The pimples may end up going away, with the passage of time or with different types of treatment, but they usually leave permanent marks, especially on those who have darker skin or who have acne until later (since as we get older the capacity of our skin to recover completely is decreasing and with that the chances of scars appearing are greater). There are, however, a series of treatments that can help cure or at least alleviate the problem.
Acne scars are classified into 4 degrees, depending on the severity.
Grade 1 : most common, are dark spots, but without forming relief on the skin.
Grade 2 : scars with small, slight depressions, which are not visible from a distance greater than 50 cm and therefore easily disguised with makeup.
Grade 3 : they are moderate scars, visible at more than 50 cm, but they disappear when the doctor stretches the skin during the exam.
Grade 4 : these are the most serious and obvious injuries, and they do not completely disappear even when stretching the patient’s skin during the exam.
Each of these types of scars calls for a different treatment strategy.
Blemishes : blemishes left by acne are usually treated similarly to blemishes caused by the sun, such as melasma. The good news here is that acne blemishes are usually easier to treat because as there is no hormonal component, if the acne is resolved, there is no incentive for them to come back. The whitening ingredients like hydroquinone, kojic acid, arbutin, glycolic acid and azelaic acid are the most efficient in this treatment and can also be combined with vitamin C (vitamin C alone will hardly lighten the spots, due to its low depigmenting power, that’s why it is better to use a product that combines this ingredient with other depigmentants).
Here is a list of dermocosmetics that can be used to treat acne blemishes:
- Clarité AG +, serum (Pure Vitamin C 15% + Retinol 0.3% + Glycolic Acid 10%) – Dermage
- Derma Classic Renove, serum (glycolic acid + encapsulated vitamin C + encapsulated kojic acid + Aqua Complex Protect System) – Dermatus
- Profuse Clair, cream gel (Alpha-Arbutin + Kojic Acid + Vitamin C + Resveratrol) – Aché.
In addition to dermocosmetics, the treatment of acne blemishes can be accelerated with procedures such as serial peels (glycolic acid is the most recommended in this case) and microneedling (dermaroller).
The contractubex ointment a medication with the active ingredients 10% onion extract, 50 / U heparin and 1% allantoin, can be indicated in the treatment of recent scars, still reddish in the healing process. There is no study that indicates that it is efficient in older scars.
Creams based on retinoic acid or adapalene (differin) help to stimulate collagen production in the skin and therefore improve the texture (with effect not only on acne scars but also on fine wrinkles and pore size), but they are less powerful to eliminate stains.
It is always good to repeat that stains love the sun, so sunscreen is essential to treat the problem. Every day, rain or shine.
The treatment for embossed scars depends on the depth and amount of marks of each person.
1. Filling : Hyaluronic acid fills can be used to eliminate acne scars. This procedure is usually recommended for those who have few but deep marks. The advantage of this treatment is that it resolves the scar on the spot. The disadvantage is that it needs to be touched up over time, usually between 6 and 18 months, as the filling is being absorbed by the body.
2. Laser therapies : the most varied laser techniques can be used to improve skin texture and soften scars, from techniques that stimulate collagen production to ablative ones that promote skin exchange (in a similar way to deeper peels). The price, number of sessions and result of each of these treatments will depend a lot on the doctor and the severity of the injuries of each patient. Laser treatments are recommended for those who have numerous scars but not as deep.
3. Micro needling : the dermaroller made in the office also helps, similarly to the laser, to stimulate collagen and improve skin texture. This procedure is also more successful in less deep scars. The microneedling done with dermaroller at home is not able to reach the depth necessary to treat scars, at most it will stimulate the production of collagen and improve the texture of the pores.
4. Injections: they are recommended for those with high scars, which can look like an internal pimple or an insect bite. In these cases, the doctor injects the lesion with corticoid or fluorouracil (5-FU), inducing a reduction in the lesion.
4. Surgery : for larger and deeper scars an option is surgery in which the doctor removes the scar with a scalpel and sutures the skin forming a much smaller and more aesthetic scar than the acne scar.
Peels and dermocosmetics can also be incorporated into the treatments described above to help smooth the skin’s texture.