Treating Acne Scars: Dermabrasion vs. Scar Revision Options

Facial acne turning into indentations?

Due to improper pimple popping, the face has developed indentations resembling the surface of the moon.
Should the treatment be dermabrasion or scar revision? How many sessions are needed? What level of improvement can be expected? What are the costs involved? Thank you.

A Tie, 30~39 year old female. Ask Date: 2009/03/29

Dr. Jiang Yujiao reply Dermatology

Hello! Acne scars on the face can be treated with laser resurfacing.
The number of sessions required and the associated costs depend on the depth of the scars and the area to be treated, which should be evaluated by a dermatologist performing the laser treatment.
Response from Jiang Yu-Jiao.

Reply Date: 2009/03/29

More Info

When it comes to treating acne scars, particularly those that resemble pockmarks or a "moon surface" due to improper squeezing of pimples, there are several options available, including dermabrasion and scar revision techniques. Understanding the differences between these methods, their effectiveness, and the costs involved can help you make an informed decision.

Dermabrasion vs. Scar Revision
1. Dermabrasion: This is a mechanical exfoliation technique that removes the outer layers of skin using a rotating device. It is particularly effective for superficial scars and can improve the texture of the skin significantly. The procedure can be performed under local anesthesia, and the recovery time varies depending on the depth of the treatment. Typically, patients may require multiple sessions to achieve optimal results, often ranging from 2 to 4 sessions spaced several weeks apart. The improvement can be substantial, with many patients experiencing smoother skin and a reduction in the appearance of scars.

2. Scar Revision: This term encompasses various surgical and non-surgical techniques aimed at improving the appearance of scars. Surgical scar revision may involve excising the scar tissue and closing the wound in a way that minimizes the appearance of the scar. Non-surgical options include laser treatments, chemical peels, and fillers. The choice of technique depends on the type and severity of the scars. For deeper scars, surgical options may be more effective, while laser treatments can be beneficial for both superficial and deeper scars.

Effectiveness and Expectations
The effectiveness of these treatments can vary based on individual skin types, the severity of the scarring, and the specific techniques used. Generally, dermabrasion can lead to significant improvements in skin texture, but it may not completely eliminate scars. Patients can expect a reduction in the visibility of scars, with some reporting up to 50-70% improvement after a series of treatments. However, results can vary, and it’s essential to have realistic expectations.

Cost Considerations
The cost of dermabrasion and scar revision treatments can vary widely based on factors such as geographic location, the expertise of the practitioner, and the specific techniques used. On average, dermabrasion can cost anywhere from $100 to $3,000 per session, depending on the extent of the treatment and the practitioner’s fees. Scar revision surgeries can be more expensive, often ranging from $500 to $5,000 or more, depending on the complexity of the procedure.

Consultation and Personalized Treatment Plan
Before proceeding with any treatment, it is crucial to have a thorough consultation with a qualified dermatologist or plastic surgeon. They will assess your skin, discuss your medical history, and recommend the most suitable treatment options based on your specific needs. They may also suggest a combination of treatments for optimal results.

In conclusion, both dermabrasion and scar revision techniques can be effective in treating acne scars, but the choice between them should be based on the type of scars, desired outcomes, and personal preferences. Multiple sessions may be necessary to achieve the best results, and costs can vary significantly. Always consult with a professional to create a tailored treatment plan that addresses your unique skin concerns.

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