Acne occurs when the dead skin cells and sebum along with bacteria accumulate along with skin pore, causing deep inflammation and lesions. Our body has its own mechanism to fix the damage of inflamed acne; it repairs the damage by forming hollow depression or dent, dip, and pit or raised areas on your skin resulting in a scar.
Acne scars have psychological problems with low confidence and social impact especially in younger and early adulthood patients.
Dos and Don’ts for getting Acne Scars:
Do consult your nearby dermatologist in initial stages
Don' touch, pick, pop or squeeze your pimples
Do regularly moisturize your skin
Don’t waste your time in trying home-remedies for scar, as they don’t work
Do strictly follow a health life-style and skincare regime to prevent
Do use the medical treatment prescribed by doctor for acne
Don’t scrub your skin too roughly
Do get rejuvenation peels on/off, if moderate acne recurs
Don’t ignore the severe acne, early treatment can prevent aggravation and scarring
Do stay hydrated
Do not forget to avoid sun exposure
Do choose the reputed laser centre for scar treatment, as newer energy based treatment are available in the market
Types of Acne Scars
There are different types of acne scars. The appearance of hideous acne scars is probably the most distressing thing a lot of people face. In fact, acne scarring has become one of the discussed and searched skincare issues across the world.
Depending on the width, depth, and 3-dimensional architecture, acne scars are basically classified into three basic types; few authors classify under six variants.
1. Depressed or Atrophic scars
Depressed or atrophic scars are shallow dents or pits on the skin due to the loss of tissue. The loss of collagen prevents the skin from repairing the indentation.
Usually, they are divided into three main types such as ice pick scars, boxcar scars, and rolling scars. Some authors classify atrophic scar under this as a separate variant.
2. Raised scars
Raised scars are formed after healing of inflammatory acne, and appear as bumps on the skin surface. Hence, raised scars are formed due to excess scar tissue formation on the skin.
Papular scars are 3 to 4mm skin-colored cobblestone or soft elevated lesions are commonly seen on nose, chin, and trunk. Hypertrophic/Keloid Scars: Such types of acne scars are raised, firm, and red and usually occur after any skin injury or acne.
Acne Scars Treatment:
We at Clear Skin Centre are committed to providing our patients with the best result-oriented treatments for acne scars. So if you are suffering from acne scars, there is nothing to worry about. We proudly say that we are the first and only centre in India to provide the most advance, time-tested, FDA approved treatment with different technologies for acne scars. Our skin treatments will help you get rid of acne and or its scars and have acne-free scars, clear skin.
We at Clear Skin laser Centre provide the following treatments. Treatment options include:
1.Specific dermatological procedures: Chemical peeling, Microdermabrasion, Photon-microneedle therapy, PRP, and Dermafillers.
2. Surgical procedures: Subsicion, Dermabrasions, Scar Revision, Punch elevation and excision, Punch grafting, Dermal grafts, and Autologous fat transfer. 3. Laser treatments or Energy based devices: Fractional resurfacing laser such Fractional co2, Frac Erbium Yag laser, Frac Erbium glass laser, Pico laser, Pulse Dye laser (PDL), Fractional sublative RF, Fractional MNRF(Scarlet & Endymed pro) and Enerjet.
Usually, these procedures are done at monthly intervals for at least 4-5 times, they stimulate collagen production in the deeper part of the skin making scars less visible.
However, a number of treatments available to treat the scar, once you develop scar it becomes permanent on your skin. All scars don’t need treatment, only cosmetically undesirable, unpleasant and physically, mentally disturbing scars are to be treated.
Laser treatment or Energy based devices:
Nowadays, laser scar removal is one of the most popular and most demanded scar removing techniques, the reason being non-surgical, non-invasive technique, most effective results without any discomfort and downtime of surgery. This treatment uses high-energy beams to break hard scar tissues and remove the damaged and older skin tissue and rebuilds it with fresh, new collagen without harming the surrounding skin tissues and leaving behind less visible scars, most attractive and smoother skin.
Laser Scar Removal is the simple, easy, tolerable, and out-patient procedure with minimum downtime allowing you to continue your routine activities along with the treatment and deliver quick results. But like any other procedure, laser scar removal also has some side effects associated with it that every potential candidate should be aware of before committing to the procedure.
