Acne Pimple Scar Removal & Types - Pt 5

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Surgical methods are often the best available methods for removing acne pimple scar which are the most fibrotic and deepest forms unlike the physical method by dermabrasion and chemical peeling which are meant for less severe scarring.

The advantages of subcision method are that it can produce long-term perfection for the rolling acne pimple scar ( elevated scar with very blunt penetration but uniform appearance ) with minimal

" However, the set back is that the patient must be willing to accept for creating a new defect on his skin somewhere else in his / her as a donor site "

of injury to overlying skin and relatively easy to perform and is well tolerated by patient and safe procedure. The only setback is just the minor swelling and bruising but he recovery time for subcision is brief. During subcision a special needle / blade is inserted beneath the acne scar and with the back and forth motion, the fibrous tissue with be pierced and cut so that the scar will not be connected to the subcutis layer so that the scar will be elevated to the surface. Dermal grafting is a useful for correcting deep contour defects just like using a first-aid plaster to patch up your injury with the plaster being the dermal graft. The advantages are most inexpensive, readily available, precisely cut to suit the size and shape and hardly prone to rejection with long term and permanent correction.

Just like the subcision, the dermal grafting does not cause injury to skin and you will expect only minor swelling and bruising. However, the set back is that the patient must be willing to accept for creating a new defect on his skin somewhere else in his / her body as a donor site, in which of course this donor site is usually at the area protected by clothing. For the excision and punch techniques, their common objectives are to remove acne pimple scar that is sharp and deep such as the deep boxcar scar and ice-pick scar.

Info - The removal of acne pimple cannot be by done a single “best” treatment. The most common and popular surgical techniques involving removal of acne pimple scar are the subcision, dermal grafting, excision and the punch technique.

Acne Pimple Scar Removal & Types - Pt 4

The chemical peeling, which is another favorite and popular choice by many, is versatile as it can deal with variety of skin imperfection not limiting to just acne pimple scaring. A few years ago some people have predicted that the removal of acne pimple scar using chemical peeling would disappear in favor by the more sophisticated technology lasers, however, it is the reverse that has actually occurred due to the versatility and ease of application of chemical peeling.

This method has been very effective for removing acne pimple scar which are non-elevated type such as boxcar scars, pigmentation scars, acne lesions and for dark skin removal where the

" The chemical peels can be classified as superficial ( surface ), medium and deep depending on depth of penetration "

penetration of the chemical is limited to the epidermis and papillary dermis layer. The chemical peels can be classified as superficial ( surface ), medium and deep depending on depth of penetration from the strength of chemical solution. Stronger chemical peeling is needed to remove the severe acne pimple scar. A patient would expect some skin redness and burning sensation just after the chemical peeling. Superficial Chemical Peeling as the name suggests, utilize a mixture of different weaker acids such as, Glycolic acid, Trichloracetic acid and Salicylic acid for the process and are widely implemented worldwide on both women and men alike.

The main disadvantage for chemical peeling is, it requires 8 to 10 follow-up sessions, with an interval period of approximately 1 month, so patience plays a part here. For deeper peeling, it can be achieved with Trichloroacetic acid, Phenol and other substances.


Info - The keloidal scar found most commonly on the back, chest and shoulders, and less prevailing on the face

Acne Pimple Scar Types & Removal - Pt 3

Practically, there are 2 methods of removing acne pimple scar on face, by the surgical / physical method that come with high price tag and secondly the far cheaper economical atopic treatment and mostly the choice will depend on the severity and nature of the scars:

• Atopic treatment
Atopic treatment is about applying the anti-scarring cream, gel, lotion or ointment directly to the external skin surface and then wait for the outcome.
• Surgical And Physical procedures
Clinically performed Surgical And Physical method are the dermabrasion, superficial chemical peeling, non ablative laser techniques, laser resurfacing, dermal grafting, RF method, punch excision, elliptical excision, punch elevation, debulking, subscision and all the jazz.

