Depressed Scars: Healing Time and Treatment Options - Dermatology

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Depressed scar issues


Hello, I previously received an injection for acne, and about 1.2 weeks later, I noticed a depression in my skin.
Will this heal? How long might it take? It has been depressed for 2 months already.
Should I continue to wait, or should I seek some treatment? Thank you.

Xiao Chen, 30~39 year old female. Ask Date: 2013/06/04

Dr. Wu Yuxin reply Dermatology


After receiving an injection for acne, the skin may develop indentations, which could be either atrophic scars that are formed by the acne itself or temporary depressions.
Atrophic scars are permanent and will not heal on their own; they require treatment such as carbon dioxide laser or fractional laser.
If the indentations are temporary, no treatment is necessary, as they will resolve on their own.
It is advisable to consult a dermatologist for a proper diagnosis.

Reply Date: 2013/06/04

More Info


Hello! It sounds like you're dealing with some concerns regarding skin healing after receiving acne treatment. When it comes to skin depressions or indentations following acne injections or other treatments, it's important to understand a few key points about healing and treatment options.

Firstly, the healing time for skin depressions can vary significantly depending on several factors, including the type of treatment you received, your skin type, and your overall health. Generally, minor skin depressions may improve over time as the skin continues to heal and regenerate. However, if the indentation has persisted for two months without improvement, it may be time to consider additional treatment options.

In many cases, skin depressions can be treated with various dermatological procedures. Here are some common options:
1. Dermal Fillers: These are injectable substances that can help fill in the depressed areas of the skin. They provide immediate results and can last from several months to a couple of years, depending on the type of filler used.

2. Microneedling: This procedure involves using fine needles to create micro-injuries in the skin, which stimulates collagen production and can help improve the texture and appearance of the skin over time.

3. Chemical Peels: These treatments involve applying a chemical solution to the skin, which causes the outer layer to peel off. This can help improve the appearance of scars and depressions.

4. Laser Therapy: Laser treatments can target specific areas of the skin to promote healing and improve texture. Different types of lasers can be used depending on the severity of the scarring.

5. Topical Treatments: While they may not be as effective for deeper depressions, certain topical treatments containing ingredients like retinoids or hyaluronic acid can help improve skin texture and promote healing.

It's essential to consult with a dermatologist to assess your specific situation. They can evaluate the depth and cause of the depression and recommend the most appropriate treatment options for you. Additionally, they can provide guidance on whether you should continue waiting for natural healing or if intervention is necessary.

In the meantime, taking care of your skin is crucial. Ensure you are using gentle skincare products, protecting your skin from sun exposure, and maintaining a healthy diet to support skin healing. Hydration is also key, as well-moisturized skin can heal better.

Lastly, if you're feeling anxious or distressed about your skin's appearance, consider discussing these feelings with a mental health professional. Skin issues can significantly impact self-esteem and mental well-being, and it's important to address these aspects as part of your overall health.

In summary, while some skin depressions may improve over time, persistent issues after two months warrant further evaluation and potential treatment. A dermatologist can provide tailored advice and options to help you achieve the best possible outcome for your skin.

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