Varies. Depends more if you are bothered by the scarring. Redness after acne is not scarring. Scarring on the face are depressions, and rarely elevated areas. Once the acne is under control, laser can be an effective method for improving the scars.
When it's right. Although I like many treatments for acne scarring that don't involve surgery, there are times when surgery really is the best option. Especially for the "ice pick" type of scar. These are the ones that look like "holes" in the skin. The best treatment in my hands is excision of these, followed by deep chemical peels and resurfacing of the skin. I also like prp to help with the healing.
After it's stable. Correction of acne scarring should not be undertaken, generally, until the active acne process is brought under control.
Inactive acne. When the acne is under control, depressed facial scars or raised back scars are very responsive to fractionated laser. The healing is fast and predictable. Repeat sessions increase improvement.
Nope. Surgery causes scarring. There are various dermatological treatments that can decrease the appearance of scars, but not remove them. See dermatologist or plastic surgeon.
Yes, for improvement. Scar excision, subcision, fillers/fat grafting, tca cross, dermabrasion, laser skin resurfacing, chemical peels are options for acne scars. These options have various ranges of improvement. For best results, it is better to get the skin surface relatively smooth before using the skin resurfacing procedures. If acne scars are depressed, skin resurfacing may improve the texture, but not the flatness.
Of course. But choose the right procedure for your scars. Meet with a specialist to review your options.
Yes. Type of scarring will dictate your best treatment options. Sometimes fillers, fat grafting, surgical excision or sanding of the sites are chosen. Occasionally use of laser resurfacing and chemical peels (medium to deep) are recommended.
Certainly. The narrow deep "ice pick" type scars can be easily cut out with a tiny circular surgical punch that remives the whole pitted scar which is the closed with a few fine sutures. Longer scars may be excised with careful closure along anatomic lines that parallel normal skin creases. Dermabrasion is helpful for shallow scarring.
Yes. Surgical excision of acne scars may be performed, but that would leave scars as well. The best treatments are probably nonsurgical, such as dermabrasion, lasers, chemical peels and dermarolling.
Excision. It all depends on the scar, but excising (surgically removing) the scar can be one of the more succesful treatments for severe scars.
Young enough? I'm really sorry you ended up with acne scars. It must have been severe, and it should have been managed like any other serious, chronic disease. You're basically grown-up now, and you need to be under the care of a competent physician for acne until it self-cures. Once it's managed, surgery for the scars is your choice. Best wishes.
Acne scars. Acne scars can be improved (not made to disappear altogether) by dermabrasion, chemical peel, laser peel, punch excision, subcision and of course, make up.
DIfferent techniques. Are available. Depending on the location, depth, and size of the scar your facial plastic surgeon may recommend different treatment options. Laser treatments or peels can help for more superficial scars. Ice pick type scars can be helped by excision and follow up treatments like dermabrasion.
Acne scars. Acne scars, like all scars, are permanent. The best you can achieve is that you make them less visible. Scars being full thickness skin damage, as such, require a fairly aggressive treatment to improve them. Laser resurfacing, done by competent practitioner will give a good result. For smaller areas punch excision or subcision can be done.
No Magic. Unfortunately scars are permanent. With that said we can do things to make them less noticeable. First any active components should be treated medically. Then deep pock marks can be punch excised and finally the skin can be smoothed some with dermabrasion, chemical peels or laser resurfacing. Expect a noticeable improvement but not a miracle and you will be happy.
Any Age. Laser surgery for acne may be utilized for patients of any age. Acne is a skin condition that affects those in puberty or adolescence.
Age isn't main issue. Generally ablative laser treatments that remove tissue are recommended after active acne breakouts have stopped. This often doesn't occur until late teen years or after (parental consent may be required). Ablative laser treatments should be delayed for at least one year after Accutane use. A variety of other laser/light treatments for active acne can help control breakouts and reduce scarring.
No particular age. Laser tx for acne scars is most often done either with fractionated co2 or fraxel lasers. While these usually produce modest benefit, they are painful & require recovery. There is no particular age requirement for treatment. I would always be most comfortable with patients who are mature enough to make an intelligent decision once they understand the risks, benefits and treatment alternatives.
When breakouts stop. First lasers do not remove scars, acne or otherwise. Treat for acne scarring can be done when the break out have stopped.