Effective Treatments for Acne Scars and Skin Indentations

Depressed lesions on the face?

Hello, doctor.
Many years ago, I used to scratch my face with my nails while washing it.
Now I have many indentations shaped like nails on my face that are very noticeable in sunlight.
Is there any effective topical treatment for this? Also, what is the approximate cost of laser treatment?

Nìmíng, 20~29 year old female. Ask Date: 2016/04/24

Dr. Wu Yuxin reply Dermatology

The ineffectiveness of medication and costs will depend on the scope of the procedure.

Reply Date: 2016/04/24

More Info

Acne scars and skin indentations can be a significant concern for many individuals, especially those who have a history of picking at their skin. The good news is that there are several effective treatments available for addressing these issues, ranging from topical therapies to more advanced procedures like laser treatments.

Topical Treatments
1. Retinoids: Topical retinoids, such as tretinoin, are derived from vitamin A and are known for their ability to promote cell turnover and improve skin texture. They can help reduce the appearance of scars over time by encouraging the growth of new skin cells.

2. Alpha Hydroxy Acids (AHAs): AHAs, such as glycolic acid, can help exfoliate the skin and improve its overall appearance. They can also aid in fading hyperpigmentation associated with acne scars.

3. Beta Hydroxy Acids (BHAs): Salicylic acid is a common BHA that penetrates the pores and helps to clear out debris, which can prevent further acne and improve the texture of the skin.

4. Vitamin C: Ascorbic acid (vitamin C) is an antioxidant that can help brighten the skin and reduce the appearance of scars. It also promotes collagen production, which is essential for skin healing.

5. Silicone Gel Sheets: These can be used to flatten and soften scars over time. They are particularly effective for raised scars but can also help with indentations.

Advanced Treatments
1. Chemical Peels: Chemical peels involve applying a solution to the skin that causes the top layer to peel off, revealing smoother skin underneath. This can help improve the appearance of scars and indentations.

2. Microneedling: This procedure involves using fine needles to create micro-injuries in the skin, which stimulates collagen production. It can be effective for improving the texture of the skin and reducing the appearance of scars.

3. Laser Treatments: Laser therapy is one of the most effective treatments for acne scars. There are different types of lasers, including ablative and non-ablative lasers. Ablative lasers remove the outer layer of skin, while non-ablative lasers stimulate collagen production without damaging the surface. The cost of laser treatments can vary widely depending on the type of laser used and the number of sessions required, but it typically ranges from $200 to $1,500 per session.

4. Dermal Fillers: For deeper indentations, dermal fillers can be injected into the skin to plump up the area and reduce the appearance of scars. This is a temporary solution, and the results typically last several months.

Considerations
When considering treatment options, it is essential to consult with a dermatologist who can assess your specific skin type and the severity of your scars. They can recommend the most appropriate treatments based on your individual needs and goals. Additionally, it is crucial to practice sun protection, as UV exposure can worsen the appearance of scars and hinder the healing process.

In summary, while there are various topical treatments available for acne scars, more advanced options like laser therapy and microneedling may provide more significant results. The cost of these treatments can vary, so it's advisable to discuss your options with a qualified dermatologist to determine the best course of action for your skin concerns.

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