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It's not clear why some acne sufferers develop bad scars while others with similar cases of acne do not. Dermatologists can inject Artefill into your acne scars as part of an in-office procedure, according to the product's manufacturer.
If you have bad depressed acne scars, your dermatologist might recommend acne scar surgery in addition to Artefill.
Prior to its approval by the FDA, Artefill's manufacturer studied the product in wrinkle correction, not acne scar correction.
Specialist Dermatologists at the Acne Specialist Clinic perform a technique of chemical peeling to treat deep acne scars. TCA CROSS is the most successful treatment for deep acne scars, this simple procedure outperforms even the most powerful and latest lasers.
TCA, or Tri-Chloroacetic Acid, applied at a very high concentration stimulates collagen formation from the bottom of a deep acne scar. After the procedure we use a healing balm or an antibiotic ointment to cover up the treated acne scars. You will be prescribed an antibiotic to take for 5-7 days following TCA Cross, as this can prevent any secondary infection. Recovery is also dependent on the strength of the TCA CROSS chemical peel- a higher concentration means a longer recovery time. As with many other acne scar treatments, multiple sessions are advised for the best results. As a guide we should aim for at least 50-80% improvement of deep ice pick scars after a series of 2-3 TCA cross chemical peels. TCA cross for acne scars forms an integral part of our Synergy Program for acne scar revision. Treating acne scars in darker skin types can be more challenging as post -treatment darkening of the skin can be encountered. The cost of this procedure will vary depending on the complexity of scars and the areas treated.
Trusting a physician who is an expert in acne scar revision can be daunting for many patients. Our Specialists have extensive training in the treatment of acne scars in darker skin patients, including Asian, Hispanic, Middle Eastern, as well as African skin types. Treatment: As always, ice pick scars were treated first with TCA cross, treatment was completed with CO2 CORE Fractional laser. Treatment: TCA Cross to Ice Pick scars and pores, followed by full erbium laser resurfacing + Fractional laser during the same procedure. Bad acne, especially nodularcystic acne, very often leaves behind depressed scars that look like pock marks or saucer-shaped holes in the skin.

According to the AAD, severe acne tends to leave behind scars more often than mild or moderate acne. Your physician likely will numb the treatment area first, and Artefill itself contains an anesthetic. In acne scar surgery, the surgeon can remove your acne scars with a small circular punch-type tool, or raise the skin above the scars by separating the skin from the underlying scar tissue with a scalpel, according to the AAD.
Although many physicians now use Artefill to fill depressed acne scars, it's not clear how long the effects will last.
This collagen formation is gradual, and over 2-3 treatments, collagen fill up from the depths of the pick scar. Scar specialists do not recommend fractional laser resurfacing for deep ice pick scars, as TCA peels or punch surgical excision out performs lasers in this setting. Specialist often combine a number of techniques to give the best possible results to patients. The concept is to map and treat each scar individually, using the best method available for the scar type. Darker skin patients may develop slight darkening of the treated skin (1-2mm areas), but this fades over a period of weeks. As a guide, Specialist recommend that an extra one or two treatments be performed, as a lower concentration of TCA is used in darker skin patients. I often combine a few methods including punch excision and punch grafting with TCA cross in this situation.
The idea behind this technique is to raise up deep scars to a level in which all scars are equal.
I used TCA Cross for the large ice pick scar, as well as erbium laser with fractional resurfacing.
Dermatologists offer several procedures to treat these scars, including surgery, but these procedures often don't completely level the skin.
Heredity also plays a distinct role, since acne sufferers whose parents or older siblings developed scars are more likely to get scars themselves. Since Artefill's approval, many physicians also have used it to raise and fill acne scars as well as wrinkles.
You probably won't be able to feel the filler after the procedure, but you might experience swelling, redness and potentially some bruising for about a day afterward. In addition, a few patients who receive Artefill injections will develop lumps or granulomas at the injection site, which can be removed by a physician. TCA CROSS chemical peels can be safely used in all skin types, and in our hands has an excellent safety profile. Under sterile conditions in a procedural room, the treating Specialist uses an applicator to instill a tiny amount of TCA into the base of the scar.

Once deep acne scars are raised up to form a shallow scar, we then use laser to complete the scar revision process.
Once the depth of scars are in the same plane, laser treatment can finish off the treatment.
Often we will prescribe a bleaching agent before and after the TCA Chemical peel procedure, as this can fade darkened scars.
Cosmetic and laser dermatologists are equipped with training, expertise and the latest technology to deliver the best results to patients. This gives me the best chance to remove the remainder of acne scars with laser resurfacing, or RadioFrequency. Depressed scars develop most often, although some acne patients can develop raised scars or skin discoloration. Unlike temporary fillers that last only a few months, Artefill combines collagen with microspheres designed to support the collagen. Surgery plus facial filler injections can improve your skin's appearance more than either procedure would alone.
If you think Artefill injections might help improve your depressed acne scars' appearance, discuss the procedure with your dermatologist.
Remember, most patients will have a number of different types of scars, and hence a combination of treatments will be needed.
The doctors at Acne Specialist Clinics are doctors who undergo Specialist training in dermatology and then further their skin training in treating acne scarring.
For darker skin patients, an extra one or two treatments are needed, as the concentration of TCA is decreased.
However, a new dermatological facial filler called Artefill shows promise for filling these depressed scars for up to 10 years.
While your body eventually absorbs the collagen, the microspheres continue to support the skin. We tailor the concentration and technique of chemical peeling according to the skin type and depth of acne scars.
Very rarely do patients present with only one type of acne scar and hence a multiple treatment approach works best.
Artefill's manufacturer reports that results will last for at least one year, but some physicians who have tested the product over time say its effects can last up to 10 years.
It is essential that sun exposure is avoided in all patient for at least 2 weeks following a TCA chemical peel.

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