Acne scars are created when a breakout penetrates the skin deeply and damages the underlying tissues. The body responds to this damage by engaging its natural healing mechanism and producing collagen to rebuild the affected tissue. However, it is not a perfect system. If the body produces too much collagen or too little collagen, a scar forms. This scar remains after the acne itself has cleared.
Acne scars can be stubborn, but there are many treatments available to improve their appearance. In the vast majority of cases, it is necessary to use a combination of treatment modalities to completely address a patient’s scarring. Tailoring the treatment to the individual is essential to achieve the best outcome. Contact Northside Dermatology to schedule an appointment with a consultant dermatologist.
B and A after 2 session of co2 laser and subcision (2 months post second session of co2) for acne scarring
Acne scars fall into two broad categories. Depressed scars create a pit or dent in the skin. Raised scars project upward from the skin’s surface. Within those categories, there are several common types of acne scars:
TCA CROSS stands for ‘TriChloroacetic Acid Chemical Reconstruction Of Skin Scars’. During the procedure, a specialist dermatologist/dermatology nurse/dermal clinician applies a small amount of high-concentration TCA directly to the scar. A chemical reaction occurs, causing a localised inflammatory response that leads to the formation of new collagen fibres that change the appearance of the scar. The treated areas initially turn white, then become red and undergo a crusting phase. Recovery is expected within three to seven days. The collagen formation process continues gradually over the course of multiple TCA CROSS treatments until a good result is achieved. TCA CROSS is ideal for treating deep ice pick scars.
Subcision is a surgical technique used to treat depressed acne scars. A specialist dermatologist performs the procedure by inserting a special needle into the skin and using it to separate the thickened scar tissue from the underlying tissue. This allows the skin to return to its normal position and stimulates collagen growth, leading to cosmetic improvement of the scar. Subcision is a minor procedure that can be safely performed in an outpatient setting under local anaesthetic . Most established, advanced acne scars can benefit from this underutilised technique.
TCA CROSS and subcision are just two of many modalities available to treat acne scarring. Other options include:
For effective acne scar treatment with minimal downtime, we recommend radio frequency treatment, Laser Genesis, vascular laser, or skin needling. Each of these treatments involves minimal downtime and simple postprocedure care. Side effects from these treatments are typically mild and resolve relatively quickly, allowing you to return to your regular routine as soon as possible.
Laser treatments are not right for every patient or every scar. It’s critical to undergo assessment by a professional to determine the best option for your circumstances. Your treatment must be tailored to your individual scars, and different scars may require different approaches. Your specialist dermatologist may recommend subcision for one scar and TCA CROSS for another, followed by radiofrequency treatment and dermal fillers to achieve optimal results. Every scar is different.
The first step to treating acne scars is to be examined by a specialist dermatologist with extensive experience in scar identification and management. They will assess your skin to determine what types of acne scars you have, the severity of your scarring and the best course of treatment for each scar type. Most people have a combination of types that require a blend of treatment modalities over a period of time to achieve the best possible result.
Northside Dermatology is a leading provider of acne scar treatments in North Fitzroy and Reservoir. Principal dermatologist Dr Liu performs a wide range of treatments to diminish acne scarring and help patients achieve clear, even complexions. Book an examination and receive a personlised acne scar treatment plan at Northside Dermatology by calling us on 03 8582 8688.
Monday - Friday, 9am-5pm
Medical Enquiries:
reception@northsidedermatology.com.auLaser & Cosmetic Enquiries:
cosmetic@northsidedermatology.com.au