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Acne Scars

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Acne Scars - Medaesthetics

Overview of Acne Scars

The inflammation associated with acne lesions often damages the deeper skin layers, leaving various types of scars. In clinical practice, the most comon types of Acne scars we treat are:

  • Ice-pick scars
  • Boxcar scars
  • Rolling scars
  • Raised scars (Hypertrophic, keloid)
  • Hyperpigmentation of skin


Acne and associated scars are dermatological conditions and only medical clinics with experienced doctors can safely and effectively treat moderate to deep acne scars.

We routinely see patients who have wasted hundreds if not thousands of dollars by seeing non-medical practitioners at beauty salons and spas, trusting them to fix their acne scars. 

Treatment Options Available At Medaesthetics® in Perth for Acne Scars include:

  • Fractional CO2 Lasers
  • Nano Fat Grafting
  • Dermapen Skin Needling
  • Subcision
  • TCA Cross
  • Excision
  • Steriod Injections (raised scars)

Personalised advice at our Perth clinic

Depending on the severity and type of your acne scars, treatments can differ widely. The best option is to book a consultation for personalised advice on your options. Call our Perth clinic on (08) 9381 5840 or enquire online for more details.

Medaesthetics offers the most extensive range of treatments to treat acne scars in Perth.

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Before and After Pictures

Frequently Asked Questions

As mentioned above, there are several types of acne scars and no single treatment can effectively treat all types of scars. At Medaesthetics, we offer the entire spectrum of medical and laser treatments to address any type of acne scars. Most commonly performed treatments are:

  • Subcision
  • TCA Cross
  • Fractional CO2 Laser
  • Dermal Fillers (Temporary improvement)

Other treatments are less commonly needed in clinical practice. 

The treatment plan is formulated after a thorough clinical assessment by your doctor and is based upon the following factors:
 

  • Type and severity of scarring
  • Patient’s health and medical history
  • Patient’s skin type
  • Patient’s budget
  • Social downtime

 
Here is a brief overview of various treatments:

CO2 Fractional Skin Resurfacing 
 This is considered the gold standard in treating acne scars. It is excellent for improving mild to moderate depth Boxcar and Rolling Scars. It is also good for reducing the size of hypertrophic scars. However, it is not suitable for patients with dark skin as first-line therapy (due to the risk of hyperpigmentation) and not able to completely fix deep scars on its own. Downtime involves five to ten days of redness and peeling.

The treatment takes about 15 minutes. Treatment area is first anaesthetised using strong numbing cream for forty minutes beforehand and most patients find it to be a very tolerable procedure. We often combine PRP (Platelet Rich Plasma) treatment with this procedure to deliver maximum skin renewal and minimise downtime.
 

Sublative Radiowave Fractional Skin Resurfacing –  eTwo™
 
The treatment of choice for patients with darker skin, including those of Indian, Asian, Middle Eastern and Hispanic descent. It is less expensive than Laser skin resurfacing and involves less downtime and fewer potential side effects. A minimum of three treatments of sublative radio-wave are needed to see visible results.

This is often combined with deep skin needling and TCA cross to deliver maximum results. Downtime is about five to ten days of redness, swelling and bronzing (temporary brownish discolouration of skin which may last for a few weeks on rare occasions).
 
NON-LASER TREATMENTS FOR ACNE SCARS INCLUDE:
 
Dermal Fillers:

Soft to medium-soft consistency dermal fillers are injected directly underneath each depressed acne scar to lift it up and make it less noticeable. This treatment offers temporary results which may last between three to eight months.

This treatment is ideal for anyone wanting a quick improvement in their scars with less than three days of downtime. 

Subcision:
 
This is a procedure where the under surface of a scar is undermined (released/separated) from the deeper skin layers to help the depressed area “lift up”. Subcision is the treatment of choice for all deep scars where the scarred tissue is tightly attached to the deeper skin layers.

At Medaesthetics, we routinely perform subcision procedure which is then followed by dermal fillers or micro fat grafting and/or fractional laser skin resurfacing. The procedure is performed under local anaesthesia and is pain-free once the area is numb. Downtime is three to seven days of redness and swelling of each individual scar. 
 
Subcision with suction:
 
This technique combines subcision of depressed/ atrophic scars with several sessions of suction applied to the treated area over a period of two to three weeks. This method is only useful for tackling mild to moderate atrophic scars. It is not useful for severe tissue atrophy where micro fat grafting remains the only permanent treatment of choice to replenish tissue loss.
 
Radio-wave surgery:
 
A radio-wave device is used to gently reduce the size of any hypertrophic (raised, keloid) scar by ablating the tissue. This procedure is only used to treat large atrophic scars and often combined with steriod injections. 
 
Cortisone (steroid) Injections:
 
Useful for raised (hypertrophic) acne scars, especially on shoulders, chest and upper back. Up to three treatment sessions are needed, three to four weeks apart. 
 
TCA Cross:
 
Using 50% TCA Solution. The procedure involves the application of the TCA into every single ice pick acne scar and enlarged pore to close it down by stimulating target skin growth in the treatment area. The procedure is performed after the application of topical anaesthetic cream and is well tolerated by all patients. It takes about 30 minutes to perform. We routinely combine TCA Cross with Full Field and Fractional Skin Resurfacing procedures to deliver optimum results. More than 3 treatment sessions are needed with 6 to 8 weeks interval in-between.
 
Micro Fat Grafting:
 
Micro fat grafting is the gold standard in treating deep Rolling and Boxcar type acne scars. In fact, this is the treatment of choice for any skin trauma or condition where localised tissue is lost. Fat is harvested from inner knees or love handles and is gently injected into the skin under the scarred tissue (after submission). Stem Cells found in the fat work amazingly well for rejuvenating the skin. The procedure takes about 90 minutes and has a downtime of about 7 to 10 days of redness and swelling. It is done under local anaesthesia and well tolerated by patients. We routinely combine this procedure with other treatment options to treat deep scars.
 
Medical Skin Needling:
 
Skin needling (including derma pens) is routinely advertised as a great treatment for Acne scars by many beauty salons. However, the needle size of at least 2 mm and above is required to treat mild to moderate depth scars and in our experience, this procedure delivers suboptimal results when performed alone and not combined with other treatment modalities mentioned above. We routinely combine Medical Skin Needling with TCA Cross, PRP and Fractional Lasers to treat all forms of acne scars. However, we usually talk our patients out of having this procedure for acne scars. As a stand-alone procedure, it is good for skin rejuvenation but not a good scar reduction option.
 
Scar Excision and closure:
 
This procedure is reserved for a small number of acne scars which fail to respond to all above treatments. As a last measure, the scarred tissue is cut out using very fine scalpel after the area is completely numbed by local anaesthesia. Sutures are placed to close the wound and they stay in for about seven days. Once the sutures are taken out, the area is treated with fractional skin resurfacing to reduce any fine scars left. 

 

In our experience mild to medium acne scars improve significantly within two to three treatment sessions (over three to six months). Deeper scars may need up-to five treatment sessions over a period of twelve to eighteen months.

The cost associated with Acne Scar Treatment program depends upon the type and extent of  the scarring. Each patient is unique and requires a different treatment regimen. This is assessed during the initial consultation with the treating doctor. A treatment is mapped out for each client and the cost can be assessed at this time.

On Average, a single treatment session may cost anywhere between $350 to $2500. 

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