Tag Archives: acne scars

Fraxel: An Option to Treat Acne Scars

Not only are acne scars physically unappealing, evidence indicates that adults with acne scarring encounter prejudice at both work and play. So, it’s understandable that many people wish to minimize (if not eliminate) them.

Treatment of acne scars varies depending on the type of scar (often referred to as icepick, boxcar, or rolling). Therefore, advice from a qualified dermatologist is essential as you consider the effectiveness and tolerability of treatment, as well as downtime following therapy.

Today, there are two types of fractional lasers. The focus of this post is the gentler non ablative, erbium-type fractional lasers, like the Fraxel® Restore. The results of the study summarized here relate to important concerns among people with acne scars: effectiveness, tolerability, and overall satisfaction with treatment.

Here’s what they did.

Fifty-three patients with skin phototypes ranging from pale white skin to brown skin (Fitzpatrick I-V) were studied. Each had mild-to-moderate atrophic [depressed] facial acne scars. Treatment was given monthly with the gentler laser described above. Two assessors who were not involved with treatment rated the response at each treatment visit and 6 months after the final treatment session, while the patients assessed their side effects and satisfaction with treatment.

Here’s what they found.

After three-monthly treatments, nearly 90% of patents had an average improvement of 51% to 75%. And, improvement increased proportionately with each successive laser session. Age, gender, or skin color did not influence the response in this study.

Side effects included short-lived superficial reddening of the skin and swelling. There was no change in skin color; and nobody reported ulceration or scarring.

The bottom line.

It’s important to consider that the results reported in this study were dependent on the experience and the expertise of the aesthetic dermatology professional. Also, each participating patient was screened to ensure they were candidates for this treatment.

There many options for treating facial acne scars. Each has its own relative strength and weakness. Start your treatment search by seeking the advice of a board-certified aesthetic dermatologist who has experience using the treatment options that best meet your needs.

For a consultation and more information, contact Aesthetic Dermatology and Skin Cancer: Jeffrey H. Binstock, M.D. Drs. BinstockLayton, and Physician Assistant Cullinane will answer your questions. Call our San Francisco office at (415) 956-8686, or in Mill Valley call (415) 383-5475.

 

 

Treating Atrophic Acne Scars

It’s estimated that four out of ten people with acne will develop scars on their face. Atrophic or depressed acne scars are the most common scars and are most amenable to treatment. They include boxcar (deeply depressed box shaped), icepick scars (like an icepick makes in ice), and rolling scars (where the scars seem to undulate across the skin surface). Each is caused by a loss of tissue at the site of the pimple or cyst and have a negative psychological effect.

Cosmeceuticals containing antioxidants such as vitamin C are popular remedies to lighten red acne marks; but what are the options for people with scarring who have tried these products and are not completely satisfied with the results?

One option is microneedling with tiny needles that create tiny holes in the skin. This process stimulates the skin’s natural ability to heal. It’s a simple and in-office procedure, with little downtime.

In the study summarized here, microneedling was combined with either vitamin C or platelet rich plasma (PRP). Before going further, it’s important to understand that PRP is made by taking a small amount of a patient’s own blood, which is then spun in a centrifuge. A small amount of this fluid containing concentrated platelets and growth factors is then removed. Nothing else is added, so there’s no risk of allergy, reaction, or rejection. Platelet rich plasma therapy is a purely natural process using the body’s own healing factors.

Here’s what they did.

Young adults (average age: 27.5 years) with post acne atrophic facial scars were offered microneedling with PRP on the right side of their face and microneedling with vitamin C on the left side of their face. They had four treatments on each side of the face. Each was given at monthly intervals.

The patients and the physicians used a 4-point scale to compare their appearance after final treatment to photographs taken before treatment. An improvement by 2 grades was excellent, 1 grade was good, and no change was a poor response.

Here’s what they found.

Among 30 people participating in the study, 23 achieved a reduction in scarring by one or two grades.

Based on the physician evaluation, an excellent response was seen in five (18.5%) patients with microneedling plus PRP. This compared to an excellent response in two (7%) patients who received microneedling with vitamin C.

The ability to achieve a “good” response was similar with both treatments. However, vitamin C was not considered as effective as PRP because 10 (37%) patients had poor response in the vitamin C-treated area compared to 6 (22.2%) patients who received PRP therapy.

Vitamin C was effective in dealing with post inflammatory skin discoloration secondary to acne. However, patients reported greater overall satisfaction when PRP was used with microneedling.

The bottom line.

Microneedling when used by a qualified aesthetic dermatologist is an important option for treating atrophic acne scars. It’s a simple in-office procedure, with little downtime. More about treatment options for acne is here.

For a consultation and more information, contact Aesthetic Dermatology and Skin Cancer: Jeffrey H. Binstock, M.D. Drs. Binstock, Layton, and Physician Assistant Cullinane will answer your questions. Call our San Francisco office at (415) 956-8686, or in Mill Valley call (415) 383-5475.