How to get rid of acne scars ?
There are many types of treatments for acne scars. From natural and soft, to clinical and strong. They all get results, but not on the same level and time. You can try first some homemade acne treatments during a couple of weeks, and then if you get no results, move to dermatology. Here are the 3 best articles about how to get rid of acne scars I have found on the internet. Read them and you’ll learn more pricesely about the different types of acne scars and different types of acne scars treatments :
Treatment of Acne Scars
Acne is a skin condition that affects up to 80% of people in their teens and twenties, and up to 5% of older adults. While many people recover from acne without any permanent effects, some people are left with disfiguring acne scars. There are some topical skin care products and medications that can improve mild scarring, but most acne scars are treated with a combination of surgical procedures and skin resurfacing.
After an acne lesion has healed, it can leave a red or hyperpigmented mark on the skin. This is actually not a scar, but rather a post-inflammatory change. The redness or hyperpigmentation is seen as the skin goes through its healing and remodeling process, which takes approximately 6-12 months. If no more acne lesions develop in that area, the skin can heal normally. Any color change or skin defect still present after 1 year is considered to be a permanent defect or scar.
Preventing Early Acne Scars
The best way to prevent post-inflammatory changes caused by acne is to prevent acne lesions from occurring. This is done by understanding the factors that cause acne and using the appropriate treatments for the different acne types.
Treating Early Acne Scars
The post-inflammatory changes caused by acne are part of the skin’s natural healing process. There are certain practices and medications that can help facilitate this healing process.
*Unprotected exposure to the sun causes more skin damage and delays healing, therefore wearing a good sunscreen is important.
*Using tretinoin (Retin-A, Renova, Avita) speeds up the skin’s remodeling process and helps heal post-inflammatory changes.
*Appropriate formulations of Alpha-Hydroxy Acids (AHAs) and Beta-Hydroxy Acid (BHA) that contain the correct concentrations and are at the appropriate pH also help the skin’s remodeling process.
*Picking at scabs should be avoided at all costs. Scabs form to protect the healing process that is going on underneath them. Pulling a scab off before it is ready interferes with the healing and remodeling process, prolonging the time that post-inflammatory changes will be visible.
Antioxidants and Post-Inflammatory Changes
As we understand more about skin damage from free-radicals, it seems that using an antioxidant would help treat post-inflammatory changes or even permanent scars. Unfortunately no good scientific studies have shown that any oral or topical antioxidant prevents or heals skin damage. As a matter of fact, Vitamin E, when applied topically to healing wounds, has been shown to cause more harm than good. As antioxidant research continues, scientists may find a formulation that effectively reverses skin damage, but until then any claims of skin rejuvenation through the use of antioxidants are merely hype.
In July 2001 Jacob et al proposed an acne scarring classification system that also assists in determining effective scar treatment procedures. According to this 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 accutane 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. Source
How To Get Rid Of Acne Scars
How can you get rid of acne scars fast and naturally?
What is the best way to remove acne marks?
Can you recommend the best products or natural ways to heal acne scarring overnight?
These are the questions most people ask us and here are the complete answers, so please read on…
First of all, before you go out there and try every treatment for acne scarring that you’ve heard of and jump from one dermatologist to another, it’s very important that you have a proper knowledge about:
1 The types of acne scars and what type is yours
2 Available acne scar treatments for each type of scarring
Types of Acne Scars
A recent classification system put facial acne scars into three basic types. In other area like the back and chest, usually the scars are either hypertrophic or athropic.
1 Ice pick scars
2 Boxcar scars
3 Rolling scars
4 Hypertrophic scars (keloid scars) (source: American Academy of Dermatology)
Ice pick Acne Scars
These are deep, really narrow scars (less than 2 mm) that continue down into the dermis. The scar is wider at the surface and narrows down at the base, forming a v-shape in cross-section. Usually found on the cheeks and form a group of tiny, deep holes in the skin. They look like wounds from an ice pick. Because they are usually deep, it’s difficult to get rid of these acne scars using conventional skin resurfacing treatments.
Boxcar Acne Scars
These acne scars have a flat, u-shaped bottom in cross-section. They are wider than ice pick scars and can be round, polygonal, or linear at the skin surface. Boxcar scars can be shallow and only extend into the mid dermis, or can be so deep that they breach to the reticular dermis.
Rolling Acne Scars
When straps of the skin’s tissue grow between the epidermis and deeper layers, they will pull at the skin and create a rolling, wave-like form on the skin’s surface. This is how rolling scars are formed. Unlike ice pick scars, they are wide (4 – 5 mm) and shallow. They also have a subdermal fibrous tether (subcutaneous fibrous bands) that must be fixed during treatments.
Also known as keloid scars, they have a tendency to form on the chest, back, jaw line and ears and are more common in dark-skinned people. They arise when the body overproduces collagen, which triggers the scar to be elevated above the neighboring skin.
There’s also what we call pigmented scars, which is the result of nodular/cystic acne. Although many patients consider them as acne scars, they are actually not. They are only marks left after acne in a form of discoloration. The darkening of a skin area is called hyperpigmentation and can be treated with acne scar cream. There are also red marks that stay put after the acne is taken care of; laser treatment can be your best shot for this one.
