Effective Treatments for Acne Scars: Expert Advice for Patients - Dermatology

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Hello Dr.
Cheng, I have acne that has improved by about 60%, but my face is covered in scars, commonly referred to as "strawberry skin." What remedies do you recommend? For example, laser treatments or glycolic acid? If I need to find a doctor, which type should I look for? How are the costs calculated? I live in Changhua in central Taiwan.
Thank you for your help.

xxx, 10~19 year old female. Ask Date: 2003/02/07

Dr. Zheng Lizhen reply Dermatology


Hello!
1.
Acne scars can be classified into "true scars" (atrophic or hypertrophic scars) and "false scars" (erythema or hyperpigmentation).
True scars, particularly atrophic scars, can be treated with dermabrasion; currently, most procedures use laser resurfacing, which causes less damage than traditional dermabrasion and has a quicker recovery time.
Wound healing typically takes about one week, while redness may persist for one to two months, depending on post-operative care.
Hypertrophic scars, which are related to individual skin types, can lead to raised keloid scars.
These can be treated with topical or injectable steroids or cryotherapy.
As for false scars, the redness or hyperpigmentation left by acne usually fades gradually over time (approximately three to six months).
The use of whitening products and proper sun protection can help accelerate the fading process.
2.
The dermatology clinics in the Changhua area are as follows:
- Changhua Show Chwan Hospital, No.
542, Section 1, Zhongshan Road, Changhua City, Changhua County, 04-7256166-1211
- Chen Jianhong Dermatology Clinic, No.
248, Xiaoyang Road, Changhua City, Changhua County, 047261808
- Changhua Christian Hospital, No.
135, Nanxiao Street, Changhua City, Changhua County, 047238595
- Wulin Hospital, No.
201, Zhongzheng Road, Yuanlin Township, Changhua County, 04-8326161
- Wang Wenzheng Dermatology Clinic, No.
437, Minzu Road, Changhua City, Changhua County, 04-7291616
- Wu Liangyuan Dermatology Clinic, No.
725, Section 1, Zhongshan Road, Yuanlin Township, Changhua County, 04-8372072
- Taoyuan Hospital, Department of Health, Executive Yuan, Dermatology, Dr.
Zheng Lizhen.

Wishing you good health!

Reply Date: 2003/02/07

More Info


Hello! Thank you for reaching out with your concerns about acne scars, often referred to as "strawberry skin." It's understandable to feel self-conscious about these scars, especially after dealing with acne. Fortunately, there are several effective treatments available that can help improve the appearance of acne scars.


Treatment Options for Acne Scars
1. Laser Therapy:
- Fractional Laser Resurfacing: This is one of the most popular treatments for acne scars. It works by creating micro-injuries in the skin, which stimulates collagen production and helps to smooth out the skin's texture. The recovery time is relatively short, and multiple sessions may be required for optimal results.

- CO2 Laser: This is a more aggressive treatment that can provide significant improvement in deeper scars. However, it may require a longer recovery time compared to fractional lasers.

2. Chemical Peels:
- Chemical peels involve applying a solution to the skin that exfoliates the top layers, promoting new skin growth. Glycolic acid and salicylic acid are commonly used for acne scars. Depending on the strength of the peel, you may experience some redness and peeling for a few days.

3. Microneedling:
- This treatment involves using a device with fine needles to create tiny punctures in the skin. This process stimulates collagen production and can improve the texture and appearance of scars over time. It is generally well-tolerated and has minimal downtime.

4. Dermal Fillers:
- For certain types of scars, dermal fillers can be injected to raise the depressed areas of the skin, making them less noticeable. This is a temporary solution, and repeat treatments will be necessary.

5. Subcision:
- This is a minor surgical procedure where a needle is inserted under the skin to break up the fibrous bands that tether the scar to the underlying tissue. This can help to lift the scar and improve its appearance.


Finding the Right Specialist
When seeking treatment for acne scars, it is essential to consult with a qualified dermatologist or a plastic surgeon who specializes in skin treatments. Look for a practitioner with experience in treating acne scars specifically, as they will be familiar with the various techniques and can recommend the best approach for your skin type and scar severity.


Cost Considerations
The cost of treatments can vary widely based on the type of procedure, the provider's expertise, and your geographical location. Here are some general estimates:
- Laser Treatments: Typically range from $200 to $1,500 per session, depending on the type of laser used.

- Chemical Peels: Usually cost between $150 and $600 per session.

- Microneedling: Generally ranges from $100 to $700 per session.

- Dermal Fillers: Costs can vary significantly based on the type of filler used, typically ranging from $500 to $1,500 per session.

- Subcision: This may cost between $300 and $600 per session.

It's important to discuss the costs upfront with your provider and inquire about any package deals for multiple sessions, which can sometimes reduce the overall expense.


Conclusion
In summary, there are several effective treatments available for acne scars, including laser therapy, chemical peels, microneedling, dermal fillers, and subcision. Consulting with a qualified dermatologist or plastic surgeon will help you determine the best treatment plan tailored to your needs. Be sure to discuss the costs and any potential side effects with your provider. With the right treatment, you can significantly improve the appearance of your skin and regain your confidence. Good luck, and I hope you find a solution that works for you!

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