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Acne Scar Correction

Acne scars appear as either rolling depressions in the skin, ice pick type scars or discoloration (see “Laser treatment for blood vessels” for removal of reddish coloration). Many people are aware of dermabrasion as a method of acne scar removal but this technique which involves sanding the skin down, is suited for only certain types of skin and superficial scarring.

“Rolling” acne scars are smooth undulating depressions of the skin and are a result of scar tissue that anchors or tethers the overlying epidermis. Subcision is directed towards releasing these anchoring fibers. A needle with a harpoon like knife edge at its tip is inserted into skin and with short sweeping motions transects the scar tissue. The area undergoes remodeling adding bulk and elevating the epidermis. The patient is asked to stop blood thinners a week prior to the procedure as this will help reduce bruising. The procedure is performed under local anesthesia and is very well tolerated.

Ice pick scars are sharp and angulated and are best treated by punch excision. The scar is excised by a tiny cookie cutter type instrument or by a scalpel and the “level” skin brought together by a suture. This process involves replacing one scar with another but is very effective and can be combined with either laser or dermabrasion.

Acne scar correction requires patience as multiple treatments are often needed for optimal results. Treatments may be scheduled no sooner than 6 weeks apart.
For more information please contact us by email or phone at 757-838-8030