Acne Scars: Options!!!

A reader asked me to recommend a procedure for acne scars. Many of us suffer from acne during our terrible teens and are left with reminder of that in the form of scars. Acne scars can be of different types and in layman terms can be the ‘bumpy’ or ’sunken’/'depressed’ scars. (To see a more detailed classification please go here.  The type of treatment that will work on you depends on what type of scar it is, how deep it is and how your skin will react to the treatment.

Bumpy scars are much easier to deal with then depressed scars. The basic idea behind treating these types of scars is to remove  scar tissue cells and accelerate the growth of new tissue. With the dead scar cells sloughing off, new skin cells are revealed. For depressed scars, new skin needs to be regenerated in the depressed areas while the surrounding areas need to be ex foliated. Following options exist:

1. Topical Creams: Creams containing Retin-A, Alpha Hydroxy Acids or Beta Hydroxy Acids can help. These will need to be used consistently for a number of months for there to be a noticeable difference. Please wear a sunscreen while using these creams. Skin may begin to peel during treatment( don’t pick on it).

2. Chemical Peels: Light , Medium to Deep peels can be used to treat scars. Consult with your doctor to determine what type of peel you will require. Light peels such as 20-30% Glycolic acids work well over a number of consecutive treatments and have no downtime. Medium Peels such as TCA or 75% Glycolic Acid will also work great and require less treatments, but skin will probably peel alot for a week or so after treatment. I have only mentioned Deep peels so I can clarify that it not a type peel you want to get done. ‘Phenol’ is a type of deep peel and should be avoided at all costs especially in Asia, I honestly don’t know why it’s even sold for facial application. AVOID AVOID AVOID!!!

In my own experience, a light Salicylic acid peel (20%) followed the next day by a Glycolic Acid Peel (50%), once a week for 4 weeks significantly lightened my scars. I will not endorse this treatment to everyone of course. You need to sit down with your dermatologist and determine what is right for you. I will upload a follow up post on some reliable chemical peel companies that you should opt for. It’s difficult to get such information in Asia and my dermatologist was nice enough to discuss some brands with me, some of which I am sure will be available. One word of caution. DO NOT use any creams formulated by the dermatologist( no matter what he or she says). There’s a reason companies spend millions of dollar in researching safe and effective products. Anyways I will provide more details around brands later.

3. Micro Derm abrasion: This is essentially ’sand blasting’ of the skin. This is NOT a good option for acne scars as it only removes dead skin cells and will make little or no improvement to your skin texture or tone. No matter what someone says, don’t go for this option for acne scars. If you have sensitive and acne prone skin, avoid it even more so.

4. Laser Skin Resurfacing: This technique burns the skin surface to create new skin surface. Per a study, this technique is 80% effective in treating shallow scars. There are multiple types of lasers that are widely used for acne scars. The skin can take 2-3 weeks to heel and the patient is advised to wear sun screen at all times. Per mayo clinic, this is the most effective way of getting rid of acne scars. I personally have never undergone this treatment( or know someone who has) so it would be great if you people can share your experience with laser resurfacing and also share information about the doctor you went to.  It will really really really help!!!! This is definitely not a department I feel very comfortable giving advice on especially since my dermatologists won’t use the laser on me (as I am Pakistani and all three dermatologists I have been to have been afraid of burning my skin).

5. Punch Techniques: These are surgical techniques used on very deep depressed scars and involve removing the scars and either grafting new skin on it or stitching them up.

6. Fillers: Fillers such as collagen are injected into the scar depressions. These fill up the depressions and make the skin appear smoother. Fillers typically last from 4-6 months.

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  131. Jesus Mastrocola Says:

    Between me and my husband we’ve owned more MP3 players over the years than I can count, including Sansas, iRivers, iPods (classic & touch), the Ibiza Rhapsody, etc. But, the last few years I’ve settled down to one line of players. Why? Because I was happy to discover how well-designed and fun to use the underappreciated (and widely mocked) Zunes are.

  132. June Druetta Says:

    Between me and my husband we’ve owned more MP3 players over the years than I can count, including Sansas, iRivers, iPods (classic & touch), the Ibiza Rhapsody, etc. But, the last few years I’ve settled down to one line of players. Why? Because I was happy to discover how well-designed and fun to use the underappreciated (and widely mocked) Zunes are.

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  134. Eleanore Reinier Says:

    The new Zune browser is surprisingly good, but not as good as the iPod’s. It works well, but isn’t as fast as Safari, and has a clunkier interface. If you occasionally plan on using the web browser that’s not an issue, but if you’re planning to browse the web alot from your PMP then the iPod’s larger screen and better browser may be important.

  135. Charline Jasin Says:

    Between me and my husband we’ve owned more MP3 players over the years than I can count, including Sansas, iRivers, iPods (classic & touch), the Ibiza Rhapsody, etc. But, the last few years I’ve settled down to one line of players. Why? Because I was happy to discover how well-designed and fun to use the underappreciated (and widely mocked) Zunes are.

  136. Giovanni Gehrett Says:

    Hands down, Apple’s app store wins by a mile. It’s a huge selection of all sorts of apps vs a rather sad selection of a handful for Zune. Microsoft has plans, especially in the realm of games, but I’m not sure I’d want to bet on the future if this aspect is important to you. The iPod is a much better choice in that case.

  137. Kendall Stoakley Says:

    If you’re still on the fence: grab your favorite earphones, head down to a Best Buy and ask to plug them into a Zune then an iPod and see which one sounds better to you, and which interface makes you smile more. Then you’ll know which is right for you.

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  139. Blossom Sprake Says:

    This is getting a bit more subjective, but I much prefer the Zune Marketplace. The interface is colorful, has more flair, and some cool features like ‘Mixview’ that let you quickly see related albums, songs, or other users related to what you’re listening to. Clicking on one of those will center on that item, and another set of “neighbors” will come into view, allowing you to navigate around exploring by similar artists, songs, or users. Speaking of users, the Zune “Social” is also great fun, letting you find others with shared tastes and becoming friends with them. You then can listen to a playlist created based on an amalgamation of what all your friends are listening to, which is also enjoyable. Those concerned with privacy will be relieved to know you can prevent the public from seeing your personal listening habits if you so choose.

  140. Jerrica Willmes Says:

    If you’re still on the fence: grab your favorite earphones, head down to a Best Buy and ask to plug them into a Zune then an iPod and see which one sounds better to you, and which interface makes you smile more. Then you’ll know which is right for you.

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  142. Amos Leer Says:

    Sorry for the huge review, but I’m really loving the new Zune, and hope this, as well as the excellent reviews some other people have written, will help you decide if it’s the right choice for you.

  143. Akilah Olazabal Says:

    Hands down, Apple’s app store wins by a mile. It’s a huge selection of all sorts of apps vs a rather sad selection of a handful for Zune. Microsoft has plans, especially in the realm of games, but I’m not sure I’d want to bet on the future if this aspect is important to you. The iPod is a much better choice in that case.

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