What is the best way to treat acne scars?
Acne scars can occur everywhere on the body, including the face.
They serve as an unwelcome and irritating reminder of a painful and annoying ailment for specific individuals.
On the other hand, you can get rid of them with the help of medical therapies and home remedies.
Natural therapies, over-the-counter remedies, and prescription medications are all available for treating acne and minimizing the look of scars left behind by the condition.
Depending on the kind and severity of the scarring, treatments include the following:
Peeling agents made of chemicals, such as salicylic acid,
retinoid, as well as other types of creams
laser therapy, micro-needling, light therapy, and a variety of additional treatments and procedures
surgical procedures in some instances
Different kinds of acne scars
The type of scarring that acne has left behind can slightly influence the therapy options suitable for the condition.
There are three primary categories among them. Acne scars come from reliable sources, which are:
Scars caused by atrophy
These scars can be seen as shallow depressions on the skin’s surface.
Icepick scars are little scars that resemble pinpricks and can be found on the skin.
Boxcar scars are deeper depressions with sharper edges than other types of scars.
Rolling scars have fuzzy edges and a skin texture that looks like moving or rolling waves.
They appear when the skin fails to produce enough fibroblasts during the healing process.
Fibroblasts are cells that help heal wounds and make collagen.
These scars are pretty similar to hypertrophic scars; however, instead of being thinner than the original acne area,
They are typically thicker. They frequently exhibit hyperpigmentation,
which makes them appear darker than the skin in the surrounding area.
They can be either red or brown.
You can have itching or soreness.
Scars that are hypertrophic
These happen when the skin makes an unusually high number of fibroblasts while the acne spot is healing.
This makes the scar stand out.
The most effective acne scar treatments
1-Remedies derived from nature for acne
Clearing out acne scars with natural solutions is something that a lot of people do.
However, the science that supports them is not entirely apparent.
People should use them with caution because some of them have the potential to cause more discomfort or other complications.
People have traditionally used home treatments such as black seed oil and rosehip oil to treat acne scars.
Black seed oil may help balance skin color; rosehip oil, on the other hand, has been demonstrated to lessen scar discoloration after surgery.
Researchers have found that honey’s antibacterial and anti-inflammatory properties help wounds heal faster and reduce the chance of scarring.
Aloe vera, which, when mixed with manuka honey, may help wounds heal without scars; manuka honey, which may make scars less noticeable;
2- Acne Medications available without a prescription
Scars left behind by acne can be made to look less noticeable with the use of several over-the-counter treatments. The following components may be beneficial to include in a product:
But it’s not likely that over-the-counter creams and lotions can completely get rid of a raised scar or make it flatten out.
hydroxy acids, alpha
It can potentially increase the rate at which the skin produces new skin cells, also known as the action of AHAs.
Acne and the scarring it leaves behind can be treated with AHAs, which some medical professionals recommend.
AHAs are gentle acids that can exfoliate the top layer of skin to expose the younger, healthier skin beneath.
This procedure has the potential to lessen the hyperpigmentation brought on by scarring.
At high doses, however, symptoms such as swelling, burning, and itching may be experienced.
It is best to consult a medical professional before attempting to use AHAs.
They can assist in determining the optimal dosage that should be taken.
Salicylic acid is a chemical that occurs naturally and is frequently found in treatments for acne that are intended to be applied to the skin. Peels with salicylic acid help get dirt, dead skin cells, and other things that can cause acne out of the skin’s pores.
In 2010, reviewers said that a 30% salicylic acid peeling treatment should be used three to five times every three to four weeks.
The authors also say that it is unlikely to cause hyperpigmentation and can be used on darker skin.
In addition, it helps reduce the area’s redness and swelling, which can contribute to the appearance of scarring.
It is possible to cure every kind of scar with salicylic acid.
However, because it can dry out or irritate delicate skin, those with sensitive skin should perform a patch test on a small area before applying it to their entire face.
There is some evidence that topical retinoids can effectively remove acne scars. Topical retinoids have been shown to inhibit inflammation, lessen the severity of acne lesions, and hasten the regeneration of skin cells, as the authors of a review published in 2017 highlight.
The authors also say that retinoids may help reduce the look of hyperpigmented acne scars, especially those on people with darker skin tones.
It is essential to keep in mind that retinoids have the potential to make the skin photosensitive.
Anyone treating acne or scars with retinoids should never forget to wear sunscreen before going outside.
Lactic acid is an example of an AHA. Use it as a gentle peel to eliminate dull, lifeless skin. It can potentially lessen the visibility of scars and make the skin smoother.
One review discussed a short trial involving seven patients with icepick scars treated with a product containing lactic acid at a concentration of 92%. One person saw an improvement of greater than 75%, three people saw an improvement of between 51% and 75%, two people saw an improvement of between 26% and 50%, and one person saw an improvement of between 1% and 25%.
Even though it can induce hyperpigmentation, lactic acid may help reduce the appearance of black scar tissue. Before using products that include lactic acid to cure acne scars, it is best to test them on a tiny patch of skin first. This is because lactic acid is known to irritate the skin.