A. Fractional laser skin resurfacing: treats microscopic columns of skin. It is a non-invasive treatment that uses a device to deliver a laser beam that targets a fraction of the skin at a time. These are called microthermal treatment zones (MTZs). Within each MTZ old epidermal pigmented cells are expelled and the collagen in the dermis is penetrated causing a reaction that leads to collagen remodeling and new collagen formation. This evens out the depressions in the skin.
There are plenty of fractional laser resurfacing technologies, among them the few mentioned below classified as ablative and non-ablative, which are the most commonly used are:
Fractional Co2 laser: produces a specific wavelength of light in the mid-infrared spectrum (10600 nm) and new versions have a super or ultra pulsed mode. It allows its laser energy is selectively absorbed by tissue water.
Fractional Erbium YAG laser: is a solid-state laser and emits a wavelength of 2940nm and its chromophore is water. This wavelength is closer to the peak spectrum of water and therefore has an absorption coefficient 12-16times higher than the CO2 laser. It is also a versatile laser and can be used in different modes such as ablative or non-ablative.
Fractional Erbium glass laser: Fractional Erbium glass is one of the most advanced lasers, used for skin resurfacing and rejuvenation. It is a non-invasive and non-ablative laser that works at 1550 nm wavelength.
Fractional non-ablative lasers produce a gentler effect on the skin, keep the epidermis intact, the laser energy heats the deeper dermis tissue in a controlled manner, and specifically activates fibroblast to stimulate neocollagenesis and dermal remodeling. This does not cause the water in the tissue to evaporate.
Fractional Micro-Skin resurfacing RF: [FSR]
This is also fractional skin resurfacing treatment done with the radiofrequency device and also called as fractional sublative RF. Hence it is not a laser, it can be used in a patient having laser phobia; for treating any atrophic or acne scar.
FSR produces volumetric heating into the deep dermis which helps in collagen remodeling & formation of new collagen beneath the scar tissue. As it is a Fractional process, it leaves the healthy skin in between the ablated area which allows faster healing with lesser downtime. FSR technology is useful in treating textural irregularities of the skin, wrinkles, and acne scars.
Fractional Microneedle RF: the microneedles are driven directly into the skin at a certain depth, and radiofrequency energy is then released; generating heat throughout the dermis. It results in volumetric tightening, collagen remodeling, and collagen production.
Fractional MNRF treatments are the latest innovations in the field of cosmetic dermatology. It is considered safer than fractional laser treatment and can be used on all types of skin without any major adverse effects.
Fractional MNRF delivers the energy deeper into the dermis; provides fractional ablation, creates micro-thermal zones, and leaves the healthy skin around, for rapid healing.
Fractional MNRF treatments are minimally invasive, minimum procedure time and downtime and the risks such as post-inflammatory hyperpigmentation and scarring are lower.
B. Pico laser: Pico Laser (or picosecond laser) is a laser device that uses very short pulse duration < 1 nano second which predominantly causes photoacoustic damage ( pulses of the light measured by changes in pressure ie sound waves)
Picosecond laser is mainly used for pigmentation removal, acne scars, skin rejuvenation and brightening, and tattoo removal.
Pico laser works creating laser-induced optical breakdown or micro subsicion; which promotes collagen and elastin production. Pico laser can penetrate several layers into the skin. The laser energy once delivered causes tiny globules of air or bubble; and these bubbles are filled up with collagen form deep within and raise indentations and depression caused by scars.
C. PDL: Pulsed dye laser are basically designed to rid patients of benign vascular lesions; they can also be used to treat scars especially red acne scars or fresh scars, hypertrophic, and keloid scars. The laser delivers an intense burst of yellow light to the skin; which is specifically absorbed by the blood vessels in the dermis. These blood vessels are coagulated and then reabsorbed by the body during the natural healing process; helps in collagen remodeling and hence scar correction.
1.Enerjet is synergetic innovation technology based on microtrauma and the effect of the healing compound. No needles, no risks of burns, no tissue necrosis. It is just safe with long-lasting results.
Enerjet uses Jet Volumetric Remodeling (JVR) technology – a high-pressure jet technology to laterally introduce healing agents deep into the dermal layer of the skin for a wide range of aesthetic indications. This single, innovative, non-thermal, and non-surgical solution is suitable for all skin types and all areas of the body. Enerjet is ideal for kinetic facelifts, scar repair, and dermal thickening. Enerjet solutions are proven to deliver superior, immediate, and long-lasting clinical results.
Advantages over lasers and surgery:
Safe, effective and simple
No thermal heating
Non-surgical, immediate results
Enerjet works for both atrophic/depressed scars and in hypertrophic/ keloid scars and stretch marks.
