The goal of this phase is to treat scar erythema (redness) and treat individual scars that may be resistant to collagen remodeling procedures. The ideal way to treat acne scars is a three-step approach, consisting of (1) an initial treatment phase, (2) a collagen remodeling procedure, and (3) additional treatments to address resistant scars and to supplement results of previous procedures. Hypertrophic scars stay within the margin of the wound whereas keloids extend beyond the wound margin.
These are less common and are characterized by collagen gain, resulting in a firm raised lesion. They are typically round or oval shaped dimples that can either be shallow (less than 0.5mm) or deep (more than 0.5mm) These scars are wider at the base compared to ice pick scars and do not taper.
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They have an undulating appearance with the rise and fall of skin surface due to abnormal collagen attachment. This type of scarring is usually wider (4-5mm) and are more shallow than ice pick scars. They are wider at the top of the skin and taper as they go deeper. These are narrow (less than 2 mm), deep, and sharply demarcated tracts. They can be depressed (atrophic scars) or raised (hypertrophic scars/keloids).”Ītrophic scars are the most common type of acne scars and they are caused by the destruction of collagen, and present as indentations.Ītrophic scars can be classified into three categories: ice pick, rolling, and boxcar scars. “Acne scars are classified based on their appearance on physical exam. Selection of the appropriate treatment depends on type/degree of acne scarring, patient preference, side effects/down-time, cost, and treatment availability. To achieve best cosmetic results, typically, multiple different treatments are needed. Īlthough there are many scar treatments, no single therapy removes acne scars completely. To find out more about Accutane, please check out my previous blog. Accutane (isotretinoin) should be considered for any acne patient that has scarring potential. Early, aggressive, and effective treatment is the best way to minimize and prevent acne scarring.
This is a common skin disease that frequently results in scarring, leading to physical disfigurement with a profound psychosocial impact.
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For this reason, patients who come to us put a lot of faith in our understanding of scars and how to help heal them.Īmong one of the worst culprits in scarring is acne vulgaris. It’s very difficult to heal scars and do so properly and permanently. Scarring is one of the most sensitive issues with skincare.
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