Acne scar treatment

The most severe form of acne is characterized by inflamed cysts located deeper in the skin. If this form of acne is not treated in time and correctly, there is a serious risk of leaving scars in the form of dimples (dimples) on the skin of the face and trunk. These are also called acne scars.


Acne scars (similar to those of chicken pox) have the peculiarity of being under the skin and pulling the skin down, resulting in a dimple.

For the effective treatment of acne scars, the solution and destruction of this scar-fibrosis that is inside the skin must be done and then help the regeneration of the skin in the area to have the best possible aesthetic restoration. We achieve this with methods of photodynamic therapy, microneedling, fractional RF, fractional laser CO2, peelings

In some cases, after the internal acne scar has been destroyed with one of the destructive methods mentioned above (microneedling, fractional RF, fractional laser CO2), for an even better aesthetic result, we can place a hyaluronic implant under the scar to fill the gap created due to atrophy and to correct the unevenness of the skin. Hyaluronic acid is an absorbable material so it will need to be re-applied after about 9-12 months. This particular method is indicated for the treatment of soft and deep acne scars. The use of non-absorbable materials such as silicone is avoided because it can cause many adverse effects.

Before & After Treatment

You can see the course of each treatment in the slider below. By pressing the arrows at the bottom you can see the result per session

First session
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First session

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First session
02

Second session

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Third session
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Third session

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Acne Scars & Types

 

Atrophic scars with tissue loss. Depending on their morphology, they are distinguished into

  1. Ice pick scars: They are narrow but deep with sharp lips and appear to have been created like the sharp indentation caused by an ice pick in the ice. They present a great degree of difficulty in dealing with them
  2. Boxcar: They are wide and more rounded like pits while they can be continuous like train cars (Boxcar). They can be deep or shallow and
  3. Rolling: They are wavy and we perceive this as a result on the surface of the skin.

The above three forms of acne scars may coexist on the patient's face or trunk (mainly back or chest)

Hypertrophic scars or keloid with excess tissue during healing.

Fortunately, they are rarer. Their formation is observed in people who have a predisposition to the creation of hypertrophic scars and keloids. In these individuals, it is particularly important to prevent the formation of scars by immediately starting systemic treatment. From the moment the hypertrophic scars are formed, we follow treatment with intralesional steroid injections and cryotherapy.

Prevention to avoid the appearance of acne scars is only the timely and effective treatment of the cystic form of acne. In these cases, if the age of the patient allows it and if there is no possibility of pregnancy, we prefer treatment with isotretinoin.

The procedure is done with a special device in the form of a pen or roller. With this technique, minimal injury is caused to the skin with the micronails (the depth to which the application will be made 0.25mm-0.5mm-1-2mm is determined by the depth and type of scars), no peeling (peeling) is caused after the application despite a small and transient erythema (redness) and the return to daily activities is immediate. The treatment is completed by the immediate application of autologous PRP mesotherapy. This provides the growth factors that have been released from the patient's blood (from the platelets). In addition to destroying the scars, the microneedlings offer an entrance to introduce these growth factors deeper into the skin at the exact point where we want skin regeneration to begin. In this way, we achieve better quality regeneration of the skin in the following weeks as well as rapid recovery immediately after application. To complete the treatment, 4-5 sessions spaced 4-6 weeks apart are required. Treating acne scars with this protocol can be followed even during the summer months

It is a device that works with radio frequencies that penetrate deep into the skin (0.5-2.0mm) and produce energy (thermal stimulation) that causes a minimal and controlled injury to "break" the scars inside the skin. This method does not cause exfoliation (peeling) and has an immediate return to daily activities. The treatment is completed by the immediate application of autologous PRP mesotherapy. This provides the growth factors that have been released from the patient's blood (from the platelets). The micro-trauma that fractional RF causes in addition to the destruction of scars offers an entry point for the introduction of these growth factors deeper into the skin at the exact point where we wish to initiate skin regeneration. In this way, we achieve better quality regeneration of the skin in the following weeks as well as rapid recovery immediately after application. The method is effective in moderate and severe forms of acne scars. To complete the treatment, 3-4 sessions spaced 4-6 weeks apart are required. The treatment of acne scars with this protocol can be followed even during the summer months because there is no risk of hyperpigmentation.

It is a surgical laser that has the ability to penetrate the skin deeper and deal with even difficult cases of acne scars. The advantage of the fractional laser is that it scans the skin causing sublimation and exfoliation in microscopic zones of the skin, but leaving the intermediate zones free, so we have faster healing. The treatment is completed by the immediate application of autologous PRP mesotherapy. This provides the growth factors that have been released from the patient's blood (from the platelets). The minor trauma that causes the fractional Laser CO2 in addition to destroying the scars it offers an entry point to introduce these growth factors deeper into the skin at the exact point where we want skin regeneration to begin. In this way, we achieve better quality regeneration of the skin in the following weeks as well as rapid recovery in the following days immediately after application. The return to daily activities is immediate, but special skin care is required during the first days, which is treated with moisturizing-regenerating and sunscreen creams, while the use of cover-up make-up is also allowed. To complete the treatment, 2-3 sessions spaced approximately 8-12 weeks apart are required. Treatment of acne scars with this protocol is avoided during the summer months

The procedure is done with a special device in the form of a pen or roller. With this technique, minimal injury is caused to the skin with the microneedles (the application depth of 0.25mm-0.5mm-1-2mm is determined by the depth and type of scars) and the return to daily activities is immediate. The treatment is completed by the immediate application of a chemical peel. Microneedles in addition to scar destruction offer an entrance to introduce the peel deeper into the skin at the exact point where we wish to destroy the scar and begin skin regeneration. In this case, we choose azelaic acid peels in combination with salicylic acid, which become more effective in the fraxpeel application because they become more penetrating. But we can also use AHA glycolic acid peels or in cases where we are looking for the whitening of discolorations (spots) that may have been left after acne, we can add mandelic and citric acid peels. In the case of deep acne scars, we also use TCA peeling, which causes exfoliation of the skin and smoothing of the appearance of the acne scars, but requires longer recovery-regeneration times of the skin and is avoided during the summer months with sunshine.

It is done with a special machine that shoots microcrystals (microdemabration) onto the outer layers of the skin (epidermis). In this way, it achieves the breakdown of the old stratum corneum and the mechanical detachment of dead cells (peeling), softening the texture of the skin and reducing the depth of acne scars. The result of this removal is that new healthy skin cells come outwards and the skin acquires softness, the deep cleansing of the skin, the hyperemia of the skin (due to the improvement of blood circulation) and in the long term after repeated sessions the fibroblasts of the skin are activated for the production of collagen-elastin with a significant contribution to anti-aging.
Exfoliating with microcrystals prepares the soil for the most effective application of chemical exfoliation. In this case, azelaic acid peels combined with salicylic acid are preferred, which become more effective in the combined application. In the case of very deep acne scars, we also use TCA peeling, which causes exfoliation of the skin and smoothing of the appearance of the acne scars, but requires longer recovery-regeneration times of the skin and is avoided during the summer months with sunshine.

With a special Q-Switched Nd Yag laser which is the same laser we do and removal of other hyperpigmented lesions such as tattoos

The treatment is very well tolerated and is done with a simple application of xylocaine cream half an hour before the application