Acne scars are tough and no one treatment is best for everyone. One or a combination of the following methods may improve the appearance of your skin, depending on the type of scar you have, your skin type, and the severity of the injury.
Working. Using a small procedure called a punch excision, your doctor will cut out individual acne scars and repair the wound with stitches or a skin graft. Using a technique called subcision, the doctor inserts a needle under your skin to loosen the fibers under the scar.
Chemical leather. Your doctor will apply a chemical solution to the scar tissue to remove the top layer of skin and reduce the appearance of deeper scars. You can repeat on soft and medium skin to maintain results. You can only have one skin deep. Possible side effects include changes in skin color, especially deep skin tones applied to black skin.
Laser resurfacing. This method is particularly popular and is often used on scars previously treated with dermabrasion. This technique has an increased risk of side effects in people with dark skin or a history of keloids. Other energy-based methods. Compressed light sources and radio frequency devices help make the messages less noticeable without damaging the outer layer of the skin. Results are subtle and you may need repeat treatments.
Skin needle. Your doctor will insert a needle into the skin to stimulate the production of collagen in the underlying tissue. It is a safe, simple and potentially effective method for acne scars. It has a low risk of skin discoloration. The results are subtle and you may need to change your treatment.
Dermabrasion. This procedure is usually reserved for more serious injuries. Your doctor will remove the top layer of skin with a rapidly rotating brush or other device. Facial scars can be completely removed and deeper acne scars can be less visible. Possible serious side effects include scarring and skin discoloration.
Onabotulinumtoxin A (Botox). Sometimes the skin around acne scars wrinkles. Botox injections calm the surrounding skin, which can improve the appearance of an acne scar. The results are temporary, so repeated treatments are necessary to maintain the effect.
Skin care at home. Using sunscreen can help reduce the difference between the patchy skin and the scar. Other medicated creams, such as those containing azelaic acid or hydroxyl acids, may also help. Soft tissue fillers. Injection of collagen, fat, or other substances under the skin can lubricate the skin over sunken wounds. The goal is to make the messages less noticeable. The results are temporary, so repeated treatments are necessary to maintain the effect. This method carries a small risk of skin discoloration. Steroid injection. Steroid injections into certain types of enlarged wounds can improve the appearance of your skin.
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