Big demand is there from youngsters and marriageable age adults for acne scar management. Lack of self-confidence, little response from opposite sex, beauty issues are stated as main reasons of the demand for addressing acne scars. Different modalities may offer significant improvement in the scars, pigmentation and general outlook of face.
Fractional deep laser sittings
Little down time. Offers good improvement in indicated cases. Sittings are planned generally at 6week interval. 4 to 6 sittings are planned as short sittings under local anesthesia. Improvement is much better than classical superficial fractional laser. Local tightening of skin may also be better.
May be required when whole area needs resurfacing. Down time is more. One gets more improvement in pigmentation, but down time is the problem. However, many patients do get lot of result with full face laser resurfacing.
Deep, extensive, tethered scars may need to be separated from the depth where they are attached. At times these spots may be filled with fat grafts. The affected areas partly smoothen out.
Fat grafting has special role in scarred areas that are hollowed out too. Fat acts as filler as well as has stem cell characteristics. Scars improve, fill out, pigments improve too.
Full Thickness skin grafts
In focal deep and scarred areas, total excision and replacement with grafts may be required. These areas would be later on resurfaced. This procedure has small but definite role in management of acne scars.
After acne scar management, Certain lasers may be used to improve skin quality, irregular pigmentation, texture and darkness of skin.
EXPECTATIONS HAVE TO BE REALISTIC IN ACNE SCAR MANAGEMENT.
Acne scar management is generally accompanied by cream treatment regimens, including sun screens.
A person having realistic expectation of results would be happy. Remember, your skin cannot be made like somebody else’s skin. Yes, a lot of improvement may occur in your own skin after various treatment modalities and your continued care as advised by treating doctor.