When Can You Get Scar Treatment After Acne Clears Up?

Can scars be treated when there are no acne lesions on the face?

Hello Dr.
Huang, I visited you for a consultation some time ago, and my facial acne has almost cleared up.
I would like to ask under what conditions my skin health would be suitable for scar removal treatments?

Mr. Zhang, 20~29 year old female. Ask Date: 2008/07/06

Dr. Huang Ruiyun reply Dermatology

Hello! The term "acne scars" can be further classified in pathology as follows: 1.
There are residual red or dark marks where the skin texture remains unchanged, without any elevation, depression, or wrinkling.
This condition typically does not require treatment, as it will naturally fade over six months to a year.
Alternatively, pulsed light therapy can expedite the process slightly, but it still requires time and cannot be resolved immediately.
Pulsed light therapy can be performed even while acne is still present.
2.
There are what is medically referred to as scars, which are permanent and can only be improved, not completely eliminated.
Treatments for these are generally conducted after the acne has subsided.
For larger scars, surgical excision may be necessary, while raised scars can be treated with steroid injections.
The most common and troublesome type is the pitted scar, which can be addressed with methods such as dermabrasion, cryolaser, or fractional laser.
Wishing you peace and good health!

Reply Date: 2008/07/06

More Info

When considering scar treatment after acne has cleared up, it's essential to understand the healing process of the skin and the timing for various treatments. Generally, once your acne has resolved, the skin undergoes a natural healing phase. This phase can take several weeks to months, depending on the severity of the acne and the individual’s skin type.

Firstly, it’s crucial to ensure that there is no active inflammation or infection in the skin. If there are any lingering pimples or signs of irritation, it’s advisable to wait until these have completely resolved. Treating scars while the skin is still healing can lead to complications, such as worsening of the scars or new breakouts.

Typically, dermatologists recommend waiting at least 4 to 6 weeks after the last acne lesion has healed before considering any scar treatments. This waiting period allows the skin to stabilize and reduces the risk of further irritation. During this time, you can focus on maintaining a gentle skincare routine that includes moisturizing and sun protection, as UV exposure can worsen the appearance of scars.

Once the skin is stable, various treatment options can be considered for acne scars. These options include:
1. Topical Treatments: Products containing ingredients like alpha hydroxy acids (AHAs), beta hydroxy acids (BHAs), or retinoids can help improve the texture and appearance of scars over time. However, it’s essential to avoid aggressive treatments like retinoids immediately after acne clearance, as they can irritate sensitive skin.

2. Chemical Peels: These can be effective for treating superficial scars. They work by exfoliating the top layer of skin, promoting new skin growth. However, it’s crucial to consult with a dermatologist to determine the right type of peel for your skin type and scar severity.

3. Laser Treatments: Laser therapy, such as fractional laser or pulsed dye laser, can significantly improve the appearance of scars. These treatments work by stimulating collagen production and resurfacing the skin. However, they should only be performed on fully healed skin.

4. Microneedling: This technique involves using fine needles to create micro-injuries in the skin, which stimulates collagen production and can improve the appearance of scars. Like laser treatments, microneedling should be done on stable skin.

5. Fillers: For certain types of scars, dermal fillers can be used to raise the depressed areas of the skin, providing immediate improvement in appearance.

6. Surgical Options: In cases of severe scarring, surgical interventions such as subcision or scar revision may be considered. These should be discussed thoroughly with a qualified dermatologist or plastic surgeon.

In conclusion, the best time to start scar treatment is when your skin is completely clear of active acne and has stabilized for a few weeks. It’s always advisable to consult with a dermatologist who can assess your specific situation and recommend the most appropriate treatment plan tailored to your skin type and scar characteristics. Remember, patience is key in the healing process, and gradual treatments often yield the best long-term results.

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