Acne affects a huge section of the young population
all over the world in their teens, when looks count
a lot. Though acne may go after the usual period of
sufferance, it nevertheless often leaves acne scars
on the face of the sufferer that make some people
lose self-confidence.
However, there are several means of restoring the
skin surface that include mild to complicated surgical
methods. In some cases, laser resurfacing is also
involved to patch up difficult scarring.
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But how are acne scars formed? When an acne
blemish heals up, it usually leaves a hyper-pigmented
mark on the skin indicating the body’s natural
process of repairing the damage done to the skin.
This process may take anything from 6 months to a
year after which the skin may regain its former look,
provided no new lesion is formed there. But if any
skin defect is noticed even then, it is regarded as
a permanent scar.
In order to prevent
acne scars becoming deeper or more penetrating,
the following simple preventive measures can be taken
by anyone who has been a victim of acne.
• Why let acne scars happen in the first place?
Avoid picking the lesions because this can lead to
scarring.
• Prevention of long exposure to sunlight. Wearing
a good sunscreen will go a long way towards early
healing.
• Alpha-hydroxy acid and Beta-hydroxy acid in
appropriate formation with the correct pH value also
do a good job in healing scars from acne at an early
stage.
• Icepick Scars are sharp, narrow scars that
look like as if they have been punctured with an icepick
that extend deep into the dermis. They are much too
deep to repair with skin resurfacing treatments like
Dermabrasion or even with Laser resurfacing.
• Boxcar Scars are usually oval depressions
with fairly sharp edges that can be treated with conventional
skin resurfacing techniques. However, very deep boxcar
acne scars need full thickness treatments.
• Rolling Scars give the skin a rolling or undulating
look that does not respond to conventional skin resurfacing
techniques. These scars caused by acne occur due to
the tethering of normal looking skin to the subcutaneous
tissue underneath. The only way of treating these
rolling scars involve in breaking up of the subcutaneous
fibrous bends.
• Punch Excision is a surgical method for correcting
deep acne scars. The method involves the use of a
punch biopsy tools measuring 1.5 mm o 3.5 mm that
is often matched with the dimensions of the scar.
The scar is excised with the punch tool (under local
anesthesia) whereby the skin edges are sutured together.
The new scar produced as a result of this eventually
fades away.
• Punch Excision with skin graft replacement
involves skin grafting from live skin taken from behind
the ears after the acne scar is excised with the punch
tool described above.
• Punch Elevation provides elevation to the
surface of the skin with the help of a skin glue called
Dermabond. Here also the same punch tool is used to
excise the base of the acne scars, leaving the walls
intact.
• Laser resurfacing work by way of burning the
top layer of the skin to a pre-determined depth. When
the skin heals, it automatically replaces the burned
layers with newer normal looking skin.
