by Dale Denton

Scars caused by severe acne are common in all age groups. Long after being cured of acne. People may be left with many deep pitted scars that are very unsightly. Let's explore some of the modern options for acne scar removal.

Chemicals like Alpha Hydroxy Acid and Beta Hydroxy Acid are used in a treatment called Chemical Peels. The outer skin surface is stripped away after direct application of the strong chemicals. For deep icepick scars multiple treatments of TCA are sometimes used to lift and fill the scar.

Punch grafting is a procedure that uses a small tool to dig out the scar. A piece of skin is normally taken from behind the ear and placed into the puncture made by the punch biopsy tool. The skin graft is held in place with skin glue or butterfly strips. This technique may leave a slight scar but usually much less noticeable than the original acne scar. They are one of the best treatments for fixing deep acne scars.

Collagen can be injected under the skin of some acne scars. When collagen is lost due to injury the result is usually a depression or pitted area within the scar. Collagen injections work by stretching the skin and works well for reducing wrinkles and some other types of scars. It does not work well for ice pick acne scars.

Dermal fillers can be used to diminish acne scars. A popular treatment for depressed acne scars is Microlipoinjection. This procedure uses fat from a donor site on the patients own body to "plump up" the area being treated. Autologous fat transfer (Microlipoinjection) lasts longer than other types of fillers. It is also well received by patients because it is completely non-allergenic. It is done on an outpatients basis so there is usually no need to stay in hospital..

Shallow acne scars can be removed by mechanical resurfacing of the skin. Commonly called dermabrasion, it involves removing the top layers of the skin. Mechanical dermabrasion uses a motorised rotary tool with changeable tips. A drum type diamond cylinder spinning at high speed grinds away damaged skin. After months of healing the resulting skin surface is usually much smoother. Potentialy dangerous, dermabrasion should be preformed by only the most skilled surgeons.

There are a lot of people that have suffered severe acne that caused an orange peel look to their face. Laser surgery is a great method for certain types of acne scars. One very neat approach is an inside out method of re sculpting acne scars. This special laser is called a smooth beam. The skin surface is cooled with a quick spray of cryogen, than an immediate blast of light energy from the laser. This protects the epidermis of the skin while the laser heats the dermis. It allows new collagen to form and fills the scar pit from the inside out.

For depressed acne scars, subcision is another option. When acne scars heal, they often look like pits or depressions because the collagen fibres that hold the skin together between the dermis and the epidermis are too short. The hope with subcision treatment is that when these fibres are cut the new fibres that bind the surface down will be longer and make the scar less noticeable.The process is often helped along with the use of filler agents like collagen or synthetics

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