Acne Scarring Treatments
Please be aware that before getting rid of acne scars, active acne should be taken care of first. Don’t try to eliminate acne scarring when you still have acne! There is no single therapy that can deal with all types of acne scars. In some situations, a single method can help scarring, but to see rewarding and long-lasting results, most treatments involve a combination of several techniques. Getting rid of acne scars basically has to do with 3 kinds of techniques: Resurfacing, Fillers and Excision/Subcision. From these three modalities, they have grown to so many acne scar treatments available today: Microdermabrasion Chemical peels Acne Scars Surgery (Excision) Dermabrasion Laser treatments Injections (Acne Scars Fillers) Subcision Skin Needling
How to Reduce Acne Scars Significantly Without Medical Procedures
We understand that many patients want to reduce the appearance of acne scars as fast as possible, without experiencing serious medical procedures, and without spending a lot of money on expensive treatments. Well, actually there is a solution for that. You can use an acne scar cream. A good acne scar cream can significantly reduce the appearance of your acne scars, and it only costs you about $50 or so. Of course it won’t eliminate your acne scars completely -especially if you have deep-pitted scars- but most patients reported a dramatic decrease in the appearance of their acne scars within several days.
How to Prevent Acne Scars
Early and proper treatment of acne is the best way to prevent scarring. Patients who do not treat their acne in the first 3 years have a greater chance to have scars. Stop acne before they produce scars! In some cases, taking oral antibiotics such as one of the oral tetracyclines can not only control the nodules under the skin, but also help prevent the more noticeable post-inflammatory hyperpigmentaion (PIP) and the more problematical hypertrophic scars and keloid.
Stop Picking !
Acne, pimples, and zits are so tempting to pick and squeeze. Some people even use their fingernails and pins which can only cause permanent damage to the skin. Another drawback of picking and squeezing is that it will irritate the surrounding skin and trigger new eruptions. Remember, the more inflammation you create, the more likely you are to scar. Treat your acne properly and acne scars will not be your issue… Source
Smooth Skin Again: Removing Acne Scars
If acne scars are a constant reminder of your past breakouts or unhappy teen years, you may want to investigate skin-smoothing procedures to help lessen their appearance. If acne scars are making you self-conscious or embarrassed about your skin, learn about treatments that can remove or reduce their appearance. These acne scar treatments are not cure-alls, and insurance usually doesn’t cover them, but they do help to minimize the appearance of scars.
Types of Acne Scars
Some acne scars are permanent and some go away over time. Acne scars may be in the form of:
*Macules. These are flat, red spots where an acne lesion was once located. They can persist for a number of weeks and then fade on their own.
*Skin discoloration. Sometimes a healed acne scar leaves discolored skin, which is also called post-inflammatory hyper-pigmentation. Skin discoloration can remain visible for months after an acne lesion has healed.
*Tissue scars. Some types of acne can leave scars that appear as enlarged, raised growths of tissue. These acne scars may be called keloids or hypertrophic scars, and are caused by excess production of collagen in your skin.
*Loss of tissue. More common than raised tissue scars are the acne scars that are caused by a loss of tissue. These acne scars are called ice-pick scars, depressed fibrotic scars, soft scars, atrophic macules, or follicule macular atrophy. They tend to appear sunken and look like pits in the skin.
Acne-Scar Removal Options
Whether you decide to have your acne scars treated is a personal decision. Some people choose to have their acne scars removed because they’re emotionally affected by the appearance of the scars. Others have acne scars that are severe and disfiguring and choose to have them removed to restore the appearance of their skin. If you have acne scars, consult a dermatologist as soon as possible. He or she can recommend treatments for your scars and discuss ways you can prevent future scarring.
Common scar removal treatments include :
*Dermabrasion. This very effective scar removal treatment uses a high-speed brush or other instrument to resurface your skin and remove or reduce the depth of scars. You will typically need several days to heal afterward.
*Micro-dermabrasion. For this less intensive type of dermabrasion, a dermatologist or aesthetician uses a spray of very small crystals instead of a high-speed brush to remove surface skin. More than one treatment may be required, and there is no downtime.
*Chemical peels. Chemical peels can reduce the appearance of shallow acne scars and post-inflammatory hyper-pigmentation around a healed acne lesion. A chemical peel may be administered by a doctor, nurse, nurse practitioner, or spa aesthetician and involves applying a chemical to your skin to remove its outer layer, giving it a smoother, more even appearance. Depending on the strength of the acid used, you may experience redness and peeling for a few days afterward.
*Retinoic acid. Certain tissue scars should not be treated with traditional acne scar removal treatments. Instead, retinoic acid cream applied directly to the scar can help reduce its appearance, especially in the case of keloid scars.
*Lasers. Your dermatologist can use a laser to remove the outer layer of your skin, contour areas of acne scars, or lighten redness around healed acne lesions. Various types of lasers are used, depending on whether the acne scar is raised or flat. More than one laser treatment may be required and, depending on the laser used, you may need to several days to heal.
*Fillers. A substance such as collagen, hyaluronic acid, or fat can be used to « fill out » certain types of acne scars, especially those that have resulted in a depressed appearance of the skin. Since fillers are eventually absorbed into your skin, you will have to repeat filler injections, usually every few months, depending on the type of product used. There is no downtime for recovery from this treatment.
*Punch excisions. This type of skin surgery removes acne scars by individually excising, or cutting out, the scar. The hole left by the incision can be repaired with stitches or a skin graft. This technique is most often used to treat pitted acne scars.
*Skin grafting. With skin grafting, your doctor will use a small piece of normal skin to fill in an area of scarred skin. Skin grafts are usually taken from skin behind your ear. This technique may also be used when an acne scar removal treatment, such as dermabrasion, leaves a large tunnel in your skin. Remember that while these treatments can improve your skin’s appearance, they may not be able to completely restore it. Be realistic with your expectations, but explore your options with a dermatologist. Source
I hope you’ll find good informations about how to get rid of acne scars and that it will help you.