Treatment of Acne Scars :
Acne scars can be psychologically disturbing and everyone who has them wishes they get rid of these craters and pits on their face. At Skinfiniti, Dr Jaishree examines the types of scars and decided on a combination of treatments to reduce the scars by almost 80%. A single treatment modality is never enough. Peels, Dermaroller, fractional laser, subcision, cryotherapy and RF microneedling are done as required to give you a smoother clearer scar free skin. If acne is not treated on time or if one has the habit of picking at acne, one does develop scars which in turn may cause a psychological trauma to the person.

Acne scars may be in the form of :

  • Macules are small dark skin discolorations and are flat.
  • Depressed fibrotic scar & Ice-pick scars are large, depressed valleys on the surface of the skin. They are usually jagged.
  • Soft scars are gentle, scar-like depressions in the skin. They are usually small, and either circular or linear.
  • Raised scars are called hypertrophic scars.

Various treatment modalities for acne scars :

1) Microdermabrasion is done for extremely superficial scars. The superficial layer of the skin is abraded with crystals of inert aluminum oxide which are ejected with force in a controlled manner. It needs to be repeated once in 3 weeks for about 6 sessions.

2) Chemical Peels – Glycolic/ TCA/ Mandelic/ yellow / pyruvic acid peels

Chemical peels are done for superficial scars, pigmented scars & soft scars. After properly studying the skin type and its sensitivity, the doctor decides on the type of peeling agent and its concentration. The skin is first cleaned & the peeling agent is then applied gently onto the lesion or on the full face till the ‘end point’ is achieved. During the procedure, the patient might experience warmth or stinging sensation. The peel is repeated every fortnight for 6-8 sessions. The different type of peels used are : alpha hydroxy peel such as glycolic acid- derived from sugarcane; lactic acid derived from milk ; kojic acid derived from a Japanese mushroom; mandelic acid derived from apples ; salicylic acid , a beta hydroxy acid derived from willow birch.

3) Fractional ResurFX LASER
It is one of the most popular treatments for skin rejuvenation which delivers remarkable result with short downtime. This non-invasive fractional erbium fiber laser treatment allows you to discover the fresh skin underneath the scarred layers.
Resurfx is a US FDA approved treatment modality for skin resurfacing both for traumatic and acne scars.
Resurfx device works on laser energy to create multiple microscopic injuries over treated area. These miniscule injuries release multiple growth factors which causes new collagen formation along with remodelling of existing ones. As collagen remodels, skin tightens giving an anti-aging effect and scars improve. In this way, the body’s natural healing process creates new, healthy tissue to replace skin imperfections.
There is redness and swelling on the face for about 24 to 48 hours after treatment which settles on its own. The procedure is repeated once in a month or can be done once in two months if combined with microneedling. There is 60 – 80% improvement is acne scars. It is excellent for stretch marks, accident scars , chicken pox scars and for loose skin on neck.

4) RF Subcision : RF subcision is non-surgical, minimally invasive modality for the treatment of acne scars. In this technology, a special electrode is introduced under a scar or pit and radiofrequency energy is passed through. It is use to break fibrous strands, which pulls skin downward to form a pit. Also, the radiofrequency energy stimulates new collagen formation, thus lifting the pits up. It a very safe procedure compared to mechanical subcision, in which there is minimal risk of complications associated with manual subcision such as trauma to the surrounding tissue, excessive bleeding, and large hematoma formation and fibrosis.

5) Microneedling with Dermaroller : Dr Jaishree is the pioneer of this treatment in India. This treatment which involves breaking of the fibrotic bands with a rolling instrument. This causes collagen remodeling in the next 2-3 months. It should be repeated once in a month for 6-8 sessions. If you have rolling scars, depressed scars and do not have time for a surgery or if a laser treatment is expensive, this is an excellent treatment for you. The downtime is just 1-2 days.

6) Microneedling with Dermapin
It is an evolution of micro-needling. It is a motorized device with multiple fine medically approved stainless steel microneedles which pierce through the skin up to 2-3mm and stimulate new collagen formation. This collagen remodeling leads to the tightening of the skin, thus improving acne scars, fine lines and open pores. It causes less damage to the epidermis (the surface of skin and upper skin layers) as compared to other similar procedures leading to quicker healing and a higher rate of success. It also breaks through the fibrous bands that pull down the acne scars.

The procedure involves penetration of insulated microneedles into the skin- deep layer i.e. dermis to deliver radiofrequency pulse into the targeted tissue. This results in the body’s own production of collagen fibres,making skin firmer and healthier.

What does RF Microneedling Involve?

Topical numbing cream is applied to the area of treatment 1hour before the treatment to minimize any discomfort during procedure. Once the area is numbed, site is cleansed the with spirit, doctor will then apply the device to skin surface releasing the needles and delivering radiofrequency energy in short bursts as the head is moved across the area to be treated. Three passes of RF microneedling is done with decreasing depth. Immediately after the procedure, face is warm, red and swollen. If uncomfortable a cool pack is applied to the area.

It is used for scar treatment such as deep acne scars, ice prick scars, atrophic scars, burns and operation scars as well as for skin tightening and brightening, facial rejuvenation, pore size reduction and stretch marks. It is a minimally invasive, short procedure with minimal downtime. There is mild redness and swelling may occur few hours and up to 24hrs after treatment. Avoid sun exposure for 3days.
The interval between RF microneedling is 4-6 weeks. However 6-8 treatments are required depending on the condition of patient’s skin.