TREATMENT FOR ACNE SCARS Why do pimples cause scar? Pimples cause scars due to damage to the skin, which occurs when treatment is not taken early and properly Creams do not generally help in management of scars. Treatment of scars depends on the type of scar, shape, depth , type of skin and most importantly attitude and motivation of the patient Each type of scar needs a special & different treatment Ice pick scar Boxcar scars Rolling scars Craters Pitted scars TREATMENT OPTIONS Fractional (PIXEL) LASER Microdermabrasion DERMAROLLER TCA CROSS SUBSCISSION PUNCH FLOATATION Scar revisions PIXEL LASER MACHINE FRACTIONAL (PIXEL) LASER Fractional laser is the basic treatment of most scars. It is called fractional because laser affects only a fraction of treated area Therefore it is very safe. This is how pixel laser is done There may be only a slight redness for one day & the patient can go to work the very same day. Treatment is quick- only 15 minutes Why is it better? It works well for irregular scars like oval, linear, broad scars Healing and recovery are rapid. It is a very safe, effective & painless treatment. 4-6 sessions are needed once in 2-3 weeks. Fractional Laser Treatment Before After Fractional Laser Treatment Before After Fractional Laser Treatment Before After DERMAROLLER In this method, an instrument called DERMAROLLER consisting of tiny needles is rolled over the scars. It is followed by mild redness & swelling of the treated area for 2-3 days. HOW DERMAROLLER IS DONE-no pain, quick, safe IMMEDIATE POST PROCEDURE-mild redness lasting for 1-2 days Dermaroller --CONTD It is done once in 3-4 weeks It is useful for scars which are deeper and have loose skin. Total 4-8 sessions are necessary TCA CROSS Here, a chemical called Trichloro Acetic Acid is applied onto the Scars. It gives good results for the tiny pinhole like scars. It is a painless procedure & no anaesthesia needed. Heals with in 3-4 days POST TCA CROSS It results in mild redness of the treated area lasting for 1-2 days. SUBCISION In this technique, under anaesthesia, an instrument is inserted underneath the skin to break the fibres that have been pulling the scar down. This relaxes the scars & the scar is lifted up. This also results in mild redness & swelling of the treated area for 3-4 days. PUNCH ELEVATION used for round,deep scars Here, a punch is used to lift the scars, under local anaesthesia. Alternately, a new piece of skin can be placed in place of old scars PUNCH ELEVATION MICRODERMABRASION. Here, aluminium oxide crystals (fine powder of 100microns) is rubbed onto the scarred area for 15-20 min. requires about 6-8 sessions,once a week with about 30-40% results. It is a safe, easy , cheap ,painless , but mild procedure. MICRODERMABRASION ACNE SCAR PACKAGES Most patients of acne scars need combination of these treatments Depending upon the type of pimple scars,there are different combinations : Mild scars Moderate scars Severe scars mild scars before After Mild scars:few superficial scars, and pigmentation This package includes Pixel laser 2 sessions Dermaroller : 4 sessions TCA cross : 1 session MDA : 1 session MODERATE SCARs Medium depth scars, covering 50% of the cheek area before after Moderate scar treatments Pixel laser : 3 sessions Dermaroller : 4 sessions TCA cross : 2 sessions MDA : 2 sessions Subcision/punch elevation/IAL filler (if necessary) SEVERE SCARS Extensive scarring Involving whole face, deep scars before after Severe scars need Pixel laser : 5-7 sessions Dermaroller : 4-6 sesions TCA cross : 2-3 sessions Subcision : 1-2 session Punch floatation/IAL filler (if necessary) Pimple scars Results Before After Pimple scars Before After Pixel laser also produces fairness After Before SUMMARY Objective of treating scars is to improve them- not to make them disappear completely So realistic expectation is important Once treated, scars don’t recur unless pimples recur.