It is very common to take with us more than fun memories of adolescence – often, acne marks embark with us into adulthood.
According to Valéria Marcondes, a dermatologist at the Brazilian Society of Dermatology, the treatment of acne scars has always been a challenge for dermatologists. “These brands have physical and psychological consequences for patients,” he says. But the good news is that it is possible to get rid of them in some cases, yes! See how:
What to do …
First, we need to count when total correction of these lesions is not possible: if the subcutaneous cell tissue – which is a layer of tissue located below the dermis, the deep layer of the skin – has been affected by acne , there is no way to return the skin to its original appearance.
However, Valéria guarantees that even patients with the most severe scars can benefit from the combination of treatments, in order to correct the marks in the best possible way. “The procedures must be indicated depending on the type of scar presented by each patient”.
Know the main techniques:
Dermabrasion: Indicated for cases in which deeper scars are present. The skin is sanded and, therefore, the procedure can be painful. Anesthesia is required. There is a risk of making posterior spots darker, especially in people with dark skin.
Skin filling: For those scars that disappear when the skin is stretched. In it, substances are injected under the scar, which ends up suspending the skin surface and eliminating the relief. Fills can be temporary, such as hyaluronic acid (lasts about 1 year), or permanent, such as dimethylsiloxane.
Simple excision and suture: Here, the scar is removed with a scalpel, under anesthesia. You must be asking yourself: but isn’t there a scar from the surgery, anyway? Yes. But this will be more uniform than that caused by acne and, therefore, it has a better aesthetic result.
Laser: Treatment similar to dermabrasion, but which removes tissue through light and not sandpaper. The depth of the extracted tissue is controlled by the computer, something that in dermabrasion depends on the sensitivity (and skill) of the dermatologist.
According to Valéria, the most effective and apparent results are obtained with peels with greater depth in the skin. The acids most used in the procedure are salicylic, retinoic, glycolic and mandelic. In addition to lightening spots, the procedure improves the texture of the skin, which becomes more uniform and promotes a healthier appearance as a whole.
However, the process is uncomfortable and there are risks of side effects. That is why dermato recommends another way out. “Good results can also be obtained with more superficial peels, repeated in small intervals, mainly for the treatment of spots caused by acne”.
… And when?
These treatments can even be done in the summer, but the cold season is the most suitable. This is because sun exposure and heat can cause later stains during recovery, as we said. “Daily use of sunscreen with SPF above 30 and reapplications every 2 hours is necessary” , warns Valéria.
It is worth thinking about microneedling!
One of the most popular techniques of the moment, it consists of a roll with thin needles of different caliber, positioned in a symmetrical way, which make minimal holes in the skin.
“In addition, [microneedling] can be done with cylindrical devices in high-strength surgical steel, associated with radiofrequency treatment, which also stimulates the production of collagen by heating the dermis”, explains Valéria.
According to dermato, stimulating the formation of collagen, both through holes and through radiofrequency, improves the appearance of scars. “They also facilitate the penetration of drugs into the deeper layers of the skin, obtaining more efficient results in the ‘drug delivery’ process”, explains Valéria.
Can you do it at home?
Bloggers and youtubers from all over the world have purchased a version of these rolls, tested and approved the procedure at home. The most famous of them is the Derma Roller. But Valéria warns that the result may be very different from that obtained in the office. “The needles available for home use are much smaller than those allowed for medical use, in the office. Thus, the results are also not as efficient and promising ”.
Another issue raised by her is that the environment must be fully sterilized, as well as needles and towels, so your bathroom or bedroom will not always be the ideal place for microneedling . OK?
Treat your skin always
Regardless of the procedure to be adopted, it is important to fight the oiliness of your skin to avoid more pimples . Julio Nogueira, specialist in aesthetic medicine at W SPA in Rio de Janeiro, advises the use of oill free cosmetics, especially those containing vitamin C and benzoyl peroxide. “The latter is especially suitable for those who have acne, as it controls oil production”, he points out.