Acne Scars and How to Treat Them

As if having acne wasn't bad enough, acne scars just make everything so much worst. There are a total of 4 different types of acne scars and they are categorized into 2 different categories: Atrophic and Hypertrophic. 

Atrophic Acne Scars: are acne scars caused by loss of skin tissue, leaving an indent in your skin. 

1. Ice pick Scars

2. Boxcar Scars

3. Rolling Scars

Hypertrophic Acne Scars: are acne scars caused by excessive collagen production to heal the acne, leaving a raised tissue. 

1. Keloid Scars

Hyperpigmentation on the skin, however, is one of the most common skin reactions to occur after acne is resolved. Hyperpigmentation is not considered an acne scar, but just a darker pigmentation of your skin. Hyperpigmentation will fade and go away with time. 

Treatments for Atrophic Acne Scars:

1. Microneedling

2. Chemical Peels

3. Lasers

4. Fillers

5. Punch Excision

6. Subcision

Since atrophic acne scars are caused by loss of skin tissue, one of the ways to help treat them is to perform treatments to your skin that will cause collagen to form. One way to do it is through, microneedling. Microneedling will cause tiny punctures into your skin that will initiate your skin to produce a ton of collagen. You can also achieve this effect through chemical peels and laser treatments. 

Another treatment is by getting fillers. A trained professional can inject fillers into your scars to diminish the indentations.

Lastly, you can get scar tissue removal by a doctor, through punch excision. In punch excision, the doctor will remove the scar tissue and would stitch your skin back together. A less invasive form of treatment than punch excision is known as a subcision. A subcision requires a doctor to loosen up the scar tissue by inserting a needle in the area multiple times and combining this treatment with other treatments as well.

Treatments for Hypertrophic Scars:

1. Silicone

2. Lasers

3. Steroids Injections

4. Surgery 

Hypertrophic Scars are harder and trickier to treat than atrophic scars. Silicone sheets have been shown to help flatten hypertrophic scars when left on the skin for a long period of time. Certain laser treatments such as Fractional CO2 laser has also shown some success with flattening hypertrophic scars. One of the most common ways a dermatologist would use to treat hypertrophic scars is by injecting steroids into the site. Steriods will break the bonds between collagen fibers which will decrease the amount of scar tissue underneath the skin. Lastly, surgery is an option, however, hypertrophic scars have a high likelihood of forming even after surgery. 

Remember, the best thing to do is to take care of your skin to prevent these scars from occurring in the first place! Diminishing scars can take a long time and you might have to do certain procedures multiple times before you are satisfied with your results. Treating acne scars can be costly so make sure to always take great care of your skin!





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