Acne scars are those “little holes” in the skin that are left after pimples heal. They occur mainly in adolescents, but also in adults. This happens due to the inflammatory process generated by the lesions, which can be aggravated by manipulating the lesions.
However, it can also occur without this manipulation, if the degree of inflammation is important or if deep skin lesions occur.
Treating acne scarring is an exercise in patience and insistence, because even with the most varied technologies, the problem is not fully resolved. But there can be considerable improvement. There are a few different types of scars and, for each of them, certain techniques are best indicated.
In the case of scars that disappear when we stretch the skin in the region, the best treatment option is the ablative or non-ablative fractional laser. At Clínica Bruno Vargas, we offer the Erbium Glass 1550 nm laser and fractional Co2 laser, which will induce the production of collagen to fill the lesion. Serial sessions are held depending on the need and intensity of the condition. The laser application can be performed on the entire face, also allowing to treat blemishes, improve skin texture and promote rejuvenation. Topical anesthetic is used and in certain cases injectable anesthesia is used at specific points on the face for better patient comfort.
For best results, the hyaluronic acid filling technique can be used in some types of lesions. The average durability of the product is 12 months.
In cases of dark or black skin, there is a great chance of forming dark spots when using lasers. Therefore, Clínica Bruno Vargas offers the Percutaneous Collagen Induction technique, also known as microneedling. The procedure consists of using a small device with needles that will perform microperforations in the skin, as well as the laser, but without generating heat, which reduces the chance of blemishes.
When the scars do not disappear when we stretch the skin, there is the presence of a beam of hardened tissue called fibrosis, which fixes the bottom of the scar in the layer below the skin. In this case, we use a technique called Subincision , which is a minor surgery. Local injectable anesthesia is performed on the scar and, subsequently, we use a special needle with a cutting tip called Nokor. It is introduced in the center of the scar, followed by circular movements under the skin, to break the beams that are holding the bottom of the scar.
Before starting the treatment of scars, the acne condition must be completely controlled, because one of the contraindications to the application of the laser is the presence of inflammation on the face.
The results obtained after performing the proposed procedures will depend on the degree of the lesions and the individual response to treatment. The association of techniques is always welcome and offers more consistent results. The patient must follow up with the dermatologist and daily use of acids at home to constantly improve the overall quality of the skin. It is worth remembering that laser treatments still produce improvement up to six months after the end of their performance.