Best treatment options for acne scarring

Russell Akin, MD | Board-Certified Dermatologist | Fellowship-Trained Mohs Surgeon | Skin Cancer Specialist | Midland, Texas

As a dermatologist, I understand that experiencing acne is challenging enough for a patient, but the scars that acne may leave behind is even more so frustrating. The good news is that we can help reduce the appearance of your acne scars here at Midland Dermatology. In this blog post, I explain some of the best treatment options for acne scarring.

Superficial vs. Deeper Acne Scars

If the acne scars are deeper scars, they are considered “permanent” lesions, as any scar is a permanent lesion. However, discoloration changes from acne, or the dark spots that appear as a result of having acne, can be treated with both sunscreen use and topical medications. Topical medications help to fade the spots from hyperpigmentation, which patients sometimes believe is “scarring” from their acne. Treating deeper acne scarring will take some in-office treatments from a dermatologist. For deeper scarring that may occur with acne, we usually recommend either “microneedling,” “subcision” (where the scar is freed from the underlying tissue), radiofrequency devices or treatments with a CO2 laser.

Best Options to Treat Acne Scarring at Midland Dermatology

Microneedling Acne Scar Treatments

Microneedling essentially causes superficial “damage” to the surface of the skin, which stimulates collagen and elastin to help treat acne scars. Here at Midland Dermatology, we offer the SkinPen Microneedling system.  We believe the SkinPen Microneedling system to be the best microneedling product on the market, as the tips are safer to use than most other microneedling products out there. We recommend 4-6 treatments of microneedling to achieve your desired results.

Subcision Acne Scar Treatments

The other option to treat acne scarring is with a process called “subcision.” Subcision treatments work best for acne scars that may be “tethered” or “tied” to the underneath surface of the skin. The subcision treatments allow us to break up the scarring process.

CO2 Laser Acne Scar Treatments

Another great option to treat acne scars is with CO2 laser treatments. You can either get a “fractionated” CO2 treatment or “erbium YAG” CO2 treatment. We offer a CO2 Resurfacing Laser here at Midland Dermatology. CO2 laser treatments are a bit more of an “aggressive” process, and you will typically start seeing results after about 1-2 treatments.

TCA Cross Peel Acne Scar Treatments

TCA cross peels use high-concentration TCA placed focally in deeper ice-pick scars.  A series of treatments help rebuild collagen and elastin, while also filling in the superficial defects on the surface of the skin. 

Radiofrequency Laser Acne Scar Treatment 

Radiofrequency laser treatments rebuild collagen and elastin over time. The advantage of radiofrequency, or “RF laser therapy,” is it offers the long-term benefits of CO2 laser therapy, without the downtime of traditional laser therapy.  At Midland Dermatology, we utilize the Cutera Secret RF device. 

Schedule an Appointment!

Russell Akin, MD, RPh. FACMS, FAAD, is a board-certified dermatologist and fellowship-trained Mohs surgeon who specializes in skin cancer treatments and other dermatological procedures with patients ages 12 and up at Midland Dermatology in Midland, Texas. If you’d like to schedule an appointment with Dr. Akin, or any of the providers at Midland Dermatology, please call 432-689-2512.

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DISCLAIMER: The information in this blog post is not intended as medical advice, diagnosis, or treatment. Always seek the advice of your physician.

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