Acne Scar Treatment Pune

Acne is formed due to excess sebum clogging the pores of the skin. The skin is irritated and inflamed with tiny boils called pimples. When you rub acne and pick on it, the fluid in the pimples seeps into the surrounding skin leading the acne to spread. Picking on acne leaves unpleasant scars on the skin that can take very long to disappear. Doctors have found that family history plays a big role in whether a person develops acne scars. The genes we inherit make some people more likely to scar. If you had severe acne, you also are more likely to develop acne scars.

Acne scars can be separated into two categories:

1. Depressed Scars
2. Raised Scars

At Karishma Laser and Cosmetic Clinic treatment of both these types of scars is performed by qualified doctors. Depressed scars are normally treated with the help of acne scar surgery, laser resurfacing, fillers, chemical peels, and dermabrasion. Treatment options for raised scars include acne scar surgery, cryotherapy, laser light and injections. Dr Sanghvi may recommend a combination of these therapies to get the best results. Now let us look at each of these treatments and their effectiveness in removing acne scars.

Treatment of depressed scars:

Acne Scar Surgery

Acne scar surgery remains one of the most effective treatment options for treating depressed acne scars. The aim of all acne scar surgery is to replace a large, deep scar with a smaller, flatter scar, which will be less noticeable and more likely to fade. After the large scar is removed and the skin heals the smaller scars can be removed with the help of laser skin resurfacing. Acne Scar surgery involves the following steps. Firstly the scar is removed from the skin using a surgical instrument. After the scar is removed, the surrounding tissue is raised and left to heal. Alternatively, skin from another part of the body is grafted to fill the opening.

What can be expected after acne scar surgery?

Bruising may last 1 to 2 weeks but gradually the skin will return to its original texture and the scars would have faded off.

Laser Skin Resurfacing

Brief, high intensity emissions of light from the CO2 laser remove layers of damaged or wrinkled skin at precisely controlled levels of penetration. The surgery will follow these steps. First, the doctor, or an assistant, will cleanse your face to remove oils from the skin. Antibiotic is then applied to kill bacteria. A beam of light from a microphone-shaped instrument is passed over the skin to vaporize the outer layers of damaged skin. The laser can be programmed for varied levels of penetration. The doctor may choose to penetrate more deeply in some areas, in order to remove deep scars, stubborn spots, and wrinkles. As the laser works, you may hear it zapping, and smell smoke. Finally, your doctor, or his medical assistant, may apply a protective ointment or bandage to the treated area.

What can I expect after the treatment?

After the procedure, you may experience some swelling and discomfort. Cold packs are usually recommended to reduce the swelling. If a bandage was applied after the surgery, it may be changed in a few days, but it will be completely removed after approximately one week, at which time an ointment is applied. A tape that retains moisture is usually used to bandage the treated area. Because this bandage must remain dry, you will not be able to shower normally until the bandages are removed.
If the treated area is not bandaged, you will need to wash your face several times daily. You will need to be careful in caring for the treated area. After each washing, you will need to apply an ointment, such as petroleum jelly, to the treated area. Scabs may form, and last for about 10 days. You must not pick at the scabs. The amount of time needed for recovery depends on the depth of the resurfacing and the individual’s capacity to heal. Redness may persist for several weeks, or longer. The redness gradually lightens to pink, and then to a lighter, more natural color.

Fillers

During this procedure, a clear gel is injected into the skin through a thin needle. The gel provides natural volume to the selected area and smoothes out lines in this area. No anesthesia may be required and pain-sensitive skins may need a ice pack before the treatment. Back in the nineteenth century, doctors used fat from patients’ arms and injected it into their faces to plump up the skin. Then, doctors used paraffion and silicone as derma fillers. In the late nineties, a form of collagen derived from cows that was safe for human use was discovered. Most temporary fillers last about 3 to 6 months. When a dermatologist fills the scars with your own fat, the results can last 1 to 3 years.

What you can expect after treatment with a filler?

While you can usually return to your everyday activities immediately, redness and swelling are normal. Some minor bruising also may be visible.

Chemical Peels

Phenol acid is the strongest chemical peel and is used to treat scarring. This peel produces the most lasting result and the entire treatment may take between 1 to 2 hours. Phenol acid peels are not recommended for people with darker complexions as they may cause permanent lightening of the skin. Phenol peels over a smaller area may take about 10-15 minutes. After a phenol peel treatment, the doctor may apply petroleum jelly to the treated area. These peels are normally used only once.

What you can expect after a chemical peel:

You can expect to see some redness. The amount of redness you see will depend on the type of peel used. It is important to know that a chemical will cause your skin to peel. Over the next 1 to 14 days, new skin will appear. All peels require some follow-up care. Protecting your skin from the sun after a chemical peel is necessary to help prevent unwanted side effects such as infection and scarring.

Dermabrasion

This procedure involves removing the topmost layers of the skin. This is achieved by sanding the skin carefully with a rotating wire brush after spraying it with a numbing chemical. This process takes anywhere between a few minutes to an hour depending on the extent of the area to be treated and the depth of the scar. As the procedure is performed under local anesthesia there is minimal pain in this treatment

What can I expect after the treatment?

The treated area may feel as if it is sun burnt. The skin is usually swollen for about 2 days and simple actions of smiling or eating may be uncomfortable or difficult. Usually a scab form over the treated around the second day. The entire healing from this procedure may take 1 to 2 weeks. The new skin will have a red tone which takes one month to fade.

Treatment of raised scars:

There are two types of raised scars – keloids and hypertrophic scars. With time, these scars may become larger and more noticeable. Some raised scars itch. They can even be painful and tender.

Treatments used to treat raised scars include:

Steroid Injections

Injections of corticosteroids can soften and flatten thick, raised scars.
Usually given every few weeks, the frequency will depend on the type of scar and many other considerations. Some patients receive an injection every 2 or 3 weeks. Others get an injection once every 3 to 6 weeks. If a scar does not respond (or stops responding) by the 4th injection, scar surgery may be recommended.

Acne Scar Surgery: When raised scars do not respond to injections, surgery may be recommended to remove the scar.

Pulsed Dye Lasers:

The pulsed dye laser (PDL) can be effective for treating some keloids and hypertrophic scars. Treatment with a PDL can help reduce the itch and pain, diminish the color, and flatten a raised scar.

Cryotherapy:

Cryosurgery is a treatment that is used to remove keloids. Simply described, cryosurgery is a procedure that uses freezing temperature to destroy tissue. This may be achieved with the help of liquid nitrogen.

When acne clears, spots sometimes appear on the skin where the acne once was. These spots may be pink, red, or purplish in people with lighter skin and tan to dark brown in people with darker skin. Many people believe these spots are scars. The good news is that these are not scars. Unlike scars, these spots will eventually fade. Fading, however, can take months.