ACNE SCAR TREATMENT
Acne scars are a major psychological as well as aesthetic problem, especially for young women. Acne scars appear as holes in the skin, reddish in colour if the acne has recently healed or whitish if it is old. Fortunately, there are methods to erase the spots and skin lesions caused by acne, but it is important for patients to understand that in order to achieve a satisfactory result, different treatment options must be modulated.
TYPES AND CAUSES OF ACNE SCARS
Acne scars are due to the loss or damage of layers of skin and underlying dermal tissue as a result of inflammatory lesions such as papules, pustules, cysts and fistulisation. The loss of skin tissue can range from the epidermal layer alone in medium acne scars, to the destruction of the deep dermal layers and underlying fatty tissues in the case of severe scars.
THE IMPORTANCE OF THE ACNE TREATMENT PLAN
The treatment of acne scars is generally multimodal and must be tailored to the individual case. There is no single treatment procedure that works effectively for all patients. The first step in treating acne scars is a proper diagnosis. We are able to do this thanks to an instrument, the Antera, which allows Prof. Scalera to take 3D photos showing the depth of the scars and their type. Only then is it possible to develop a suitable treatment plan.
A common wish for patients is to obtain immediately visible results at the end of the first treatment. Generally, the strategy for the treatment of acne scars involves performing an initial session with the best fillers to fill in the deepest scars, followed by treatment in several sessions with the non-ablative fractional laser YDUN Candela or Dye Laser.
Cosmetic fillers for deep acne scars.
One of the best advantages of using fillers for acne scars is the immediate improvement of the scars without the necessary recovery time required after a laser session. However, this method should be used in combination with laser to ensure satisfactory and lasting results.
Fat grafting, on the other hand, can be used in areas with thicker skin, such as the cheeks. The injection of fat requires its removal through liposuction and may require several sessions due to reabsorption of the fat, which generally occurs in the order of 30% of the substance.
Non-ablative fractional laser treatment for different skin types.
Lasers are used to have a total or fractional ablative effect on the superficial layers of the epidermis and to achieve a “fresher” and smoother appearance of the treated skin. The heat generated by the laser in the deep layers of the dermis stimulates the production of new collagen, which improves the quality of the skin in the areas treated by the laser and restores tone and volume to the patient’s face, making it look younger.
The all-ablative laser is a technique that completely removes the superficial layers of the skin (epidermis and dermis) and then stimulates a neocollagenosis in the deep dermis, which, within three months of treatment, restores a plump and youthful appearance to the skin. However, ablative lasers are very aggressive and after these treatments the treated areas appear completely de-epithetised, burnt and sometimes with hyperpigmented lesions. The “bad appearance” of the post-treatment skin has discouraged the use of these totally ablative lasers, directing patients towards the most modern types of laser available, which are less aggressive and have shorter recovery times. To overcome these prolonged side effects, Candela’s 1550 nm Ydun non-ablative fractional lasers have been developed that can heat the dermis to a depth of 1400 microns, leading to significant neocollagenesis and scar tissue remodelling.
Instead of hitting the surface of the skin and destroying it, the energy produced by this new laser penetrates the skin, eliminating old cells and also stimulating the production of new proteins, such as collagen. This accelerates and promotes rapid and safe healing.
What’s more, the machine is smaller and easier to handle, allowing both greater visibility and the identification of the micro-areas to be treated with absolute and automatic precision.
The result is shiny, elastic skin with very short recovery times and zero side effects. You will be able to return to a normal life immediately after the session.
In conclusion, while ablative laser involves a prolonged postoperative recovery period (15 to 30 days) and carries a significant risk of side effects, Ydun’s non-ablative fractional treatment creates little or no alteration of epidermal integrity, with a rapid recovery and lower risk.
Candela Dye Laser treatment
Some acne scars take the form of inflammatory pussules or red or brown spots. These acne lesions can be treated with less aggressive laser protocols such as the Yag 1064 laser or the Candela Dye Laser with a wavelength of 595 nm, available in Campania only at the “Keiron Laser Institute”. In this case the recovery time will be shorter.
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Contact us to book an appointment at the Keiron Centre