Acne scars exist in many incarnations, including superficial discolorations, raised bumps called keloid scars, and indentations in the skin known as ice pick scars. There are a variety of procedures available to treat and remove the scars, bringing skin back to its former state. Treatments vary according to individual needs.
Skin Grafts
Skin grafts are one of the most effective permanent acne scar treatments for the indented acne scars that leave deep grooves in the skin. According to skincarephysicians.org, a website run by the American Academy of Dermatologists, these scars are treated by taking skin from elsewhere on your body--usually the buttocks--and using it to fill in the grooves.
Another technique, known as punch elevation, involves raising the skin around the indented acne scar so it levels off with the rest of your skin.
Microdermabrasion
According to the Mayo Clinic's Dr. Lawrence E. Gibson, microdermabrasion is a viable option for permanent acne scar improvement.
Microdermabrasion is a procedure usually done at a dermatologist's office, which involves using a machine similar to a sandblaster to refine the surface of the skin, improving its overall appearance. The sandblaster works by spraying tiny crystals all over your face to remove dead skin cells and reduce discolorations caused by acne scars.
Chemical Peel
A chemical peel is similar to a microdermabrasion procedure and also helps improve the overall appearance of acne scars. According to plasticsurgery.org, a chemical peel is ideal for people with uneven skin pigmentation caused by acne or picking at or popping blemishes. This noninvasive procedure is done at a dermatologist's office.
Laser Treatment
In some cases, laser treatments may be necessary to rejuvenate the skin, making it smoother and clearer by removing old, superficial acne scars. According to dermadoctor.com, there are two major laser therapies to treat acne scars: ablative and non-ablative lasers.
Ablative lasers burn away old scar tissue and promote the growth of new skin cells to take their place. Non-ablative lasers heat the sebaceous glands, thereby reducing the potential for blemishes to form. Scarring is dramatically improved and less noticeable.
Surgery
Surgery is an option for large and pronounced acne scars like keloids. According to skincarephysicians.com, raised scars like keloids must undergo extensive surgical and non-surgical procedures for permanent improvement and treatment.
After surgery, various other treatments must be performed in order to prevent the keloid scars from reappearing. Applying pressure to the area, injecting the area with corticosteroids and applying radiation are all helpful methods of preventing the scars from reoccurring.
Other Considerations
After undergoing a skin graft procedure or excision surgery, you may have considerable downtime. You may also be required to change your bandages to prevent infection. Follow your dermatologist's instructions on how to best take care of your skin after surgery.
Microdermabrasion will make your skin look red and puffy for a few days after the procedure. You should use sunscreen every day to protect your sensitive skin and prevent unwanted side effects.
After a chemical peel, your dermatologist will tell you how to take care of your skin to prevent side effects, like scarring. It is absolutely essential that you use sunblock every day to keep the treated skin from becoming infected.
Non-ablative laser treatments usually won't require aftercare, but ablative laser treatments will require that you use antibiotic ointment, soaks and dressings as instructed by your dermatologist.



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