Many will think that dermabrasion is a newly developed masterpiece technique, but not really, in fact it was already been practiced by the Egyptians dated back to circa 1500 B.C. Dermabrasion is an effective technique for acne pimple scar removal and can easily rank top 5 as most effective techniques today. It works by creating a new open wound for it to heal by second intention by physically removing the epidermis and papillary dermis. The open wound is created by the rotating wire brush / diamond wheel with rough tips / edges for the abrasion and brushing effect as to take out the outer skin layer. Dermabrasion is also widely used to treat hyperpigmentation, keratoses ( keratosis ) and wrinkles / fine lines on face.

Approximately 3-4 weeks after the dermabrasion, the new smoother skin should appear. Dermabrasion is very much of a skill work that the results count pretty much on the dermatologist’s experience hands and knowledge.

Info - The derma-roller ( the rotating devices for dermabrasion ) is rotating at a very high speed up to 30,000rpm, which is way beyond your car maximum limit for RPM

Pimple Scar Types & Removal - Pt 2

Our pimple scar on face is actually initiated by our body’s response or over-response to the damage / injury caused by the previous inflamed acne lesions and to some people, the scar can be emotionally devastating.

For the more serious genuine pimple scar which

"The terms keloidal and hypertrophic are frequently used interchangeably"

causes skin indentation as the result from collagen breakdown and infection by pimples, by nature, it is harder to remove and the bad news is that it will be more prominent as skin ages. The pimple scar on face can be further categorized with 3 dimensional approach under Atrophic scar and they come in 3 different types which are commonly found:

• Icepick scar – Very sharp V-shaped penetration with deepest penetration. Diameter: <2 mm
• Boxcar scar – U-shaped with uniformly outlook. Diameter: 2-4 mm
• Rolling scar – Very blunt penetration but with uniform appearance. Diameter: >5 mm

Among the 3 Atrophic scars as mentioned previously, most will agree that the most annoying is perhaps the rolling scar. Why? This is due to the nasty uneven bumps that resemble more like skin mutations rather than pimples on face. There are in fact, another 2 more dented genuine scars caused by pimple as a result of the collagen running amok, the keloidal and hypertrophic scars due to excessive tissue repair with the keloidal being the ugliest of all scars.

The terms keloidal and hypertrophic are frequently used interchangeably although there are some clinical dissimilarities among them. There are also some distinct similarities for the keloidal and hypertrophic scar as they tend to occur commonly in darker complexion people and they also tend to run in families.

Info - Atrophic is depressed scar like a valley or sinkhole on skin. Both hypertrophic and keloidal scars are elevated like bumps on skin and will diminish with time. Keloidal on the other hand will continue to expand and grow

Pimple Scar Types & Removal - Pt 1

When pimple scar becomes bad and uncontrollable, it is an ugly scene and before we can attempt to remove any pimple scar on face, it is worthwhile to get acquaint with some underlying facts about the scarring nature caused by the acne.

Acne or Pimple, as these words are frequently used interchangeably although they do draw some distinctions, is a dominant condition in all ethnicities, ages and genders and often results in scarring

" Method by prevention is still the ultimate way as it avoids having to deal with the emotionally and physically troublesome scars "

as secondary damage. Method by prevention is still the ultimate way as it avoids having to deal with the emotionally and physically troublesome scars. However, as we are living in this un-perfect world, even with the best techniques, scars will still arise. There are 2 types of pimple scars. The 1st type is the discolored area sitting on top of apparently smooth skin. The 2nd type has a dented mark on skin. This ‘mimicking’ discolored mark resembles an unwanted spot even though not being a true scar by nature. It is actually the skin’s immunity response after having the appearance of pimples on face.

This type of mark tend to diminish over time and the time frame may take up to 1 year for it to disappear completely. If you are eager to remove this pimple mark faster and also have some extra bucks to spend, you can opt for skin peeling or skin exfoliation. For the extra stubborn mark, you may go for stronger treatment by using the bleaching ingredients but apply with extreme care as not to over-lighten the said area, if not it will look terribly odd.

Info - Scar is actually a replacement of normal tissue with fibrous tissue damaged by injury / disease and may show growth extension especially for the keloidal scar