Acne is a difficult skin ailment to have to endure. Beyond the unhappy reality of its discoloration of the skin, it can produce a lasting scar when the skin works to naturally repair and eliminate it. The conditions that lead to acne consist of too much sebum from the sebaceous gland filling a skin pore. This creates pressure on the cells surrounding the pore, ultimately causing a rupture that leaks this sebum into the surrounding skin. As this will cause an infection, the red bump of a pimple will form.
The hopeful outcome is the acne will heal properly back to a healthy and natural skin texture, and there are no lasting reminders of the experience. Yet unfortunately, there is a chance the skin cells will repair the skin in a way that leaves a scar. For instance, if the basal layer of the epidermis is completely destroyed, the skin cannot regenerate the acne site back to a normal and healthy skin texture. It will form a layer of collagen fibers over the damaged skin for protection, and this layer is the scar tissue.
An overgrowth of scar tissue caused by cells secreting too much collagen could create keloid or hypertrophic scars. These are particularly burdensome as when they are removed through treatment, they have a high recurrence rate of growing right back. Going the other way, when there is a loss of tissue within the skin that is not regenerated, indented scars will appear. Examples of this are ice pick, boxcar, and rolling scars.
Treatments for Acne Scar vary from skin care creams to topical surgery. Surgery entails replacing a large, deep scar with a smaller, flatter scar. The goal is it will be less noticeable, and with time, fade away. Patients receive local anesthesia to numb the area to be treated, and then undergo one of the acne scar surgery options.
For raised scars such as keloids, there is the punch excision technique that uses a surgical instrument that resembles a cookie cutter. Contouring to the shape of the keloid, it will remove the entire scar. After this technique, dermatologists recommend either pressure garments over the wound site or radiation treatments. In this way, the chance of its recurrence is decreased.
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For the indented scars, chemical peels are effective for shallow, rolling scars. A dermatologist applied an acidic solution (TCA or phenol) to the skin to remove its superficial level. This will allow the skin to grow anew. Redness, irritation, and flaking are to be expected for about two weeks after the treatment.
Dermabrasion is employed for the more indented such as ice pick and boxcar acne scars. This is an ablative surgery procedure that physically removes the epidermis and the dermis layers of the skin in a controlled fashion. A fine wire brush or a diamond fraise is used as the surgical instrument. Here again the idea is to remove the superficial skin to allow for the natural reproduction of healthier, and newer skin. This will make the indented scar the same level as the surrounding skin, and therefore less noticeable. Dermabrasion requires several follow up treatments, and post operative care is required.
An Acne Scar removal can accomplish the objective of eliminating the acne scar without the burdensome side effects of more intrusive treatments.
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