Treatment of acne scars
The success of scar treatment varies in proportion to the depth and density of the scars. The main treatment methods used in the treatment of acne scars are:
Chemical peeling:
It is a form of treatment using various fruit acids. Fruit acids interact with skin proteins, and thus they decompose in the uppermost dead skin layer, causing the uneven appearance on the skin to disappear.
In addition to mild acne scars, active acne lesions and black and white spots are also treated with superficial peelings. It also tightens the pores.
Medium depth chemical peeling is effective in deeper scars.
Chemical peeling is not done in summer. It is recommended that people undergoing this treatment use sunscreen agents very carefully. Side effects include redness, irritation, and spotting if sunscreen is not used.
Dermaroller treatment:
They are mini treatment devices in the form of wheels or rectangles with at least 192 microneedles on them. The lengths of these small needles vary between 0.5 mm and 2.0 mm. The greater the length of the needles, the greater the depth they penetrate. Thanks to the microchannels opened in the skin with these needles, blood circulation increases, the absorption of the therapeutic products used together increases 200 times, and by starting the wound healing process with the damage done to the skin, it provides the formation of new connective tissue synthesis. It is a very simple but very effective method.
As a side effect, no significant side effects are expected apart from mild redness and bruising.
Microdermabrasion:
It is the peeling of the skin with crystals moving with high pressure. These crystals cause damage to the skin and stimulate new collagen synthesis. Successful results are obtained in superficial acne scars when applied for at least 2 to 4 sessions once a month. However, it is often used as a combination therapy.
As a side effect, redness that lasts for a few days and spotting can be considered if not protected from the sun.
PRP treatment:
PRP treatment, which means platelet-rich plasma, is especially effective in macular scars in the form of staining. It is preferred to use it in combination with dermaroller or laser treatment in deeper scars. With this treatment, the plasma part of the blood taken from the person is separated. This plasma is taken into special tubes. Thanks to the activators in the tubes, the platelets in the plasma are stimulated. When tissue factors released from stimulated platelets are applied to the skin by needling or mask method; By stimulating the stem cells, it makes new cell synthesis and thus a much smoother skin begins to form.
As a side effect, no side effects other than bleeding and bruising are expected since it is applied with a needle. Since the blood taken from the person is used, there is no risk of allergy.
Laser therapy:
Laser therapy is effective in the treatment of acne scars in two ways: It stimulates restructuring by damaging the skin surface and helps to form a stronger connective tissue by increasing collagen synthesis.
Lasers that are effective in acne scars without creating scars on the skin:
Q-Switch Nd-YAG laser: It is especially effective in staining and not very deep scars. It also has therapeutic properties in active acne lesions. At the end of an average of 4-8 sessions, once every two weeks, there is a significant improvement in acne scars. No reaction other than redness is expected after the treatment.
Fractional laser: It is a powerful laser that is effective in acne scars that are in the form of spotting, as well as in acne scars with a lot of depth. In addition to stimulating new and regular cell synthesis by causing heat damage in irregular cell groups that cause acne scars on the skin; It tightens the skin by increasing collagen synthesis. Thanks to this tightening, the scars become less visible.
A minimum of 4 sessions every 2 weeks is recommended. Although there is redness and swelling after the treatment, these effects regress within a maximum of two days. Since it does not peel off the skin, the person can continue with his daily activities.
Radiofrequency therapy:
Increasing the tightness of the skin with radiofrequency treatment before laser treatment in people with very deep scars; increases treatment success. Radiofrequency waves increase the temperature of the subcutaneous connective tissue. Through this increase in temperature, the synthesis of collagen, which forms our connective tissue, increases and a much tighter skin is formed. Collagen synthesis is a long process that takes an average of 6 months. With laser or other acne treatments to be performed during this period; much better results can be obtained.
Although radiofrequency treatment is performed as 1 session, no reaction other than a slight redness is expected as a side effect. The person can continue with his daily activities.
Filler injection:
Especially with the method of filling the bottom of medium and deep scars, scars can be reduced. This treatment is more effective when done in combination rather than alone. Although hyaluronic acid is used as a filler, filling with autologous fat is one of the most effective.
