Dealing with Acne Scars: Solutions for Post-Chickenpox Skin

I have acne on my body!

Hello, doctor.
I had chickenpox when I was in sixth grade, and now I'm in the second year of junior high, but I still have some scars left on my body.
What should I do about this?

Lin, 10~19 year old female. Ask Date: 2013/04/21

Dr. Wu Yuxin reply Dermatology

Chickenpox scars are typically atrophic scars.
Treatments such as carbon dioxide laser, erbium:YAG laser resurfacing, or fractional laser can be utilized, but they do not guarantee complete removal; they can only provide varying degrees of improvement.

Reply Date: 2013/04/21

More Info

Dealing with acne scars, especially those resulting from chickenpox, can be a challenging process, but there are several effective treatments available that can help improve the appearance of your skin. First, it's important to understand that chickenpox can leave behind scars that vary in texture and color, and the treatment options may differ based on the type of scars you have.

Understanding Chickenpox Scars
Chickenpox scars can be classified into two main types: atrophic scars, which are depressed or indented scars, and hypertrophic scars, which are raised. Atrophic scars are more common and can appear as small pits or depressions on the skin. These scars occur when the skin loses collagen during the healing process. Hypertrophic scars, on the other hand, result from an overproduction of collagen and can appear raised and thickened.

Treatment Options
1. Topical Treatments: Over-the-counter creams containing ingredients like retinoids, alpha hydroxy acids (AHAs), or beta hydroxy acids (BHAs) can help improve skin texture and promote cell turnover. These treatments can be beneficial for mild scarring and can help fade discoloration over time.

2. Chemical Peels: A dermatologist may recommend chemical peels that use stronger acids to exfoliate the top layer of skin. This can help reduce the appearance of scars and improve overall skin texture. Chemical peels can be tailored to your skin type and the severity of your scars.

3. Microneedling: This procedure involves using fine needles to create micro-injuries in the skin, which stimulates collagen production. Microneedling can be effective for atrophic scars and can improve skin texture and elasticity.

4. Laser Treatments: Laser therapy is a popular option for treating acne scars. Fractional laser treatments can target specific areas of the skin, promoting collagen remodeling and reducing the appearance of scars. There are different types of lasers, and a dermatologist can help determine which is best for your skin type and scar type.

5. Dermal Fillers: For deeper atrophic scars, dermal fillers can be injected to raise the depressed areas of the skin, making them less noticeable. This is a temporary solution, and the effects typically last several months.

6. Surgical Options: In some cases, surgical procedures such as subcision (where a needle is used to break up scar tissue) or excision (removing the scar tissue) may be recommended, especially for severe scarring.

Additional Considerations
- Sun Protection: It’s crucial to protect your skin from sun exposure, as UV rays can darken scars and make them more noticeable. Use a broad-spectrum sunscreen with an SPF of at least 30 daily.

- Consultation with a Dermatologist: Since you are still in your teenage years, it’s advisable to consult with a dermatologist who can assess your skin and recommend a personalized treatment plan. They can provide guidance on which treatments are safe and effective for your skin type and age.

- Patience and Consistency: Treating scars can take time, and results may not be immediate. Consistency with your skincare routine and treatments is key to seeing improvement.

In conclusion, while chickenpox scars can be persistent, there are multiple treatment options available that can help improve their appearance. It’s essential to consult with a qualified dermatologist to determine the best approach for your specific situation. With the right treatment and care, you can achieve smoother, clearer skin over time.

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