Laser Resurfacing for Acne Scars: Benefits, Risks, and Aftercare - Dermatology

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Dermabrasion surgery


Hello Dr.
Cheng, I have some questions I would like to ask you.

1.
Can laser resurfacing improve the appearance of acne scars?
2.
Are there any side effects after the procedure?
3.
How should I care for my skin after the surgery to prevent future breakouts?
4.
I would like to know if there are any friendly medical facilities in southern Taiwan.
If so, could you please tell me which hospital has better equipment?
5.
Could you explain which is better between chemical peels and laser resurfacing?
I apologize for taking up so much of your time.

qianse, 20~29 year old female. Ask Date: 2005/05/19

Dr. Zheng Lizhen reply Dermatology


Hello: 1.
Yes.
2.
After the wound heals, it may remain red for several months, and some individuals may experience hyperpigmentation.
3.
Maintain cleanliness, follow a regular lifestyle, and seek medical treatment if necessary.
4.
Each medical facility has different equipment, so please inquire directly.
5.
The effect of chemical peels is to remove acne, superficial acne scars, and pigmentation, while dermabrasion is used to refine scars by removing unwanted areas.
Sincerely, Dr.
Cheng Li-Chen, Dermatology.

Reply Date: 2005/05/19

More Info


Laser resurfacing is a popular dermatological procedure that can significantly improve the appearance of acne scars. Here’s a comprehensive overview addressing your questions about the benefits, risks, and aftercare associated with this treatment.

1. Improvement of Acne Scars: Yes, laser resurfacing can effectively improve the appearance of acne scars. The procedure works by removing the outer layers of skin, promoting collagen production, and encouraging the growth of new, healthier skin. There are different types of lasers used, including ablative lasers, which remove the top layer of skin, and non-ablative lasers, which penetrate deeper without damaging the surface. The choice of laser depends on the severity of the scars and the skin type.

2. Potential Side Effects: Like any medical procedure, laser resurfacing comes with potential risks and side effects. Common side effects include redness, swelling, and discomfort in the treated area, which typically subside within a few days. More serious risks include changes in skin pigmentation, scarring, and infection. It’s crucial to discuss these risks with your dermatologist to understand how they apply to your specific situation.

3. Post-Procedure Skin Care: After laser resurfacing, proper aftercare is essential to promote healing and prevent new acne breakouts. Here are some general guidelines:
- Keep the area clean: Use a gentle cleanser and avoid harsh scrubs or exfoliants.

- Moisturize: Keeping the skin hydrated is vital. Use a non-comedogenic moisturizer to avoid clogging pores.

- Sun Protection: Protect your skin from sun exposure by using a broad-spectrum sunscreen with at least SPF 30. Sun exposure can lead to pigmentation changes and hinder the healing process.

- Avoid Picking: Do not pick at scabs or peeling skin, as this can lead to scarring.

- Follow-Up: Regular follow-up appointments with your dermatologist are important to monitor healing and address any concerns.

4. Medical Facilities in Southern Taiwan: While I cannot provide specific recommendations for medical facilities, I suggest looking for dermatology clinics or hospitals with a good reputation for laser treatments. You can check online reviews, ask for referrals from friends or family, or consult with local health professionals to find a facility that uses advanced equipment and has experienced staff.

5. Glycolic Acid Peels vs. Laser Resurfacing: Both glycolic acid peels and laser resurfacing can improve acne scars, but they work in different ways and are suitable for different skin types and scar severity. Glycolic acid peels are chemical exfoliants that help remove dead skin cells and promote cell turnover, making them effective for mild scarring and improving skin texture. However, they may not be as effective for deeper scars. Laser resurfacing, on the other hand, is more aggressive and can provide more significant results for deeper scars but requires more downtime. The choice between the two should be based on your skin type, the severity of your scars, and your lifestyle.

In conclusion, laser resurfacing can be an effective treatment for acne scars, but it’s essential to weigh the benefits against the risks and to follow proper aftercare to achieve the best results. Always consult with a qualified dermatologist to determine the most suitable treatment plan for your specific needs.

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