How does Enerjet work?
A healing compound is administered deeply into the dermis using powerful jet technology. The healing compound, combined with kinetic energy, creates a controlled microtrauma, stimulating the body’s natural healing response. The jet disperses into the target zone to cover 100 times the area of a single 32G needle entry point, leaving virtually no signs on the skins outer layer (only 200 microns).
Enerjet in Acne scars: It uses pneumatic energy to first break up the tight scar tissue underneath the skin after which microdroplets of high molecular weight hyaluronic acid are delivered. The skin then responds to microtrauma by stimulating elastin and collagen production resulting in an improvement of the scars. The continued remodeling effects of the treatment improve the results over time
Depending on scar’s shape minor procedures are advised as mentioned above. The outcome is always better when we combine different modalities depending on the nature of the scar. No scar can ever be completely removed; always leaves a trace, but their visibility can be lessened by the above-mentioned means.
We at Clear Skin Centre are committed to providing our patients with the best result-oriented treatments for acne scars. So if you are suffering from acne scars, there is nothing to worry about. We proudly say that at present we are the first and only centre in India to provide the most advance, time-tested, FDA approved treatment with different technologies for acne scars. Our skin treatments will help you get rid of acne and or its scars and have acne-free scars, clear skin.
What are the treatments available for acne scars?
Chemical peeling, Microdermabrasion, Dermaroller, Dermabrasion, subcision, punch elevation & excision, dermal grafts, fillers, and Laser resurfacing can be done for post-acne scars. Laser resurfacing is the best treatment presently available.
What are the commonly used lasers and RF for acne scars?
Fractional Co2, Frac. Er: Yag laser, Frac. Erbium Glass Laser and Fractional Microneeding RF are used for the treatment of acne scars
What are all the kinds of laser treatments Clear Skin Offers?
We at Clear Skin Laser Centre have all the commonly used Fractional Co2laser(Sellas), Fractional Er: Yag(Laseroptek-Lotus lll), Fractional Erbium Glass(Lumenis-ResurFx) and Fractional Micro-needle RF(Scarlet-S & Endymed PRO) to achieve best results.
What are Fractional lasers?
Fractional Lasers deliver multi-pulse micro-beams that hit the surface of the skin in a fractionated manner and allow for fast healing by keeping intact normal skin in between. The Lasers ensures uniform delivery of laser energy in the lasers spots without hot spots producing better resurfacing. It also ensures uniform delivery of laser energy from the first laser shot to the last laser shot ensuring better results. The duration of the laser pulse can be altered to fine-tune for excellent results.
How many types of Fractional Lasers?
Two categories of Fractional lasers are used: Non-ablative and ablative fractional lasers.
Non-ablative lasers are associated with minimal downtime and are considered safer than ablative lasers
Ablative fractional lasers are claimed to be more efficacious than nonablative lasers.
What is Fractional Microneedle RF?
Fractional microneedling radiofrequency is a novel radiofrequency technique that uses insulated or non-insulated microneedles to deliver energy to the deep dermis at the point of penetration without destruction of the epidermis. When the micro-motor is activated, a set of ultra-fine needles in the handpiece penetrates the skin. Each needle acts as an electrode to emit a preset amount of radiofrequency energy, generating heat throughout the dermis. It results in volumetric tightening, collagen remodeling, and collagen production. Fractional MNRF is better than Fractional laser since Fractional laser is a single wavelength, it’s not color blind. The absorbed energy is different with different skin color. But the result of Fractional RF is not affected by the pigment and suitable for all kinds of skin. Obviously, results can be seen after each treatment.
Is the treatment painful?
There is a mild burning sensation during the treatment which is tolerated well by most patients. Topical anesthesia may be required for sensitive patients.
Are there any side effects?
Practically nil with fractional laser treatment by experienced doctors. Temporary redness may be seen for 2-3 days after laser treatment. Mild brown pigmentation seen after treatment clears within 5-10 days after treatment.
Is sun protection necessary after laser resurfacing?
Physical avoidance of sun exposure by covering the treated areas while in sun or use of a sunscreen with high SPF is required for 1-2 weeks after fractional laser resurfacing.
How many sittings are required?
Generally, 2-4 sittings with a gap of 4-8 weeks between the treatments may be required for good improvement.
Can Severe/Deep scars be treated by laser resurfacing?
Yes. The surgery required prior to laser resurfacing treatment of deep scars by subcision or fillers maybe for better results.