How Do Stars Like Brad Pitt Get Rid of Their Acne Scars?

I have seen pictures of Brad Pitt and other actors in films with acne scars. How did they get rid of them? Are they getting fillers or some kind of treatments that we are not shown? I was just wondering what you guys as professionals thought. Thanks. I can't believe even Brad Pitt had bad acne scars.

Doctor Answers 15

Brad Pitt acne scar remedy

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Fillers are commonly done. Some last only several months. Although not FDA-approved for this use, medical grade silicone can be injected by an expert and this lasts longer but there are occasions of migration of the silicone to different areas which might need to be surgically removed. Isolagen is in the third phase of FDA testing and is exciting! A small removal of skin is done behind the ear and this is sent to the Isolagen laboratory which then produces your fibroblasts which make your collagen. The fibroblasts are delivered to the doctor and it is injected under the scars so that you produce new collagen to fill in the depressions. We hope it will be FDA approved soon!!!


Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

First off, professional make-up used in the movies can...

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First off, professional make-up used in the movies can camouflage a lot of things.

However, there are many modalities to treat acne scarring. There are some lasers that will treat the underlying collagen to plump the acne pits. Also, the pits can sometimes be filled with Injectable products. Also, the areas adjacent to the acne scars can be "buffed" down with lasers as well.

There really are a lot of choices. No one technique is perfect, and no one patient gets 100% improvement.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Treating Acne Scars on Celebrities

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Acne scars are treated with a whole host of different procedures. If they are ice pick scars, then we punch graft them, which means we take a piece of their skin from behind their ear and place it in the hole then dermabrade or sand over it to allow it to blend in ($350/scar).

Some sharp-edged, deep scars, we just excise and suture up ($150-200/scar). Some scars that are broad and shallow we fill in with fillers like collagen$450/syringe), Juvaderm, restylane, elevess($550/syr), Radiesse ($850/syr) or Artefill($1250/syr).

Some irregular deep scars are subcised which means we cut under them to free up the scar and then put a filler in the tunnel created. Some scars are dermabraded or sanded ($250/scar or $3500 for the cheeks and chin) to make them blend away into the surrounding skin.

Some discolorations of the skin can be lasered or chemically peeled ($750-1000) to blend them away nicely. Most people need a combination of the above procedures and also may need a few times.

All these can be done under just local anesthesia and you drive yourself home afterwards in most cases. As you can see there are a lot of things that anyone can get done for acne scarring which really helps.

Good Luck

David Hansen, MD
Beverly Hills Dermatologic Surgeon
4.7 out of 5 stars 46 reviews

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... he still has scars. Take a close look.

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Brad Pitt is my classic example of acne scarring and reducing scars. First of all, make up helps in films, secondly, if you look closely, he still has residual scars- although he has a marked improvement compared to his original acne scars. 

I use him as an example of what multiple treatments can do. Over the years his scars have decreased due to better technology (example- fractional CO2) and other newer treatments. Even old scars can be improved. 

My two cents worth

Dr Davin Lim 
Cosmetic Dermatologist
BRISBANE, Australia

Brad Pitt acne scar treatment

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The best way to have "movie star" skin is a combination of fillers such as Restylane and lasers such as Fraxel.  Also, many patients have Sculptra injected into the face which  naturally produces collagen over time.  Many men opt for this procedure along with Thermage since the results are gradual and natural in appearance.  Please consult a board certified dermatologist with a great deal of experience with cosmetic procedures for the best results.

Treatment of Celebrity or High-Profile Acne Scars

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I cant speak for a specific celebrity, but in general, people who cannot tolerate much down time (i.e. healing time) or potential for risk or complications will use treatments like injections of dermal fillers (e.g. Juvederm or Restylane). Both last about 9 months for acne scars, but if done properly, greatest risk is bruising which lasts only a week or so and can be covered by make up. Other more aggressive treatments like dermabrasion or laser resurfacing or excision of scars has the potential for a longer lasting improvement but the trade offs are longer healing time and greater risk or complications or risks. As a result, most of the people who are constantly in the public eye would probably avoid that unless they had enough time for recovery and tolerated the potential complications. See a dermatologist or dermatologic surgeon and have your treatment done by somebody who is well trained in the procedure and has lots of experience.

