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Treating Acne Scars (Acne)
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Treating Acne Scars

Mariusz J.A. Sapijaszko, MD FRCPC (Dermatology)

Acne is nearly universal, affecting us all at some point in our lives, most likely during our teenage years. The condition is temporary, lasting from months to a few years, however, scarring and dyspigmentation can occur which can leave permanent scars. Ideally, early treatment of acne will eliminate scarring later. If however, acne scars have formed, there are a variety of available treatments, such as injectable fillers, phototherapy, laser therapy, and conventional surgery that can solve the problem. These treatments can also be used in combination.

The first step in determining an appropriate treatment is assessing the type of scar that acne has left. There are three general types of scarring: Boxcar, Ice pick, and Rolling. Boxcar scars measure more than 3mm in diameter and are similar to chicken pox scars. Ice pick scars are smaller scars measuring from 1 to 2 mm in diameter, and Rolling scars are wider scars usually measuring 4 to 5 mm, and are named for the appearance of the skin, caused by abnormal fibrous bands. For more information on scarring, visit the link below:

Treatment options can include the use of fillers such as Artecoll® or Restylane®, subcision surgery, or laser resurfacing. Subsicion is carried out under local anesthetic, cutting out the fibrous bands in the skin layer, and are used for treating rolling scars and boxcar scars. Punch elevation is another method where a punch instrument is used to elevate the skin, which retracts to the level of the surrounding skin as it heals. Similar results can be achieved by chemical peels or laser resurfacing techniques.


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