There is a formation of fibrous bands which physically “pull” the surface of the skin downwards, leading to the appearance of a pock marks or crater-like scar. Subcision may be repeated if your scar is more severe.Atrophic acne scars are depressed scars that form when acne destroys the skin tissue which is not replaced during healing. After the procedure, pressure and ice should be applied to the affected site to prevent bleeding. The subcision method loosens the area around the indented scar and creates a new wound that can heal properly and match your normal layer of skin.ĭuring this procedure, your doctor will insert a needle under the skin repeatedly in various directions around the scar tissue, using a fanning motion. While effective as a solo procedure, subcision is often combined with other treatments including microneedling and chemical peels. ![]() Subcision is an inexpensive surgical procedure best used to treat rolling atrophic scars. Be sure to discuss the risks with your doctor before starting. The punch excision and replacement graft methods may result in an uneven skin pigmentation and marks from the stitching. If your scars are more severe, your doctor will take a small skin graft from behind your ear to fill the wound. Then, your doctor closes the wound with stitches. In this procedure, your doctor uses a needle the size of your scar to cut out the scar tissue. Punch excision treatments are another common method for treating and eliminating atrophic acne scars, specifically ice pick scars. This therapy method triggers your skin to regenerate and increase collagen, a protein necessary to maintain skin elasticity and health. These needles create hundreds of punctures on your skin and cause new collagen to form. ![]() The microneedling procedure involves rolling a group of needles over your skin in various directions. Skin needling or microneedling therapy is a method that punctures the skin to regenerate a healthier layer. Over time, the soft tissue fillers improve skin volume and decrease scarring appearance. Fillers are injected under the scar and provide almost immediate results. They are used to level or raise the indented scars to match the normal layer of skin. Soft-tissue fillers are a common treatment specifically for rolling atrophic acne scars. They range from mild chemicals used in everyday skin care products - such as glycolic acid - to chemicals used in deeper peels - such as phenol - that require sedation before being applied to the skin. In some cases, your skin requires substantial time to heal.ĭifferent chemical agents are used depending on the severity of your scarring. Peels can take days to weeks to show improvement. This regeneration decreases the appearance of atrophic scars. The chemical solution causes your skin to peel, producing a fresh layer underneath. ![]() The peeling process involves destroying the damaged layer of skin by applying chemicals to its surface. Chemical peelsĬhemical peels are a common treatment method. When discussing your options with a dermatologist, understand there is a risk your treatment may not be effective and could leave behind a new scar. Atrophic scars can be difficult to treat and can require multiple procedures that may need to be repeated over a period of time.Ī licensed dermatologist can guide you through your treatment and provide recommendations to help speed your recovery. Treatment depends on the type of scar you have. ![]() They are subdivided into three main categories: ice pick, boxcar, and rolling scars. Atrophic scars are the most common type of acne scars.
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