Acne Scars – Removal and Treatment – Auckland NZ

Many acne sufferers develop acne scarring in their teens or early twenties. Acne scars often cause depressions in the skin particularly over the cheeks, neck, shoulders and back. Acne scars treatment nz is available at Palm Clinic. At Palm Clinic, Auckland, NZ we have a complete range of options for acne scar treatment available for optimal results. Below we discuss what causes acne scarring, acne scars removal and treatment and show some images of before and after treatment.

What Causes Acne Scarring

Acne scarring are depressions in the skin which are pulled down by fibrous strands. Active acne is an inflammatory process which causes fibrosis (the thickening and scarring of connective tissue) and is the cause of an acne scar. 30% of those with acne will experience some degree of acne scarring.

The more severe the acne and the longer it is active, the worse the acne scarring can be. The sooner active acne is treated, the less the risk of scar tissue forming. Modern treatment of acne can be very effective in most cases.

Post-inflammatory changes in the colour of the skin may be seen after the inflammatory acne lesion heals. In fairer skin types it can be pink or purple (post-inflammatory erythema). If you have a darker skin tone it can be brown (post-inflammatory pigmentation). In more severe cases people may experience white marks (post-inflammatory hypopigmentation). Post-inflammatory erythema and post-inflammatory hyperpigmentation tend to lessen over months but unfortunately post-inflammatory hypopigmentation can be permanent.

Acne Scarring Removal and Treatment

Treatment for acne:

If you have active acne the first priority is to treat that, as this is what will cause post-inflammatory colour changes and/or acne scarring. If active acne is present, we will prescribe the appropriate treatment which can include good quality medical grade skincare specific for acne prone skin (this can include salicylic acid, vitamin C, benzoyl peroxide, retinoids and alpha hydroxy acids), acne medifacial/peels and, if necessary, antibiotics. For more severe acne, your Palm Clinic doctor may suggest isotretinoin which is a prescription only oral form of vitamin A that is very effective at treating acne.

Treatment for inflammatory hyperpigmentation:

To minimise inflammatory hyperpigmentation (brown marks) it is important to apply a good oil-free sunscreen that doesn’t exacerbate your acne, and minimise sun exposure where possible.

After an initial assessment your Palm Clinic skin therapist may suggest the use of skin lightening agents such as hydroquinone which inhibit the enzyme in your skin that creates pigment. They may also suggest medifacial/peels such as a glycolic acid chemical peel to reduce pigmentation.

Acne scar treatment:

At Palm Clinic, we tailor the acne scar treatment to the type of acne scar. Scars can naturally reduce in appearance over time, but they tend to never completely resolve without active treatment.

Acne can cause different types of scars, these include:

  • ice pick scars which are narrow, deep and pitted
  • boxcar scars which is a wider depressed scar with a sharp edge
  • rolling scars which is a wider depressed scar with a sloping edge
  • atrophic scars which are flattened and thinned
  • lastly, a keloid scar or hypertrophic scar which is thickened, lumpy and raised.

The treatment for Ice pick and boxcar scars can be addressed with one, or a combination of the below:

  • Fraxel laser resurfacing: this is an excellent partially ablative laser treatment for acne scars, especially acne scars on cheeks, which involves damaging the skin in a controlled way right down to the dermis. The damage caused triggers your skin’s healing response which promotes collagen production leading to an improvement in the texture of your skin. You can read more about Fraxel laser treatment here.

  • Dermal needling (dermapen): similar to the Fraxel laser treatment, the dermal needling creates damage to the skin to trigger collagen growth which then improves the texture of the skin. Dermal needling (dermapen) is less invasive than the Fraxel laser. It is an effective treatment and can achieve impressive results while having less down-time than Fraxel but it will take more treatments to achieve the same result. You can read more about dermal needling (dermapen) here.

  • TCA peel is a chemical peel as prescribed by your Palm Clinic skin therapist which can chemically remodel scarring.

  • Subcision physically breaks up the fibrous tissue that is tethering the skin down, this works well when combined with injection of dermal filler (hyaluronic acid) which is a clear gel that lifts the tissue up where it is injected. Dermal filler is a safe and effective treatment which you can read more about here.

  • More severe scarring can be surgically excised either with a punch excision or with a full excision using a scalpel. The surgical procedure options may themselves cause a scar however.

The treatment options for atrophic and rolling scars is the same as the above, but subcision and the surgical options are not required.

A hypertrophic scar or keloid scar can be treated with topical steroids or a steroid injection. They may also improve with the use of silicone gel dressings, skin needling (dermapen) and/or Fraxel laser. Unfortunately, a hypertrophic scar or keloid scar can be very stubborn to treat and may recur after successful treatment.

Acne Scars Before and After Photos

View our gallery of acne scarring before and after treatment at Palm Clinic, Auckland NZ.

Fraxel Dual Laser has been used to treat acne scarring

Fraxel Dual Laser has been used to treat acne scarring

Fraxel Dual Laser for Acne Scarring

Fraxel Laser is a fractional resurfacing laser and it produces genuine improvement in acne scars. Be aware however that some Beauty Therapists advertise a Fraxel laser which is not as effective for acne scarring as the Fraxel Dual Medical Grade laser of which there are only two in Auckland. An alternative, gentler approach to treat acne scarring is Dermapen. Dermapen also achieves excellent results with a shorter ‘downtime’ associated with each treatment. For accurate advice about your acne scarring you are best to see a cosmetic clinician at Palm Clinic who can cover  all the options available to you.

Palm Clinic Aesthetic. We make it look natural.
Consulatation at Palm Clinic with Dr Sam DunnConsulatation at Palm Clinic with Dr Sam Dunn

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Botox®  is a prescription medicine for the treatment of frown lines, horizontal forehead lines and crow’s feet round the eyes. Botox® has risks and benefits. Ask your doctor if Botox® is right for you. If you have side effects, see your doctor. You will need to pay for Botox® and clinic fees will apply. For details on precautions & side effects consult your healthcare professional or the Consumer Medicine Information (CMI) at www.medsafe.govt.nz. Botox® treatment lasts about 4 months and further courses of treatment may be necessary. Should only be administered by trained medical professionals.(Contains botulinum toxin A 50,100 & 200 units). Allergan (NZ) Limited, Auckland.

Juvederm Ultra™ & Juvederm Ultra Plus™ are medical devices Class III for the filling of medium size and deep facial wrinkles by injection into the skin and for creating definition and volume in the lips. Contains 24mg/mL. cross-linked hyaluronic acid. Juvederm has risks and benefits. Cautions: Use in an area that has been treated with another dermal filler, people with autoimmune disease, or who are pregnant, breastfeeding, under 18 years of age or have an increased susceptibility to keloid formation and hypertrophic scarring. People on blood thinning medicines. Possible side effects: injection site inflammatory reactions (redness/swelling, itching/pain on pressure) induration or nodules; discolouration; weak filling effect. If you have side effects or concerns speak to your doctor. Product and treatment costs will apply. Note: Juvederm treatment lasts about 12-24 months. For product information check with your doctor or product information at Allergan (NZ) Limited, Auckland.      

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Please note that individual results may vary from patient to patient, and the information provided on our website is only a guidance to the possible results.