Andrew Kaufman, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 16 reviews

Acne Scars

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There may be several options from fillers to laser resurfacing. Contact a reputable board certified facial plastic surgeon or plastic surgeon and schedule a consultation. Upon examination, your surgeon will be able to recommend the treatment options which would best address your concerns. The benefits and risks of the individual procedures would be discussed as well. As for Brad Pitt and other stars  use professional make-up and have access to the best professional make-up artists in the business. The lighting  used and airbrushing also can make a big difference in print.

Michael Sullivan, MD
Columbus Facial Plastic Surgeon
4.9 out of 5 stars 112 reviews

Acne scars in celebrities

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Keep in mind that photographs and videos can be edited to result in improvements in skin quality that may or may not be authentic. That being said, there are many effective treatment options for acne scars. Excision of deep acne scars is often warranted and can be highly effective, especially if followed by a resurfacing procedure such as laser skin resurfacing.

Small, shallow scars can be treated with other options such as filler injections or dermabrasion. Even chemical peels are a good option in select patients. A consultation with a physician specializing in facial aesthetics can be very helpful to review all the options in detail.

All the best,

Matthew Richardson, MD
Frisco Facial Plastic Surgeon
5.0 out of 5 stars 7 reviews

Acne scars

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Thank you for your question about Acne Scars.  The appropriate treatment for your acne scarring will be dictated by the depth of scarring.  While microdermabrasion may help with hyperpigmentation secondary to acne blemishes, it is unlikely that it will correct deep scarring from acne.  Mild scarring may be improved with microneedling/microderm pen treatments.   Laser procedures such as Sciton Profractional laser and/or Full Surface Ablation will likely be necessary to treat your deeper scarring.  In addition, it is likely that a series of these treatments will be needed to dramatically correct the scarring.  If there are a few of the scars that are very deep, and not able to be corrected by the laser treatments, punch excision can be used to remove the scarred tissue.  Dermal fillers are another way to minimize the appearance of acne scarring. 

To be sure, see two or more experienced, licensed and board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment.

I hope this helps.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 221 reviews

Acne Scar treatments

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Good questions.  Acne scars come in several different depths and sizes.  A combination of treatments is ideal but it can definitely add to the cost.  If you have the funds, the best way to treat acne scars are as follows:

1. First, start on topical Retin-A to start improving cell turnover and collagen deposition and use this for at least 3 weeks before doing the below.   Once the treatments are finished, restart Retin-A (have to use Retin-A in the evening followed by a good medical sunblock the next morning).  

2. Next, surgically excise the deep ice pick scars; this can be done in the office under local...don't have to do all of these at the same time but the sooner you do it, the sooner you can move to the next step.. 

3.  Then, add Bellafill with a combination of subcision (most doctors who do Bellafill usually do subcision at the same time).  Technically speaking, you can start this with the surgical excision sessions.  

4. About 6-8 weeks later, have the scars lasered using a fractionated CO2 laser system (can't do this if you have darker skin or tan easily). 

5. About 6-8 weeks later, start professional dermapen (microneedling) and have at least 5-6 sessions.  

The above combination can give you almost a 70-80% improvement (sometime more) in overall acne scarring.  Not everybody needs every treatment, and sometimes, Sculptra or Fat transfer can be used instead of Bellafill but this depends on the examination of the acne scars.  Find a plastic surgeon who offers all of the above and talk to him or her about the best treatment plan for you. 

Mike Majmundar, MD
Atlanta Facial Plastic Surgeon
4.5 out of 5 stars 50 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.