minimal risks to your skin type. 

Video explains in more detail, all the best. Dr Davin Lim.

Dark Skin and Scars

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A combination approach would be needed to help treat these type of acne scars.  I would recommend some injections and lasers such as eMatrix and PRP with microneedling.  You might need some skin lightening products as well.  Best, Dr. Green

Acne Treatments

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I would suggest MicroNeedling with PRP (Platelet-Rich-Plasma).  Microneedling offers results similar to laser treatments, without the heat and energy that may cause pigmentation issues and scarring in darker skin types.  The PRP will help augment the growth of new tissue and improve quality of the skin.  I also suggest using a quality skin care line that addresses the concerns you have.

Gerard J. Stanley, Jr., MD
Omaha Family Physician
5.0 out of 5 stars 5 reviews

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Acne Scarring -- Lasers (Fraxel, Co2/Erbium, VIVA, Intensif); Microneedling/PRP, Fillers (Bellafill); Subcision; Punch Excision

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I suggest a formal consultation with an acne scarring expert. You will need a combination approach with lasers, TCA cross, peels/skin care for the scarring and pigmentation but will need isotretinoin for permanent acne cure. Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
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Dark skin with acne scarring and hyperpigmentation

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This is a tough problem. I would first make sure you were on the right skin care, Retin A, hydroquinone, and a good cleanser. Chemical peels might be needed. Infini is a good treatment for your scars. You will need at least 3 of these. Other additional measures might be: PRP, subcision, Bellafill.

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

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.