How Are Acne Scars Treated?
Several surgical and non-surgical techniques are available for acne scar revision and your cosmetic surgeon will discuss the most suitable option for your particular situation.
Excisional surgery: Acne scar surgery is considered the most effective treatment method to treat depressed acne scars. It aims to convert a bigger, deep scar to a smaller, flat scar which can be treated with laser resurfacing. All these techniques are performed under anaesthesia.
- Punch Excision – Punch excision is a technique used to correct ice-pick and deep boxcar scars. In this method a round, sharp and small sized (matched to the size of the scar) punch biopsy tool is used to remove the entire defect. The edges will be sutured
- Punch Elevation – Punch elevation is a technique used for wide boxcar scars. A punch tool similar to a punch excision tool is used to excise the base of the scar but the walls of the scar remain intact. After the scar is removed, the remaining basal tissue is then raised to the surface of the skin and attached with sutures or steri-strips
- Subcutaneous Incision – This technique is used to treat rolling and depressed scars. A special needle is inserted under the skin to separate the skin from the scarred surface. The scarred surface will then be flattened
- Shave Excision – Shave excision is a technique to treat elevated and hypertrophic scars or keloids. The scar is removed with a flexible blade or scalpel to bring it in level with the surrounding skin
- Fusiform (Elliptical) Excision – This commonly used technique is preferred for elevated and hypertrophic scars as well as depressed wide scars
It is important to remember when undergoing any treatment for acne scars that improvement is the goal. Several treatments may be necessary to achieve optimal correction, where your cosmetic surgeon may suggest combining different surgical and non-surgical techniques.