Smoothing Out Acne Scars
It isn't unusual to suffer some scarring after an acne breakout. Active lesions often cause damage to the underlying layers of your skin. As the area heals, pockets are left in the epidermis due to the loss of supportive tissue. This is by far the most common form of acne scarring. But instead of saucer-like depressions, you can sometimes develop raised scars, also known as keloids and hypertrophic scars, when the body continues to produce collagen and elastin well after the area heals. To smooth out these types of scars, you need to seek medical intervention.
Talk to your dermatologist. With raised acne scars, treatment is often dictated by the type of scar. Keloid scars respond differently to medications and medical procedures than hypertrophic scars.
Apply a topical medication to the raised acne scar. A variety of creams are beneficial, including those with the active ingredients of tretinoin, silicone or corticosteroids. Daily application can smooth the scar in approximately six months, according to the American Academy of Dermatology.
Flatten the scar with intralesional injections of cortisone, suggests the American Osteopathic College of Dermatology. This corticosteroid is injected directly into the scar every three or four weeks.
Freeze the acne scar with cryotherapy. Sometimes referred to as cryosurgery, this procedure exposes the raised tissue to a freezing agent such as dry ice or liquid nitrogen. Exposure kills the tissue, causing the raised scar to fall off.
Undergo laser therapy to level the raised tissue. Laser energy is used to destroy the surface layer of the skin while heating the underlying layer to affect collagen production. As the area heals, the scar is closer in color and texture to the surrounding skin.
Remove the acne scar through scar excision surgery. Your cosmetic surgeon simply extracts the raised scar tissue and then sutures the surgical site. During healing, compression or steroids are usually administered to prevent the raised tissue from returning.
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