Acne craters, which are also called rolling acne, are caused by acne that occurs deep under the skin. Craters are usually wide and shallow. Acne is a common condition that is most common in teenagers. However, many people don't outgrow acne and struggle with this problem well into their 20s and 30s, according to the American Osteopathic College of Dermatology. After acne has disappeared, you might be left with embarrassing acne scars. Fortunately, there are treatments that can minimize the appearance of acne crater scars.
Step 1
Contact a dermatologist. The most effective treatments for acne craters are available with a dermatologist. You can find local dermatologists by contacting the American Academy of Dermatology. Schedule an appointment with the doctor to examine your acne scars.
Step 2
Get rid of acne before starting scar treatments. A dermatologist can assist with this process. Acne craters are usually caused by deep acne cysts. Cysts don't typically respond to topical treatments so an oral antibiotic may be prescribed. If you don't respond to an oral antibiotic, your dermatologist may recommend isotretinoin, a strong medication for cystic acne.
Step 3
Use an augmentation procedure. Your dermatologist will inject material, such as fat or silicone, into the scarred area. This will fill the acne crater and give the skin a smoother appearance. Cost for augmentation as of 2010 is typically $500 to $1,500.
Step 4
Request microdermabrasion treatments. Schedule an appointment with your dermatologist for a series of these treatments. Typically, five to 15 treatments are required to treat acne crater scars. The dermatologist will use a tool that blows crystals onto the face to loosen the top skin cells. This will even out the skin's appearance and generate new skin growth.
Step 5
Ask your dermatologist about a subcision treatment. A dermatologist will cut out the scar, allowing the crater area to generate new skin growth. Cost for these procedures varies but can cost as much as $750 for each procedure. The dermatologist may need to complete one to three sessions for best results.
Tips and Warnings
- Health insurance companies rarely cover scar treatments. Partner with your doctor to select a treatment option that effectively gets rid of crater scars within your budget.
- The acne medication isotretinoin has serious side effects. Pregnant women can't take this medication because of the risk of birth defects. Talk with your dermatologist about risks before making a decision about taking this medication.



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