What Type of Treatment Would Be Best to Get Rid of These Scars? (photo)

I have some scars on my cheeks I would like to get rid of and I am wondering what type of treatment would be best to get rid of them. One of them is a rolling scar, the rest are icepick I believe.

Doctor Answers 8

Treating acne scars

In my experience, fractionated resurfacing works the best for the atrophic (rolling) acne scars and 95% TCA applied with the sharp tip of a toothpick for the deep ice-pick type scars works beautifully.  This is done as a series of treatments, usually 5 at one month intervals.

Chesterfield Dermatologic Surgeon
1.0 out of 5 stars 1 review

Acne scarring

There are several different techniques to address acne scarring. One of the least invasive and most effective techniques is Fraxel laser treatment.

A live consultation will be helpful to determine the best way to address acne scarring.

William Numa, MD, FACS
Boston Facial Plastic Surgeon
5.0 out of 5 stars 7 reviews

Treatment Options For Acne Scars

Keep in mind that your acne scars are made of thickly configured collagen fibers. They have the same composition as the collagen elsewhere on your skin. But the arrangement pattern is completely different. 

Lasers for acne scars basically aim to change the collagen structures of the scar tissue. Heat is deliberately applied to the dermal layer, which responds by producing normal collagen. Over the course of several treatments, this collagen fades out the acne scars.

Fraxel Repair works well, however it is recommended for patients with lighter colored skin. Many patients have been quite pleased with the results of Fraxel Dual, which is safe for all skin tones. 

Sanusi Umar, MD
Redondo Beach Dermatologic Surgeon
4.6 out of 5 stars 32 reviews

I recommend Subcision and Fraxel Repair Laser treatement of this type of acne scars.

It appears that you have the classic mid-cheek rolling acne scars.  In my hands a combination of extensive subcision and Fraxel Repair laser gives me the best results in a single treatment for this type of acne scars.

Mark Taylor, MD
Salt Lake City Dermatologic Surgeon
4.2 out of 5 stars 18 reviews

Acne Scars

There are many treatments for acne scars, both surgical and nonsurgical. Liquid silicone injection is a very good nonsurgical treatment and works well due to it's smoothness and permanence but can cause granuloma (scar tissue) formation or lumpiness if not done correctly.

I prefer the surgical approach which includes either laser, dermabrasion, or both. Although these treatments can be considered non-surgical, due to the depth necessary to treat acne scarring, I consider them surgical. I like the Pixel (Erbium YAG) laser with a high setting and multiple passes. It is performed in the office. Afterwards, you will have scabbing and scaling for 7-10 days but I have seen great results. Dermabrasion is performed in the operating room and smooths the edges of the scar so shadows don't show at the depth of the scar as much. It works very well but requires longer recovery.

Jacob Freiman, MD, FACS
Miami Plastic Surgeon
4.5 out of 5 stars 269 reviews

Acne Scar Treatments

Based on the photos, it appears you have clusters of broad-based and pitted (ice-pick) acne scars on the cheeks.  The broad-based (rolling) scars will do very nicely with filler treatment.  In my office, I use liquid injectable silicone (Silikon 1000) for these type of acne scars as it is very precise and permanent.  I find pitted scars do best with small punch excision.  I recommend you consult a board-certified dermatologist who has a lot of experience in treating acne scarring.  Feel free to look at our photo gallery of acne scarring cases treated with liquid injectable silicone and light electrosurgery.  

Channing R. Barnett, MD
New York Dermatologist
4.1 out of 5 stars 8 reviews

I would recommend fillers

From the pictures I think you'd be best to see a good injector and have some filler (Restylane) put in. I've had great success with scarring like yours and Restylane. Though you will need to have the procedure repeated over the years, I think it will smooth out the scarring and alleviate the deep pocking very nicely.

F. Victor Rueckl, MD
Las Vegas Dermatologist
4.6 out of 5 stars 17 reviews

Treatment for acne scars

it depends on how deep your scars are. If they are deep and with a small diameter I would lean towards TCA CROSS. If they are depressed and wide I would consider a multilayered approach.

Philip Young, MD
Bellevue Facial Plastic Surgeon
4.2 out of 5 stars 84 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.