Acne is among the most common skin disorders in the United States. For most acne sufferers, the skin disorder starts in adolescence or early twenties. Acne does not spread by contact, which means it is not contagious and acne is not the result of dirty skin. The root cause of acne is a disturbance of the sebaceous glands hallmarked with an excess of oil production which is thicker than normal causing blockage of these glands which leads to inflammation and overgrowth of bacteria resulting in various manifestations of acne; such as blackheads, whiteheads, painful pimples, and in more severe conditions, multiple cysts, nodules and nodulo-cystic acne. Manipulation of blackheads and whiteheads can lead to inflammation and result in scarring. Cystic, nodular and nodulo-cystic types of acne are more likely to lead to severe or deep acne scarring. Individuals with pigment in the skin tend to have brown pigmented acne scars. Acne affects all ages, races and genders. Acne is more likely to occur in genetically predisposed individuals and can be exacerbated by several known factors. Hormones, stress, diet and other variables can lead to acne breakouts in hereditary susceptible individuals. Untreated or poorly managed acne can lead to scarring.
It is estimated that of all the acne sufferers which include 85% of the population between the ages of 12 and 24, one fourth will have permanent acne scars ranging from superficial or light to deep or severe.
The three most common types of acne scars by depth are ice pick scars, boxcar scars and rolling scars.
Acne sufferers with darker skin tend to have brown pigmentation associated with the scars. Acne sufferers with light skin tend to have redness associated with the scars
Differentiation Of Deeper Acne Scars
Ice Pick Scars
Ice Pick scars, being the most common, get their name from the actual formation of the scars and as the name suggests. They are shaped like the hole left from an ice pick.
The scars are deep and narrow, which makes it difficult for them to be filled up naturally with collagen and some are too deep to heal entirely. Ice pick scars are usually less than 2mm across and usually caused by inflamed comedones (blackheads) or acne vulgaris (whiteheads).
Boxcar scars are similar to Ice Pick scars, however the Boxcar scars are wide and more rectangular with vertical edges. Boxcar scars are usually found on the temples and cheeks and they can be deep or shallow, but the majority of Boxcar scars are not as deep as Ice Pick scars.
Rolling scars are the least common of the three and they are usually shallow and wide. Caused by damage under the surface of the skin, rolling scars are round and give the skin a rolling, wave-like appearance.
Best Treatment Approach For Acne Scars:
The best treatment for acne scars includes an evaluation of individual skin type, skin color, skin sensitivity, previous acne scar treatments and response to these scar treatment and the type of acne scars. Generally acne scars cannot be treated with a single treatment. A good plan includes measure to prevent further acne breakouts as well.
For our Dallas and Southlake acne scar treatments we start with your evaluation and formulate your long term acne scar treatment plan with clear goals and expectations. For most people with acne scars the treatments consist of a The goal of your acne scar treatments is tri-fold:
- Induce collagen synthesis from ground up to reduce the depth of deeper scars
- Improve surface texture by gentle resurfacing to improve the appearance of shallow scars
- Manage co-existing pigmentation or redness for overall even complexion
Before & After MicroPen® treatment by Jody Comstock, MD
Micropen Treatments for Acne Scarring in Dallas and Southlake:
We have found the Harvest Micropen treatment to be very effective in achieving all three of the above objectives. Depending on the type and extent of your acne scars, presence of brown pigmentation, or redness, we combine other treatments to your Micropen treatments in Dallas and Southlake offices. The types of additional treatments to manage your acne scars may include;
- Platelet Rich Plasma- PRP: Addition of your PRP to the Micropen treatment gives the added advantage of extra increase in collagen synthesis, improvement in pigmentation and texture. The presence of eight growth factors in your platelet rich plasma gives a big boost to your Micropen treatment.
- Microdermabrasion treatments: a series of microdermabrasion treatments in between or after your Micropen treatments keeps your skin surface polished for continuous improvement in the texture and pigmentation of your skin.
- Dermal filler: Sometimes addition of a HA dermal filler is recommended to act as a scaffolding for your PRP while your growth factors are working to generate your own collagen to fill these scar.
- Topical Retin A: Application of topical Retin A with or without skin lightening agent keeps the skin texture smooth by increasing your skin cell turn over.
- Topical Skin Lightening Creme: We use this for our patients with dark acne scarring in between treatments and after the Micropen treatments to lighten brown pigmentation of acne scars.
- IPL Fotofacial: For our lighter patients with redness of the acne scars, a series of IPL treatments is recommended to reduce skin redness.
For information about acne scar treatments and for a medical consultation for acne scar treatments in Dallas and Southlake, please call 888-210-9693
You do not have to be conscious of your acne scars, call us, we can help!