Introduction and background
There are many procedures that can be used to correct acne scars. Each procedure has its own risks and benefits, and several procedures are normally combined to create the smoothest appearing skin. The following expert review article is intended to highlight some of the frequently used medical, surgical and natural methods to treat acne scars:
Methods for correction of acne scars
Punch Excision and Punch Replacement
With this method the scar is excised with the punch tool as above. Instead of suturing the skin edges together, the defect is filled with a punch skin graft usually taken from behind the ear. With this procedure a color and texture difference may be noticeable, but a skin resurfacing technique can be used 4-6 weeks after the grafting to correct this difference.
This method of surgically correcting acne scars is used on deep boxcar scars that have sharp edges and normal appearing bases. The same punch tool as above is used to excise the base of the scar leaving the walls of the scar intact. The excised base is then elevated to the surface of the skin and attached with sutures, steri-strips, or skin glue called Dermabond. This method lessens the risk of color or texture differences as can be seen with graft replacement, and lessens the risk of producing a visible scar as can be seen when wound edges are sutured.
Subcutaneous Incision or Subcision
Subcutaneous incision, also known as Subcision, is used to break up the fibrous bands that cause rolling scars. Subcision is performed under local anesthesia by inserting a specially beveled needle under the skin so that it is parallel to the skin surface. Staying in the plane between the dermis and the subcutaneous tissue, the needle is gently advanced and retracted in a piston-like motion cutting the tethering bands. This procedure causes bruising which fades after about 1 week. The risks of subcision include bleeding and the formation of subcutaneous nodules. Bleeding can be controlled with proper use of anesthetics and bandaging, and the subcutaneous nodules can be treated with injection of corticosteroids into the nodule.
Laser resurfacing has become a popular treatment for many skin defects. The most popular laser types used for resurfacing of acne scars are the carbon dioxide (CO2) and Erbium:YAG (Er:YAG) lasers. Lasers work by essentially burning the top layers of skin to a specific depth. The skin then heals replacing the burned layers with newer appearing skin. Recently a new type of laser called fractional laser has become available and this is safer than conventional lasers.
Natural Acne Supplements
One of the most advanced and research-based and â€śhome basedâ€ť treatment options for the treatment of acne scarring has recently arrived in the form of natural & herbal products. These anti-acne kits (for example, such those mentioned here) actually comprise of a â€śsystemâ€ť consisting of several treatments that all work together to address various issues related with your acne simultaneously. These natural and herbal remedies consist of a variety of components including of a skin mask, lotion, cleansing oil, anti acne tea and various extracts / essences. The best part is that, to date, no side effects have been reported even after regular and continuous use of the safe and recommended anti-acne products.
In this modern era of “evidence-based therapyâ€ť, an important skin disorder like acne needs to be addressed seriously. As acne affects your sensitive skin on multiple levels, you need a therapy that could manage the issue (particularly the most serious issue of acne scarring) on multiple levels, simultaneously. In other words, to deal with acne, you need a “combination therapy” composed of multiple components.
Accordingly, you should choose a multi-component acne-treatment system that offers hope for many who believe in the potency of alternate or herbal health solutions.
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