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1 Effective Treatments of Acne Scars: Part 2 on Tue Feb 09, 2010 1:18 am

Golden Girl


Effective Treatments For Acne Scars: Part 2

According to the acne Scarring Classification System acne scars are classified as icepick, rolling, and boxcar based on the appearance of the scar. After taking into account previous accutane use, facial scars are mapped out and a staged treatment plan is developed.

Acne Scars - Icepick
Icepick scars are narrow, sharp scars that make the skin appear it has been punctured with an icepick. They are usually narrower than 2 mm and extend into the deep dermis or subcutaneous layer. Icepick scars are usually too deep to correct with skin resurfacing treatments such as dermabrasion or laser resurfacing.

Acne Scars - Boxcar
Boxcar scars are round to oval depressions that have sharp vertical edges. Unlike icepick scars they do not taper to a point at the base. Shallow boxcar scars are 0.1-0.5 mm in depth and can usually be treated with conventional skin resurfacing techniques. Deep boxcar scars are >0.5 mm in depth and require full-thickness treatment techniques.

Acne Scars - Rolling
Rolling scars occur as a result of tethering of otherwise normal-appearing skin to the subcutaneous tissue below. This process gives the skin a rolling or undulating appearance. Conventional skin resurfacing techniques do not work on rolling scars. They must be corrected by breaking up the subcutaneous fibrous bands.

Acne Scar Treatment After Accutane
An important consideration in the treatment of acne scars is the past use of
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There are numerous procedures that can be used to correct acne scars. Each procedure has its own risks and benefits, and several procedures are normally combined to create the smoothest appearing skin. Here is a brief discussion of the more effective acne treatment procedures.

Dermal Fillers
There are many types of dermal fillers that can be injected into acne scars to raise the surface of the skin and give a smoother look. Examples of dermal fillers are fat, bovine collagen, human collagen, hyaluronic acid derivatives, and polytheyl-methacrylate microspheres with collagen. The injection of these materials does not permanently correct acne scars, so further injections are necessary.

Punch Excision
This method of surgically correcting acne scars is used on deep scars such as icepick and deep boxcar scars. This procedure uses a punch biopsy tool which is basically a round, sharp "cookie-cutter" tool that comes in diameters ranging from 1.5 mm to 3.5 mm. The size of the tool is matched to the size of the scar to include the walls of the scar. Under local anesthesia the scar is excised with the punch tool and the skin edges are sutured together. The newly produced scar eventually fades and may not be noticeable. If it is noticeable, it is more amenable now to resurfacing techniques.

Punch Excision with Skin Graft Replacement
With this method the scar is excised with the punch tool as above. Instead of suturing the skin edges together, the defect is filled with a punch skin graft usually taken from behind the ear. With this procedure a color and texture difference may be noticeable, but a skin resurfacing technique can be used 4-6 weeks after the grafting to correct this difference.

Punch Elevation
This method of surgically correcting acne scars is used on deep boxcar scars that have sharp edges and normal appearing bases. The same punch tool as above is used to excise the base of the scar leaving the walls of the scar intact. The excised base is then elevated to the surface of the skin and attached with sutures, steri-strips, or skin glue called Dermabond. This method lessens the risk of color or texture differences as can be seen with graft replacement, and lessens the risk of producing a visible scar as can be seen when wound edges are sutured.

Subcutaneous Incision
Subcutaneous incision, also known as Subcision, is used to break up the fibrous bands that cause rolling scars. Subcision is performed under local anesthesia by inserting a specially beveled needle under the skin so that it is parallel to the skin surface. Staying in the plane between the dermis and the subcutaneous tissue, the needle is gently advanced and retracted in a piston-like motion cutting the tethering bands. This procedure causes bruising which fades after about 1 week. The risks of subcision include bleeding and the formation of subcutaneous nodules. Bleeding can be controlled with proper use of anesthetics and bandaging, and the subcutaneous nodules can be treated with injection of corticosteroids into the nodule.

Laser Resurfacing
Laser resurfacing is a popular treatment for many skin defects. The most popular laser types used for resurfacing of acne scars are the carbon dioxide (CO2) and erbium:YAG (Er:YAG) lasers. Lasers work by essentially burning the top layers of skin to a precise depth. The skin then heals replacing the burned layers with newer appearing skin. The correct post-operative care of skin that has undergone laser resurfacing is a very important factor in determining the success of the procedure.

More Info:
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Quiet Type
Quiet Type
Wrinkles, scars, acne and even heavier expression lines can be improved with the injectable fillers.


Quiet Type
Quiet Type
Tharmage Laser treatment is latest and new treatment which is very helpful for acne removal.

black and white heads


Quiet Type
Quiet Type
Is this treatment effective even for long time scars?


Quiet Type
Quiet Type
i'd also add on to this thread about the product that i used for my scar removal...
INVICIBLE SCARS !!! it is a hypoallergenic acne scar treatment. Since it does not contain common skin irritants like preservatives and fragrances, it is far less likely to cause a break-out than most other scar care products do.. I’m really very much satisfied by it as it has really shown drastic effects in such sort span of time


Quiet Type
Quiet Type
I have been recommended for the revitoldirect acnezine solution to treat acne by a skin specialist so I just want to be sure is there anybody who has used this

7 Aloe Vera for Acne on Thu Mar 28, 2013 9:02 am


Hi There,

Aloe vera for treating acne: For those suffering from acne, aloe vera with its anti-inflammatory properties is a blessing.According to a study conducted by the University of Maryland Medical Center, aloe vera gel has more anti-inflammatory properties than one percent of cortisone cream. It also has strong antibacterial properties, which will heal the skin quickly and naturally with very little scarring.


Quiet Type
Quiet Type
Thanks a lot for providing such a detailed post on Acne, cause and the treatment afterwards. It is one of the common skin condition that can occur at any age. Having some junk food or living in a poor hygiene are not just the reasons for Acne. But it can aggravate an existing problem.

Acne pimples, black heads and white heads occur when excess oils from our sebaceous glands become trapped within the skin’s pores or follicles and cannot reach the surface of the skin. When oil is trapped, it produces a type of bacteria referred to as P. acnes. This bacteria inflames the skin, resulting in varying degrees of acneic outbreak from mild to severe.

There are a lot of cosmetic treatments invents to fight these effects. If you are having it in a mild to moderate rate, this acne blue light therapy can help. For severe cases, photodynamic therapy is advised.

9 Effective Treatments of Acne Scars: Part 2 on Tue Jul 30, 2013 4:12 am


Quiet Type
Quiet Type
There are many natural remedies to treat acne that will work good for acne without any side effects at all...SO no need to worry about these problems now because instead of going for stupid things some [You must be registered and logged in to see this link.] are can see it and follow it that will relief you lot...

10 Re: Effective Treatments of Acne Scars: Part 2 on Mon Aug 12, 2013 6:03 am


Quiet Type
Quiet Type
hi friends i want to know that it is effective for long time or not?

11 Re: Effective Treatments of Acne Scars: Part 2 on Sat Jul 11, 2015 6:47 am


Nice information, thanks for sharing.

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