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Acne Scars


Acne Scars
Learn how to get rid of acne scars.

There are two ways acne scarring can occur: hypertrophic scarring and atrophic scarring.

Hypertrophic scarring is the result of growth inside the tissue. Atrophic scarring, which is more common, is a result of loss of tissue and may result to different types of acne scars such as ice pick scars, boxcar scars and rolling scars.

The four types of acne scars:


  1. Hypertrophic Scars – resemble a raised, firm mass of tissue. These are thickened scars which are usually associated to some severe types of crystic acne. For treating this type of scar, a steroid cream (cortisone), tapes, or injections are used to help shrink and flatten the scar; interferon injections are also used to soften the scar tissue; while for serious cases where the scar is very deep, laser treatments can be used to removed the scar.
  2. Ice Picks Scars – as it is named, these are sharp scars that make the skin to appear to have been pierced with an ice-pick. These are deep scars, very narrow and extend into the dermis of the skin. These are usually caused by an infected cyst which has worked its way to the surface. The recommended treatment for this type of acne scars is an Excision treatment.
  3. Boxcar Scars – have a similar appearance to chickenpox scars which usually is wider than ice picks scars. These are caused by an inflammation of acne lesions which destroy the skin tissue.
  4. Rolling Scars – have a wave-like appearance. These are best treated with Subcutaneous incision which is also known as Subcision.

With acne or chicken pox scarring the problem is a difference in topography whereby the scar surface is at a deeper level than the surrounding skin. This is due to the active disease process destroying the deeper layers of the skin. Without this structural support the skin caves in in the area creating a depression or pit. The scars are noticeable because of the shadows that fall over them in a fashion analogous to the shadow on a street with tall buildings on either side. To rectify this you need to raise the street and/or lower the buildings.

The best current techniques to do this are to make small incisions around the edges of the small scars without excising any skin. This does not add new scars to the skin surface because the incisions are made within the confines of the acne or chicken pox scar pit. Not every scar is a candidate for this. The scar has to be small enough & the depth of the pit must have enough remaining layers of skin to contract with healing. As these incisions heal the scar is squeezed by the surrounding healing procees. This causes this skin to pucker - raising the street in our example. About 6 weeks later CO2 or Erbium laser may be used to even out the skin surface under magnification but is not always necessary.

Some physicians place a dermal filler to raise the scars but there currently are no very good fillers available but I have had some good results with this technique. Using a laser alone only results in a 30 to 60% improvement. Despite this it may take more than one laser resurfacing to achieve the desired improvement. Additionally, the acne would need to be quiescent to carry out this therapy. The treatment can also reactivate acne so close post treatment follow up is called for. In some cases the depressed areas can be quite large in which case the only advisable treatment is scar excision.

Accutane slows the skin healing process which can lead to increasing scarring. Thus, one should wait at least 12 months after stopping accutane before undergoing the surgical procedures described above.
The ultimate goal seldom achieved is to hide a scar so that it is not visible to the unaided eye & the area in question looks as though nothing untoward has occurred.

Top 4 Non-Surgical treatments for acne scars:


  1. Retin-A: It can improve your acne and help to smooth very fine acne scarring. These help by promoting collagen production in your skin.
  2. Chemical peels: Medium and deep Chemical peels should improve your overall complexion. It works best if you get a series of at least 6 peels, having one around every 8 weeks.
  3. Skin fillers: Materials are injected into the depressed area of the scar elevating it to the level of the normal skin that surrounds it. However, the results are temporary, lasting 3-6 months and are only effective for shallow scars.
  4. The Biomani scar treatment protocol: This is a protocol that consists of utilizing microdermabrasion and certain specific chemical peels. It improve the shallow scars.

Another thing we have found that helps deal with acne scarring is Vitamin C Powder. It helps lighten dark marks and is an antioxidant and sunscreen. It has been shown to speed up the lightening of post pimple popping marks tremendously. Get some Vitamin C powder. Just add it to your day and night moisture and you should see results generally in about 3 weeks. We have also compiled a list of tips for treating acne scars at home.

Surgical procedures can be very expensive. The non-surgical methods we have listed can help in certain circumstances. If you want to find the secret to being acne and scar free, it can be found in Mike Walden's Acne no More system. His system will help you clear your acne scars, and also prevent future acne breakouts. This system really can help you eliminate 100% of your acne scars, and even comes with a money back guarantee if not. What do you have to lose!

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Acne Fact:


Acne in boys is typically more severe and longer-lasting than in girls.
Acne no More