Acne is a common yet distressing condition that affects both males and females. It is a chronic skin disease of the oil follicle (sebaceous follicle) characterised by four main pathological changes—increased oil/sebum production, comedone formation, colonisation of the skin with Cutibacterium acnes (C. acnes) and resultant inflammation.
Many people suffer from acne in their youth and a smaller number in their adult years. This may result in permanent scarring which can have a significant impact on a person’s self-esteem.
Acne scars can be classified into several categories:
This may be complicated by discolouration or pigmentary changes:
The cause of acne scarring is directly related to the presence of inflammatory/active acne, its duration, the extent of skin involved and the treatments used to manage the condition.
One of the very common mistakes that we see often, is ‘picking’ and other self-directed treatment aimed at the inflammatory lesions of acne. This unfortunately often leads to scarring.
As different categories of scars usually coexist in patients, combining several treatment modalities is usually required to improve scarring. It is important to firstly treat active/inflammatory acne to avoid further scarring.
A number of techniques can be then be used to treat acne scarring and each technique may be more suited to a particular type of scarring.
These deeper scars are best treated using surgical techniques, such as excision, subcision and punch grafting. They usually co-exist with other types of scarring and, therefore, additional treatment is usually necessary. The trichloracetic acid (TCA) CROSS technique is particularly effective for ice pick scars.
Collagen induction therapy and PICO Genesis ™️ FX laser (fractionated picosecond laser) treatment is effectivce to manage this type of scarring.
These scars can be treated with direct injection (intralesional injection) of corticosteroid into the scars, combined with silicone gel type dressings.
Excellent results with this kind of scarring can be achieved with dermal filler.
Laser treatment, including Laser Genesis™️ is an excellent additional treatment for all types of scarring, as it has a beneficial effect on collagen remodeling.
Aesthetic Harmony clinic Canberra specialise in assessing the precise nature of your scarring, formulating a treatment plan using a combination of treatments that will most effectively target the types of scars that you have.