Acne can leave scars on the face and other areas. For some people, they are an unwanted reminder of a painful and bothersome condition. However, home remedies and medical treatments can help get rid of them.
They occur when the skin does not make enough fibroblasts in the healing process. Fibroblasts are cells that play a crucial role in wound healing and collagen production.
These are similar to hypertrophic scars but tend to be thicker than the original acne spot. There is often hyperpigmentation, making them darker than the surrounding skin. They may be red or brown. There may also be itching or pain.
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Many people use natural remedies to help clear up acne scars. However, the science behind them is unclear. Some may cause further irritation or other problems so people should use them with caution.
Salicylic acid is a naturally occurring compound that is often an ingredient in acne skin care products. Salicylic acid peels help clear dirt, skin cells, and other debris that leads to acne from the pores of the skin.
Suggests using a peeling product containing 30% salicylic acid and applying it three to five times every 3–4 weeks. The authors also note that it is unlikely to cause hyperpigmentation and is, therefore, suitable for use on darker skin.
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However, people with sensitive skin should do a patch test on a small area of skin before using it on their entire face, as it may cause dryness or irritation.
It is important to note that retinoids can make the skin sensitive to the sun. Anyone using retinoids for acne or scar treatment should wear sunscreen when going outdoors.
The rate at which skin renews its cells. Some doctors recommend AHAs for treating acne and reducing the appearance of acne scars.
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AHAs are a mild form of acid that scrapes away the outer layer of skin to reveal fresh, new skin underneath. This process may help reduce hyperpigmentation due to scarring.
However, swelling, burning, and itching may occur at high concentrations. It is best to speak with a doctor before trying AHAs. They can help identify the best strength to use.
Of AHA. It can act as a gentle peel to pull away dead skin cells. It may help reduce the appearance of scars and smooth the skin.
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Recalls a small study in which seven people with icepick scars had treatment with a product that was 92% lactic acid. There was an improvement of over 75% in one person, 51–75% in three people, 26–50% in two people, and 1–25% in one person.
Hyperpigmentation, too. It is best to test products that contain lactic acid on a small patch of skin before using them to treat acne scarring.
Many products for acne contain lactic acid. It is also present in diluted apple cider vinegar, which makes for a more natural, cost-effective treatment.
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Experts do not know how these work, but they appear to help reduce the appearance and size of acne scars. They may do this by providing hydration. They can also reduce itching and pain and increase the flexibility of the skin.
A person will have to use the dressings all the time, which can be difficult on the face. Most people do not experience side effects, though some have itching and irritation.
A dermatologist can recommend a suitable procedure or combination of therapies depending on a person’s skin type and the extent of the scarring.
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On treatments for acne scarring note a study that found that six of 10 participants using a specific type of chemical peel called trichloroacetic acid (TCA) had at least a 70% improvement in their acne scarring.
The treatment typically consists of a series of injections. A dermatologist can do these injections in their office once every few weeks, monitoring the results.
In some cases, dermatologists may recommend soft tissue fillers to treat atrophic acne scars. They may be particularly helpful for rolling and boxcar scars.
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Fillers can have adverse effects, but these will depend on the filler. Always speak with a doctor about the pros and cons before opting for treatment.
Microneedling is the process of inserting tiny needles into the skin surrounding the scar to stimulate the body to make more collagen. This collagen may reduce the appearance of atrophic acne scars by smoothing out the skin.
However, microneedling can cause side effects. Many people experience redness, pain, and inflammation after the treatment. However, these effects subside over time.
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Laser treatment resurfaces the skin without the use of chemicals or scrubs. It removes the uppermost layer of skin to reveal the younger skin cells underneath, which can help reduce the appearance of scarring.
It can help reduce the appearance and texture of raised scars. Treatment with a pulsed dye laser can also help reduce the color of hyperpigmented scars.
Laser treatment is not suitable for everyone. This will depend on the type of acne scarring and the person’s skin type. The treatment may also cause a reaction in some people, especially those with sensitive skin.
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If other treatments do not help, surgery can remove raised acne scars. Surgery alone may not be enough to solve the problem, and a doctor may recommend further treatment.
Used alongside other treatments, this may help reduce the edges of boxcar acne scars, making the skin appear flatter and less indented. A doctor will use electric probes to heat the skin and kills the tissues that cause the edges around the scars.
These include seeking treatment while acne is present and avoiding picking, popping, or touching acne, which may lead to infections and a higher chance of scarring.
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Depending on the type and extent of scarring, there are various ways to remove or reduce acne scars. Fillers, for example, can help indented or atrophic acne scars. Laser treatment may reduce hyperpigmentation and flatten raised scars.
A dermatologist can help decide on a suitable option, depending on the person’s skin type and the extent and type of scarring.
Treatment can often help remove scars, but scars also tend to fade with time. How effective treatment will be will depend partly on the type and extent of scarring and the person’s skin type.
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Acne scars can be an unwanted reminder of acne and may reduce self-esteem in some people. However, treatment can often reduce their appearance.
Many people have success using one or more home remedies. In cases of stubborn scarring, receiving medical treatments in the dermatologist’s office can also help remove acne scars.
Always work with a qualified dermatologist when seeking help for acne scars, as some treatments can have adverse effects if used incorrectly.
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Dr. Monika Kiripolsky is a board-certified dermatologist and cosmetic surgeon specializing in the treatment of acne scarring using a combination of multiple modalities including lasers, IPL, chemical peels, filler injections, microneedling, radiofrequency and surgery. Her office is located in Beverly Hills, California.
Acne affects more than 80% of the population over the course of our lifetimes. Contrary to popular belief, acne is not a condition limited to teenagers. Inflammation related to active acne can lead to scarring, red and brown skin discoloration (“post-inflammatory hyperpigmentation” or PIH), textural irregularities, and enlarged pores.
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The optimal treatment approach for acne scarring depends upon the type of scarring and is often a combination of several techniques. The following treatments can be used alone or in combination to lessen the appearance of acne scarring:
Lightening agents (azelaic acid, kojic acid, and hydroquinone) and retinoids (tretinoin and retinol) can be used at home to treat the ruddy, brown discoloration related to acne scarring.
Salicylic acid treats not only the ruddy, brown discoloration associated with PIH, but also penetrates into the oil glands to treat active acne and to prevent new acne from forming. Trichloroacetic acid (TCA) can also be administered carefully in high concentrations to treat individual icepick scars.
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This technique involves inserting a needle with a tiny blade at the end of it into areas of depressed acne scars to release the underlying scar tissue from “tethering down” boxcar and rolling acne scars. Subscission is often performed during the same session as microneedling, radiofrequency + microneedling, and/or fractionated CO
Microneedling causes “controlled wounding” of the skin. This involves using thin needles to mechanically remodel the skin, stimulating increased production of hyaluronic acid, collagen and elastin. The final effect is improved texture and tone of the skin with an overall decrease in pore size. Adding radiofrequency to microneedling amplifies production and remodeling of collagen and elastin, which results in even more
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