I often get questions regarding how to treat acne scarring. There are two different types of scarring, traditional and hypertrophic, and each needs to be handled differently.
What’s the difference?
Traditional scarring is a loss of tissue or damage to the pore and follicle, which results in scarring that is pitted or indented. Hypertrophic scarring, or keloid scarring, is an overgrowth of tissue so it appears raised.
How do you treat each?
For traditional scarring you want to fill out the scar. A filler of hyaluronic acid helps to plump up and smooth out the scar. A laser, such as a C02 laser, or professional strength microneedling, like Secret R4, may also work because they help to achieve collagen turnover. Lastly, TCA peels work deeper to reduce the appearance of the scar by making it more shallow.
For hypertrophic scarring, cortisone injections from a trusted provider are useful. You can also get a minor surgery that breaks up the scar tissue. During the procedure a needle is driven underneath the scar tissue to break it up.
While there are many options, it is most important to find someone you trust such as an esthetician or dermatologist that you can work with to stay ahead of the acne and work on the scarring that is already there. Be patient! It may also be helpful to have a cosmetic roller at home if you know how to use it properly and you have the right products to support it.
I’ve listed some of my favorite rollers below!
Environ makes my favorite gold roller, which is available at New Beauty and Wellness