Acne and acne scars

Acne is the most common skin problem seen by a dermatologist. It is most commonly seen in teenagers or young adults, but can occur at any age. Adult acne is seen more commonly in women.

The first step in formation of acne is blockage or clogging of a pore. Normally, dead skin cells are shed by the body in a cyclical manner. When the oil or sebum secretion is high, sometimes these dead skin cells do not shed, but stick to each other and get trapped in a pore. This leads to formation of a black head or a white head.

Sometimes the bacteria that live on our skin, P.acnes, also get trapped along with these dead cells. They multiply very quickly and cause inflammation. This leads to formation of a cyst or a nodule or a pustule.

Acne scars can have a huge negative impact on the psyche and social life of an individual. It is important to treat acne in its initial stages to minimize the chances of scarring. Once developed, there are various treatments available to reduce the severity of the scars and improve the appearance of the skin.

Stages of acne

Acne, most commonly occurs during puberty and teenage years as the sebaceous glands are most active at this time. However, it can occur at any age. Acne, in adult age, is usually due to a hormonal stimulation. Androgens or the male hormones, stimulate the oil glands to grow and secrete higher amount of sebum.

Rising androgen levels in a female (due to hormonal imbalance) is a common cause of adult acne.

Other factors that can trigger acne are greasy cosmetics, topical steroids, certain medications that contain androgens, emotional stress, etc.

It is a common belief that acne is a part of growing up and it should be allowed to run its natural course. The fact is, acne and its sequelae have a huge impact on a person’s psyche and self-esteem. If not treated in time, acne can leave ugly marks and scars. This can have a huge life-long impact.

The following are the types of scars and marks that acne can leave behind

Post inflammatory hyperpigmentation

Very often, healing of a pimple, leaves behind a mark on the spot. This mark ranges in colour from pink to red to brown to black depending on the skin type. This is the commonest sequelae of acne.

Ice pick scars

Ice pick scars are deep, very narrow scars that extend into the dermis. The skin looks as if it has been pierced by an ice pick. Ice pick scars appear as small, thin, deep holes into the skin. Some may look like a large open pore.

Box scars

Box scars are round or oval depressions with well-defined, steep, vertical edges. They are much wider compared to ice pick scars. They give the skin an uneven, pitted appearance.

Rolling scars

This type of scarring causes rolling or wave like depressions across otherwise normal looking skin. They are not as well-defined as box scars. Rolling scars give the skin an undulating appearance.

Hypertrophic or Keloidal scars

This type of scarring with acne is rarely seen on the face. It usually occurs post severe acne on the back or chest but can affect any part of the body. Hypertrophic scars are raised scars that grow above the surface of the skin. Keloidal scars differ from hypertrophic scars in that they are bigger and often extend beyond the area of the original pimple.

peels

Chemical peels are products derived from naturally occurring substances like sugar cane and milk, that help to treat pigmentation, patchy skin and tanning. We use different peels like glycolic, salicylic, lactic, TCA, yellow peel, black peel, etc in various combinations to target the acne and post acne marks.

carbon peel OR Q switched Nd:Yag Laser

A carbon peel is a revolutionary laser treatment that is highly beneficial for people with oily skin blackheads, enlarged pores, dull skin and acne. It is also an excellent way to exfoliate and refresh your skin, leaving skin feeling softer, smoother and firmer. The heat generated also destroys the P.acnes bacteria responsible for acne, thus allowing better management of pimples and break outs.

dermaroller

The dermaroller works by causing “mini-trauma” to the skin and thereby activating skin's healing process. After few treatments, scars start to contract and skin appears smoother. Most types of acne scars improve significantly with the course of few treatments.

dermaroller with prp

PRP (Platelet Rich Plasma) along with dermaroller can intensify the natural wound healing cascade because of the high concentrate of your own growth factors. Both act synergistically to enhance the wound healing response. The scars start to improve soon after the first session.

MICRONEEDLING RADIOFREQUENCY (MNRF)

Microneedling RF is a revolutionary method of acne scar revision. This uses radiofrequency energy that is delivered to various levels in the skin through microneedles. This stimulates remodelling of collagen, in turn, improving scars. This treatment is safe in all skin types. Microneedling RF can be combined with PRP on the same day to intensify the healing process and together both treatments work synergistically to give the best results.

dermal fillers

Acne scars can be treated and improved instantly by injecting dermal fillers into the scars. This is ideal for those looking for a quick fix for scars.

Body Acne and scars

Acne can be quite severe on the torso, especially the back. The post acne sequelae also tend to be more severe on the body. Post inflammatory hyperpigmentation is the most common sequelae of acne on the back. Hypertrophic scars and acne keloidalis are other forms of scarring that are seen on the body.

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