Effective Scar Creams for Treating Acne Pits: Recommendations and Tips - Dermatology

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Acne scar removal cream?


Doctor, I have acne scars on my face that appear as small, indented holes.
Is there a scar cream available in Taiwan specifically for treating old, indented acne scars? I would appreciate any recommendations.
Thank you!

Zhenni, 20~29 year old female. Ask Date: 2019/10/04

Dr. Wu Yuxin reply Dermatology


For atrophic acne scars, topical scar creams are not very effective; laser treatment is recommended.

Reply Date: 2019/10/04

More Info


When it comes to treating acne scars, particularly the pitted or indented scars often referred to as "ice pick" or "boxcar" scars, there are several options available, including topical treatments, procedures, and lifestyle adjustments. In Taiwan, as well as globally, there are various scar creams and treatments that can help improve the appearance of these scars.


Topical Treatments
1. Silicone Gel Sheets or Silicone Gel: These are often recommended for various types of scars, including acne scars. Silicone helps to hydrate the scar tissue and can improve its appearance over time. Products like Mederma or ScarAway are popular choices.

2. Retinoids: Topical retinoids, such as tretinoin or adapalene, can promote cell turnover and help improve skin texture. They can be effective in reducing the appearance of scars over time. However, they may cause irritation, so it's essential to start slowly and follow a dermatologist's guidance.

3. Vitamin C Serums: These can help brighten the skin and improve overall skin tone, which may help reduce the visibility of scars. Look for serums with stable forms of Vitamin C, such as ascorbic acid.

4. Alpha Hydroxy Acids (AHAs): Products containing AHAs, like glycolic acid, can help exfoliate the skin and improve texture. They can be beneficial for treating superficial scars and promoting a more even skin tone.

5. Hydroquinone: This is a skin-lightening agent that can help reduce hyperpigmentation associated with acne scars. However, it should be used with caution and under the guidance of a dermatologist due to potential side effects.


Professional Treatments
If topical treatments are not providing the desired results, you may want to consider professional options:
1. Chemical Peels: These treatments involve applying a chemical solution to the skin, which helps to exfoliate and promote new skin growth. They can be effective for improving the appearance of acne scars.

2. Microneedling: This procedure involves using fine needles to create micro-injuries in the skin, which stimulates collagen production and can improve the appearance of scars over time.

3. Laser Treatments: Various laser therapies, such as fractional laser or ablative laser treatments, can significantly improve the texture and appearance of acne scars. These treatments should be performed by a qualified dermatologist.

4. Fillers: For deeper scars, dermal fillers can be injected to raise the depressed areas, providing a smoother appearance. This is a temporary solution, as fillers typically last several months.


Recommendations
In Taiwan, you may find specific products available in pharmacies or dermatology clinics. It's advisable to consult with a dermatologist who can assess your skin condition and recommend the most suitable treatment plan tailored to your needs. They may suggest a combination of topical treatments and professional procedures for optimal results.


Tips for Managing Acne Scars
- Sun Protection: Always use sunscreen to protect healing skin from UV damage, which can worsen the appearance of scars.

- Gentle Skincare: Use a gentle cleanser and avoid harsh scrubs that can irritate the skin.

- Patience: Scar treatment can take time, and results may not be immediate. Consistency is key.

In conclusion, while there are effective topical treatments available for acne scars, combining these with professional interventions may yield the best results. Always consult with a qualified dermatologist to create a personalized treatment plan that addresses your specific skin concerns.

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