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Surgical Options for Acne Scars Treatment

by Danna Finnerand

Severe acne will usually develop into acne scarring. This occurs when this type of acne is left untreated and becomes more likely to develop unsightly scars. This is exactly why it is best to treat acne if what you want is to avoid acne scarring.

However, there are times when preventing acne scars is near impossible due to the severity of the acne breakout. In cases such as these, scar removal becomes a reality. Scar treatment will depend greatly on the type of scarring and the extent of the scar tissue.

Finding Your Best Scar Treatment Option

The best way to treat extensive scarring is through surgery. The most common types of surgery include punch excision, punch elevation and subcision (or subcutaneous incision). These procedures are usually followed by laser resurfacing or dermal fillers.

Ice Pick Scars & Punch Excision

Cystic acne may leave behind a scar that makes the skin seem as if it has been pierced by a pin or needle. This type of acne scar is what specialists call an ice pick scar. It usually extends into the dermis and is a deep scar.

Punch excision is the best option for ice pick scars.

This procedure entails the removal of scar tissue by using a cookie cutter like instrument. The remaining skin is sutured together. The result is a straight scar that is level with the surrounding skin.

Sometimes, the extent of the excised skin is so large that it needs to be sealed using grafted skin. Once again, a straight scar will appear, but much less noticeable than the original ice pick scar.

Punch Elevation & Boxcar Scars

Boxcar scars are wider than icepick scars and are oval or round-shaped. These types of scars are caused by a loss of tissue during a particularly severe inflammatory reaction. The treatment for acne scars of this type generally involves punch elevation that is later followed by dermal fillers or laser treatment.

Punch elevation is similar to punch excision, however, in this case of punch elevation the walls of the scar are left untouched. The base of the scar is brought up to skin level using fillers or sutures. Grafted skin is used to close the wound.

Subcutaneous Incision for Rolling Scars

When fibrous bands of tissue develop between the skin layers the result is a rolling scar. These fibrous bands pull down the epidermis making the skin resemble a wave-like surface. In cases such as this, the best treatment option is subcision.

In this procedure a small needle or scalpel is used to separate the epidermis from the deeper scar tissue. Blood will then accumulate in the space left between these two layers. This will help the epidermis become more level. If the scar tissue is too deep, dermal fillers may be required.

If you are looking for a non-surgical option for acne scar removal try BIOSKINCARE. This acne scars cream contains biological ingredients that help dissolve scar tissue. This natural acne scar treatment is so gentle that it can be used on any type of skin.

Published January 14th, 2010

Filed in Health


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