What treatment for this type of unusual acne scarring? Please help (Photo)
Doctor Answers 4
Acne Scarring -- Requires a Combination of Fractional Laser Resurfacing, Fillers Like Bellafill, Subcision and Eclipse Micropen
Grade IV Acne scars
From you photos, it seems you have Grade IV rolling acne scars - scars that are evident at social distances greater than 50 cm (greater than 20 inches or more than 4 feet) and is not covered easily by makeup or the normal shadow of shaved beard hair in men. If this is the grade of your scars, then this means your scars are pretty deep. Choice of treatment for rolling scars is subcision. In this technique, the roots of your scars are cut underneath the
skin. However, subcision alone has a high degree of relapse because the raw ends of the cut scars can easily re-attach themselves. When combined with a buffer such as fillers to prevent the raw ends of the cut scars from re-attaching, subcision can be successful. Subcision can also be combined with skin suctioning to decrease the chance of recurrence. Fractional lasers, full field laser resurfacing and needling devices can
improve the texture of your skin from rough to smoother. Each of these technologies has their pros and cons. However, the dents or sink holes cannot be improved by these devices. The dents need to be released from their anchor, then puttied in with a buffer so
that recurrence is minimized.
Acne scarring treatment
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