Lactic acid can be included in several different acne treatments. In addition to this, apple cider vinegar, which has been diluted, is a treatment that is not only more natural but also more cost-effective. It is possible to find it in apple cider vinegar.
Although specialists are unsure of how they operate, they appear to help lessen the visibility of acne scars and their size.
They may do this by giving you something to drink. They can also alleviate itching and pain while enhancing the skin’s flexibility.
It is necessary for a person to constantly apply the dressings, which can irritate the face’s skin.
Most people who take this medicine won’t have any harmful side effects, but some may feel itchy and uncomfortable.
3. Various forms of medical care for acne
Scarring from acne can sometimes be reduced with medical treatment.
Depending on the person’s skin type and the scarring, a dermatologist may recommend a specific treatment or a combination of treatments as the best way to go.
Among the choices are:
A person’s acne severity, scarring, and skin type are all factors that a dermatologist would consider when recommending a type of peel.
Six out of ten people in a study who used a chemical peel with trichloroacetic acid (TCA) saw at least a 70% improvement in the look of their acne scars.
According to the authors of a review of treatments for acne scars that came out in 2017,
There is a possibility that other chemical peels are less effective. For example, one-quarter of individuals who took glycolic acid did not notice any change in the appearance of their scars after using the product.
It’s possible that a person won’t know which kind of peel works best for them until they experiment with a few other kinds.
If a person has hypertrophic or keloid scars from acne scarring, corticosteroid injections may help soften and flatten the elevated scar tissue.
In most cases, the treatment will involve receiving several shots. In their clinic, once every few weeks, a dermatologist can provide these injections while monitoring the effects of the treatment.
When treating atrophic acne scars, physicians could suggest using soft tissue fillers in some instances. They may be of particular assistance in the treatment of rolling and boxcar scars.
Products based on collagen are one possibility among many others.
After a certain number of months, the treatment might need to be redone depending on the type of filler used.
For instance, fillers made of hyaluronic acid have a lifespan of approximately three months, but silicon and polyacrylamide might never require replacement.
Fillers can cause unwanted side effects, but these effects depend on the type of filler used.
Before deciding on a course of treatment, you should always talk to your doctor about the pros and cons.
Microneedling involves putting wonderful needles into the skin around the scar to get the body to make more collagen.
By making the skin more even and smooth, collagen has the potential to improve the appearance of atrophic acne scars.
According to a study published in 2019, the results of microneedling paired with the application of collagen gel were much more successful than microneedling on its own.
Microneedling, on the other hand, has the potential to induce adverse effects. After receiving the treatment, many individuals report having symptoms like pain, inflammation, and redness.
Nevertheless, these effects will eventually fade away.
According to a study conducted in 2017, microneedling improved the look of acne scars that were either atrophic or indented by 31–62%.
therapy with a laser
The skin resurfacing with laser treatment does not require using chemicals or scrubs.
It removes the skin’s top layer to reveal the younger skin cells underneath, which can help make scars look less noticeable.
It has the potential to improve the appearance as well as the feeling of elevated scars. A pulsed dye laser might be able to lighten scars that have become too dark because of hyperpigmentation.
The American Academy of Dermatology says that therapy with intense pulsed light may be more helpful for people with lighter skin.
The use of laser therapy is not appropriate for all patients. This will be determined by the type of acne scarring that was present as well as the individual’s skin type. A reaction to the treatment is also possible in some people, particularly those with skin that is particularly sensitive.
Acne scars that are elevated can be removed surgically if conventional treatments are unsuccessful. It’s possible that surgery on its own won’t be enough to fix the issue, in which case the attending physician will likely suggest additional treatment.
Combined with other treatments, this can significantly minimize the appearance of the corners of boxcar acne scars, leaving the skin looking flatter and less pitted than before.
The doctor will apply electric probes to the skin and burn it, killing the tissues responsible for the scar’s edges.
Can you avoid acne scars?
Because pharmaceuticals or other supplements can cause acne, discussing any medications, including birth control and workout supplements, with a physician before taking them is essential.
You can lower your risk of developing acne scars by doing a few different things, including the following:
- Quit smoking, or don’t start smoking.
- Refrain from touching your mouth or face. Don’t succumb to the temptation to pick at or squeeze your zits.
- Seek treatment for your acne as soon as possible to lessen the likelihood that it may leave scars.
Scarring can occur at any age, regardless of whether you are a teenager going through a hormonal transition or an adult who has been through life. Scars may become more visible in older people if they have lost significant weight or lost skin suppleness as a natural part of aging.
According to Dr. Kassouf, “for some folks, they simply find that the moment is finally perfect for taking care of themselves,” which is what he says. “I had a client who was 60 years old, and she told me she had lived with this scar for her entire life. She wanted something to be done about it. I’ve witnessed wonderful outcomes with older people.”
Scars left behind by acne are often an unwelcome reminder of the condition, which can hurt a person’s self-esteem. Treatment, on the other hand, may frequently reduce their visibility.
Preventing acne, in the first place, is by far the most effective method of treating acne scars.