Acne Scar Treatment in Lehi, Utah

Acne, while a common skin condition, can leave behind unwelcome souvenirs in the form of scars. These scars can be frustrating and impact your self-confidence. But don't worry, there is hope! This comprehensive guide explores the causes, types, and treatment options for acne scars, empowering you to reclaim your beautiful skin.

Table of Contents

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    Types of Acne Scars

    Acne scars develop after the skin heals from acne breakouts. The type of scarring you experience depends on the severity and depth of the original acne lesions. Here's a breakdown of the three main types:

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      Boxcar Scars

      Most common acne scar. Wider, U-shaped scars with sharp vertical edges. Can vary drastically in size. A subtype of atrophic scars. 

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      Ice pick Scars

      Deep, narrow scars that resemble the marks left by an ice pick. A subtype of atrophic scars. 

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      Rolling Scars

      Wave-like depressions on the skin. Caused by fibrous scar bands tethering the skin down. A subtype of atrophic scars. 

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      Hypertrophic Scars

      Raised acne scars that form due to an overproduction of collagen during the healing process. They are more common on the chest, back, and shoulders. 

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      Post Inflammatory Hyperpigmentation

      Not necessarily a type of scar, but an optional characteristic of all acne scars. This plays an important role when considering treatment options.

    Types of acne scarring

    White

    -

    hypopigmentation

    White

    A lack of pigment. Scars will appear lighter than surrounding skin. 

    Brown

    -

    hyperpigmentation

    Brown

    More pigment from melanin. Scars will appear darker than surrounding skin. 

    Red

    -

    hyperpigmentation

    Red

    More pigment from hemoglobin. Scars will appear more distinct and inflamed than surrounding skin.

    Red & Brown

    -

    hyperpigmentation

    Red & Brown

    Sometimes distinct with both colors clearly delineated. Other times it may appear as dark brown or purple. 

    What Causes Acne Scarring?

    Here are the most common causes for acne scar formation. 

    Acne Severity

    Severity of the Acne:

    Larger, deeper, and more inflamed breakouts are more likely to cause significant damage and subsequent scarring. Think of a major explosion causing more structural damage than a small firecracker.

    Genetics

    Genetics:

     

    Just like some people are predisposed to certain skin conditions, genetics can play a role in how your skin heals and whether you're more prone to scarring.

    Skin Type

    Skin Type:

    While all skin types can scar, certain skin types, particularly darker skin tones, are more prone to developing hyperpigmentation (dark spots) and keloid scars.

     

    Duration of Inflammation

    Duration of Inflammation:

    The longer the inflammation persists, the more damage can occur to the collagen and surrounding tissue. Prompt and effective treatment of active acne is key to minimizing this.

    Picking & Squeezing

    Picking and Squeezing:

    Manipulating pimples, no matter how tempting, significantly increases inflammation and the risk of pushing debris and bacteria deeper into the skin. This almost guarantees more damage and a higher chance of scarring. Think of it as making the "battle" even more intense and destructive.

    How To Treat Acne Scars

    The good news is that several treatment options exist for acne scars. The best approach depends on the type and severity of your scars.

    Resurfacing to uneven skin

    Resurfacing treatments are the backbone of most acne scar treatment plans. These treatments address the core concern of scars being at a different level than surrounding skin, making them stand out. Resurfacing the skin is similar to resurfacing a road. Potholes and bumps once again become smooth. 

    • Uses tiny needles to create controlled micro-injuries in the skin, triggering the body's natural healing response and promoting collagen production.
    • A favorite treatment for acne scars because of its more affordable yet effective nature. 
    • Requires 6-8 treatments on average with tangible results seen after 3-4. 
    • A non-ablative laser resurfacing offers skin great resurfacing benefits with less downtime. 
    • A great treatment for scars that also have a brown pigmentation component. 
    • Requires 6-8 treatments on average with tangible results seen after 3-4. 
    • This is the strongest and best resurfacing treatment option.
    • Requires the least treatments among resurfacing options 1-3 treatments on average.
    • CO2 "Small" is most common for acne scars treating a specific area of acne scar concentration such as the Cheeks.
    • CO2 "Full" treats the full face for patients with more widespread acne scars, or as a final treatment following 1-2 "small" treatments.
    • This laser combines Resolve & CO2 "Light" laser treatments.
    • Requires 6-8 treatments on average with tangible results seen after 3-4. 

