Apr 7

What is the best way to treat severe acne scars?

One thing that is important to do as much as possible is to limit ongoing acne before you tackle the scar concerns. It’s not much use having a great scar revision result only to later suffer from ongoing scarring in the same areas. Peels and microdermabrasion are good for overall skin texture and coloration but may not always be the best solution for ongoing acne. Some medical grade topicals are excellent and your doctor can make some recommendations in this area.

The most promising treatments to come out in recent times are photodynamic therapies (PDT) using chemical sensitizers such as levulan (ALA) and blue light (such as BLU-U) or intense pulsed light (IPL). These kill the bacteria responsible for acne and can shrink up sebaceous glands to reduce future breakouts.

For scarring, there are a number of treatments available, depending on the depth and extent of scarring. Subcision, a technique that releases the scarred skin from underlying tissue, followed by filler injection, is a great alternative for fairly limited areas of scarring such as a focal deep scar. See the attached photo for a real Profiles patient example of this technique

Acne scar

Sometimes, removing or altering the scar is the best approach, often called a scar revision. Other times, we simply ‘lift’ the scarred skin.

When larger areas are involved, a resurfacing procedure using various lasers, deeper peels, or dermabrasion works best.

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