Punch Excision And/Or Grafting
Some narrow pitted scars are too deep to be removed by laser resurfacing. These can be removed with a surgical instrument called a punch. The resulting defect is closed, either primarily or with a tiny skin graft, with gratifying results. Sometimes this procedure is followed by chemical peel or laser resurfacing for patients with a mixed type of scarring.
Patients with a few soft depressed scars with smooth edges respond well to collagen. This natural protein is injected under the lesion to elevate it to the level of the skin.
Soft Tissue Augmentation With An Injectable Filler
Injections with Collagen, Restylane®, and RadiesseTM are good treatments for shallow and deep acne scars. These fillers can be injected into the area of the scar, smoothing depressions. Results are immediately apparent. Patients usually require touch-up treatments every 6 months to 2 years.
Microdermabrasion can be likened to a superficial "skin polishing" using micro-crystals vacuumed over your skin's surface to remove damaged skin cells. These gentle treatments can provide noticeable improvement to acne scars. The treatments are progressive and are applied through a course of weekly sessions.
Non-Ablative Laser Treatments do not require anesthesia, as they are not painful and there is no downtime. Most patients receive a series of about 5 treatments. Depending on the type of acne scar, improvement can be dramatic. The improvement is gradual and continues to improve even after the treatment stops.
More prominent scarring from acne is best treated by this technique. The top several layers of skin are removed with this high energy light. This action evens out the skin to give it a smoother, more pleasing contour.
Laser Resurfacing gives your physician precise control as the procedure gently vaporizes the damaged or acne-scarred skin to reveal the smooth, fresh skin underneath. Scars are removed in a precise, rapid, bloodless fashion achieving excellent results. Laser scar removal can be performed with local anesthesia if limited areas are treated, while full face resurfacing is usually performed with the administration of intravenous sedation by an anesthesiologist. Both procedures may be performed in your doctor's office.