Is a jessner peel good at reducing acne scars?

We work with each individual patient to customize a treatment plan that targets his/her acne. This could include:Topical acne treatments: You can apply to the skin to help kill bacteria, reduce oil, and/or exfoliate the dead skin cells so they don’t clog the pores. These include in-office chemical peels and prescription products you can use on your skin at home.Oral acne treatments: To treat acne cysts and nodules. These prescription medicines can include antibiotics (to kill the bacteria and reduce inflammation), or isotretinoin (which treats all causes of acne).State-of-the-art in-office procedures: Can help treat acne. These treatments include lasers and light therapy (to reduce bacteria on the skin and reduce the scars, redness, and marks that acne can leave behind), chemical peels (which slough off the dead skin cells that are clogging the pores), and acne removal (we can inject large medicine to reduce inflammation fast and drain large cysts to prevent the possibility of scarring).

Yes, it can help with monomorphic shallow box car scars- note it is not a specific treatment, but a general one for scaring. Your scars must be 1. early or 2. shallow for Jessner's combined with TCA to work best. For deep ice pick scars, the peel of choice is high concentration super saturated TCA.Acne scar revision comprises of specialised procedures. For the best results, one should target the acne scar type with ideal treatments METHODS. Using one device is not optimal. As everyone has a unique pattern of acne scarring, the best solution is a tailored one.  The web reference below will take you to a resource to help you understand acne scar revision at a specialist level. I embedded all the videos in one page to help.

 

As an example deep ice pick scars, and narrow box car scars are best treated with TCA CROSS. Deep narrow scars respond better to this treatment than even the most expensive lasers. On the flip side, rolling, and atrophic acne scars can improve with fractional devices such as Fraxel, fractional lasers, ProFractional erbium lasers, Infiini –Intensif –Intracel radiofrequency microneedling. Atrophic scars (depressions) can be treated with either fat grafts, PRP or dermal fillers. Tethered and anchored scars are best treated with surgical techniques such as subcision. Other surgical techniques that I use include punch elevation, surgical elevation, punch excision and traditional excision for focal scars. Early and very mild acne scars respond well to eMatrix and non-energy microneedling, as well as vascular lasers. Skin colour changes such as PIH or dark marks respond best to sun protection, creams, and Q switch lasers in the nano and pico pulse durations.

 

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. Additionally tactile examination namely touch will give me an understanding of the amount of subdermal fibrosis, as special equipment is needed for this sub-set of acne scars.  In the majority of patients its finding the correct combination that give you best results, and everyone is unique! It is never about the device, its about the specialist behind the equipment that will deliver the best outcomes. All the best, Dr Davin Lim. Acne scar dermatologist specialist. Brisbane, Australia.