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Acne Scars

If you or your child is unhappy about the presence of acne scars, we encourage you to consider treatment at the JolieMD Anti-aging Institute. There’s no need to live with feeling self-conscious about the appearance of your acne scars. In our Beverly Hills practice, we have seen great success in treating acne scars using a variety of techniques, including subcision and laser resurfacing that can quickly, safely, and effectively restore beautiful skin.

Why Choose JolieMD Anti-Aging Institute for your Acne Scar Treatment

The JolieMD Anti-aging Institute was started by Dr. Peyman Solieman and Dr. Jason Litner, both highly regarded, double board-certified facial plastic surgeons. Drs. Solieman and Litner consult with each of our patients at every visit to ensure that we are creating the best possible treatment plan to reduce or eliminate your acne scars. We have extensive experience in both surgical and non-surgical options for treatment of scars, and your treatment plan will be customized to your specific needs and goals. For those patients having fewer, more isolated and deeper “punched out” acne scars, subcision and treatment with either fat transfer or Juvederm will be the best option for you. For others with more superficial and diffuse scarring, you may be a better candidate for laser skin resurfacing. With either technique, both doctors will supervise your treatments to make sure that you get the best possible result.

How Acne Scars Form

When an acne lesion becomes inflamed, the pore grows larger and may break through the surrounding follicle wall. If infected material spreads from the lesion into the surrounding skin, the lesion grows deeper and larger. The body then attempts to repair the wound by growing new collagen fibers. The new growth may not match the appearance, texture, or smoothness of the surrounding skin. The infected lesion may also cause breakdown of surrounding fatty tissues.

Acne scars are associated with cystic acne and are less likely to occur after typical acne blemishes resolve (for example, whiteheads and blackheads). When whiteheads and blackheads disappear, there may be a discolored area of skin where the blemish was. This usually clears up within a few weeks or months and rarely requires treatment. Acne scars that cause a change in the skin’s smoothness or texture, however, are less likely to resolve on their own.

Types of Acne Scars

Acne scars are grouped into two categories based up on their appearance:

  • Hypertrophic Acne Scars form when the body produces too much collagen during the healing process. This results in an area of raised tissue where the blemish previously existed. This type is also sometimes mistakenly referred to as keloid scarring.
  • Atrophic Scars form when there is a loss of tissue in the area after the wound has healed, resulting in a depression in the skin. If the scar has a box-like appearance with steep sides, it is referred to as a “boxcar” scar. “Icepick” scars are gouge-like scars on the skin’s surface.

Treating Acne Scars with Laser Resurfacing

If you’re interested in correcting acne scars, we may recommend treatment with laser resurfacing. Our advanced laser platform features a fractional laser system that can effectively minimize acne scars. When fractional laser light is directed at acne scars, it breaks down existing scar tissue and stimulates the production of healthy, new tissue. It requires minimal downtime afterwards because it only treats a “fraction” of the skin, leaving healthy surrounding tissue intact to support the healing process. Best of all, the Icon laser can be used on all types of skin, from very light to very dark skin types.

What is Subcision?

Subcision is a technique used to correct depressed or indented acne scars and is more appropriately used when there are one or several deeply pitted scars with surrounding normal skin. In depressed scars, there has often been a loss of the normal fatty layer beneath the skin, causing the skin to be tethered more deeply to deeper tissues. With subcision, a needle is used to separate the scar bands holding the skin down to these deeper tissues, thus allowing the skin layer to lift back up flush with the surrounding skin. The space created by separating these layers is then filled with either temporary fillers such as Juvederm or with fat transferred from somewhere else in the body. Even though the scar is not actually removed, filling in the depression can make an astonishing improvement in the texture and visibility of the scar.