    Treatments for pigment in scars

    Second to texture, pigmentation concerns with acne scars are another reason for seeking treatment. As scars form they may appear with different coloration making them more pronounced. While this color fades naturally over years, it can be treated quickly and more easily than textural concerns. 

    • Brown pigment.
    • This laser targets melanin to create a more even skin tone. 
    • Requires 1-3 treatments for color, but typically done in longer resurfacing packages. 
    • Great for patients who also require resurfacing. 
    • Red pigment.
    • This laser targets hemoglobin to collapse blood vessels lightening red tones. 
    • Requires 1-3 treatments. 
    • Brown pigment.
    • Creams calm down overactive melanin to lighten skin.  
    • Requires application over time. Usually several months or even years. 
    • Doubles as a protectant from rebound pigmentation with other treatments. 
    • Brown & red pigment.
    • This laser combines Resolve & Vbeam laser treatments.
    • Requires 1-3 treatments. 

    Specialized treatments to maximize results

    These treatments are a little more niche and should not distract from the main focuses above. However, every acne scar is a little different. These treatment options are typically done before resurfacing to maximize results. You can imagine that if a specific pothole in a road is especially deep, if it's not addressed before resurfacing, you might be left with a smooth depression in that road. 

    Subcision for

    • Breaks up fibrous scar tethers. releasing skin to allow for evenness.
    • Included with CO2 "Full" or "Small" for patients who would benefit. 
    • Separate charge when done with other resurfacing treatments. 

    TCA CROSS for

    • Raises up the bottom of the icepick.
    • TCA 90% is a very strong acid applied with pinpoint precision to create a scar within a scar. 
    • Separate charge. 1-3 treatments are performed before doing any resurfacing treatments.  

    Dermal filler or saline for

    • Raises the scar up.
    • Small droplet injections below the surface of the scar. Physically hoists the skin up. 
    • Only required for deeper boxcar scars.
    • Separate charge & typically worked into other scheduled treatment visits.  

    Punch excision for

    • Scar is completely removed.
    • A circle incision or a "punch" is taken. Circle is closed with 1-2 stitches.
    • Only required for larger scars that are unlikely to improve with other methods.
    • Separate charge, usually self-pay medical pricing applies. Sometime is insurable.
    • Not done with other treatments in the same visit.

    Remember, treating acne scars takes time and patience. Consistency with your treatment plan is key to achieving optimal results.

    Before considering treatment, first!

    It does not make sense to invest time and money into your scars if new ones are being formed due to uncontrolled acne. 

    How To Prevent Acne Scars

    While some scarring may be inevitable, there are steps you can take to minimize the risk:

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      Treat acne early and effectively

      Acne scars are usually the result of untamed teenage acne. Seeking professional treatment for your acne early on before its severe will help ensure scars do not form. 

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      Avoid picking, popping or squeezing acne lesions

      This can worsen inflammation, spread acne, and lead to deeper scarring. 

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      Protect your skin from the sun

      Sun exposure can worsen hyperpigmentation and increase severity of scarring during the healing process. Wear sunscreen every day. 

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      Use an acne smart skincare routine

      Choose products that are formulated for acne-prone skin and avoid harsh scrubs and irritants. 

    Types of acne scar visits

    Medical acne visit

    For new or existing medical patients who are concerned about acne scarring. You will be diagnosed and  discuss treatment options with a medical provider who does not specialize in acne scars. 

    Cosmetic Consults

    For new patients or existing medical patients. To discuss cosmetic treatment options for acne scarring.

    Acne scar FAQ

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