Acne Scars: Do You Need Dermabrasion for Treatment? - Dermatology

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Hello! I would like to ask, if there are acne scars (the indented type) in two small areas near the nose on both cheeks that have been present for a long time, would microdermabrasion be necessary to remove them? Would a localized treatment be sufficient? Also, what would the approximate cost be? Thank you for your response!

satir, 20~29 year old female. Ask Date: 2002/08/17

Dr. Zheng Lizhen reply Dermatology


The cost for localized laser resurfacing surgery is determined by the area treated, with our hospital charging 2000 NTD per square centimeter.

Reply Date: 2002/08/17

More Info


Acne scars can be a significant concern for many individuals, particularly when they are deep and persistent. The question of whether dermabrasion is necessary for treatment depends on several factors, including the type and severity of the scars, the individual's skin type, and their overall health.

Understanding Acne Scars
Acne scars are typically classified into two main categories: atrophic scars and hypertrophic scars. Atrophic scars, which are the most common type resulting from acne, appear as depressions or indentations in the skin. These can be further divided into ice pick scars, boxcar scars, and rolling scars, each requiring different treatment approaches. Hypertrophic scars, on the other hand, are raised and occur when the body produces too much collagen during the healing process.

Dermabrasion as a Treatment Option
Dermabrasion is a cosmetic procedure that involves the mechanical exfoliation of the skin's surface using a rotating device. This technique can effectively reduce the appearance of atrophic scars by removing the outer layers of skin and promoting new skin growth. However, it is essential to note that dermabrasion is not suitable for everyone. Factors such as skin type, the depth of scars, and individual healing responses must be considered.

For individuals with deeper scars, more aggressive treatments like full dermabrasion may be necessary. However, for those with milder scarring, less invasive options such as microdermabrasion or chemical peels may suffice. These alternatives can improve skin texture and tone without the downtime associated with more invasive procedures.

Localized Treatment and Costs
When considering treatment for specific areas, such as the cheeks near the nose, localized dermabrasion can be performed. This approach allows for targeted treatment of the scarred areas while minimizing the impact on surrounding skin. The cost of dermabrasion can vary widely based on geographic location, the expertise of the practitioner, and the extent of the treatment required. On average, patients can expect to pay anywhere from $100 to $500 per session, with multiple sessions often needed for optimal results.

Consultation with a Dermatologist
Before proceeding with any treatment, it is crucial to consult with a qualified dermatologist or skincare professional. They can assess the scars' severity, discuss your skin type, and recommend the most appropriate treatment options. Additionally, they can provide information on potential side effects, recovery times, and expected outcomes.

Alternative Treatments
In addition to dermabrasion, other treatment options for acne scars include:
1. Laser Therapy: Laser treatments, such as fractional laser resurfacing, can stimulate collagen production and improve skin texture.

2. Microneedling: This technique involves using fine needles to create micro-injuries in the skin, promoting healing and collagen production.

3. Fillers: Dermal fillers can temporarily plump up atrophic scars, providing a smoother appearance.

4. Chemical Peels: These can help exfoliate the skin and improve the appearance of scars over time.

Preventing Future Scarring
To prevent future acne scars, it is essential to manage acne effectively. This includes using appropriate topical treatments, maintaining a consistent skincare routine, and avoiding picking or squeezing pimples, which can exacerbate scarring. Regular consultations with a dermatologist can help tailor a treatment plan that addresses both active acne and scarring.

In conclusion, while dermabrasion can be an effective treatment for acne scars, it is not the only option available. A thorough evaluation by a dermatologist will help determine the best course of action tailored to your specific needs and skin type.

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