Effective Treatments for Acne Scars on the Scalp: Options and Costs - Dermatology

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Acne scars on the scalp?


During high school, I often had acne on my scalp (the hairy areas), and I would pick at them, which has now resulted in many acne scars that prevent hair from growing.
Now, when I get a haircut shorter than a number 5 guard, it's very noticeable that there are patches of hair loss on my scalp.
I would like to know if there are any treatment options available, and what the approximate costs might be.

Li Tongxue, 10~19 year old female. Ask Date: 2017/03/24

Dr. Wu Yuxin reply Dermatology


It may have formed a scar; treatment options can only be determined after an examination.

Reply Date: 2017/03/24

More Info


Acne scars on the scalp can be a distressing issue, especially when they lead to hair loss or thinning in the affected areas. Fortunately, there are several effective treatments available for acne scars, and understanding these options can help you make an informed decision about your care.


Treatment Options for Acne Scars on the Scalp
1. Topical Treatments:
- Retinoids: Prescription-strength retinoids can help promote cell turnover and improve skin texture. They can also help in reducing the appearance of scars over time.

- Silicone Gel Sheets: These can be applied to the scalp to help flatten raised scars and improve their appearance.

- Hydroquinone: This topical agent can help lighten hyperpigmented scars, making them less noticeable.

2. Chemical Peels:
- Chemical peels involve applying a solution to the scalp that exfoliates the top layers of skin. This can help reduce the appearance of scars and improve overall skin texture. Depending on the depth of the peel, multiple sessions may be required.

3. Microneedling:
- This procedure involves using a device with fine needles to create micro-injuries in the scalp. This stimulates collagen production and can help improve the appearance of scars. Microneedling is often combined with topical treatments for enhanced results.

4. Laser Therapy:
- Laser treatments, such as fractional laser therapy, can effectively target acne scars. This method works by removing the outer layer of skin and promoting new skin growth. It can be quite effective but may require several sessions and can be costly.

5. Dermal Fillers:
- For deeper scars, dermal fillers can be injected to raise the depressed areas of the skin, making them less noticeable. This is a temporary solution, and the effects typically last several months.

6. Surgical Options:
- In some cases, surgical procedures such as scar revision or excision may be considered, especially if the scars are severe and do not respond to other treatments.


Costs of Treatments
The costs of these treatments can vary widely based on location, the provider's expertise, and the specific treatment chosen. Here’s a rough estimate of what you might expect:
- Topical Treatments: $20 - $200 for prescription creams or gels.

- Chemical Peels: $100 - $600 per session, depending on the type and depth of the peel.

- Microneedling: $100 - $700 per session, with multiple sessions often recommended.

- Laser Therapy: $300 - $1,500 per session, depending on the type of laser used and the size of the treatment area.

- Dermal Fillers: $600 - $1,200 per session, depending on the type of filler used.

- Surgical Options: Costs can vary significantly, often ranging from $1,000 to $3,000 or more, depending on the complexity of the procedure.


Additional Considerations
Before starting any treatment, it is essential to consult with a dermatologist or a qualified healthcare provider who can assess your specific situation and recommend the most appropriate treatment plan. They can also discuss potential side effects, recovery times, and the expected outcomes of each treatment option.

In addition to medical treatments, consider adopting a gentle hair care routine to avoid further irritation to the scalp. Avoid harsh shampoos and styling products that can exacerbate the condition. Maintaining a healthy diet and staying hydrated can also support skin health.

In conclusion, while acne scars on the scalp can be challenging, various effective treatments are available. By consulting with a healthcare professional, you can explore the best options tailored to your needs and budget, ultimately helping you achieve a healthier scalp and improved hair growth.

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