Many people will have acne in their lifetime. Acne will start in the early years of puberty and disappear by the early twenties for a majority of people who have it. However, some will have the condition continue for as long as the early forties. As a rule it will lessen over time for most, but there are some that will suffer from it their entire life. A number of people who have acne need surgical treatment to correct the changes that acne scarring has made to their skin.

Acne scarring occurs from inflammation of some of the large nodules of the skin. Cysts occur and are found in deeper tissue of the skin than regular acne.  The skin and underlying tissue will try to heal and an overproduction of collagen in one area makes a scar. The most common form of acne scarring is referred to as ice pick scars because of the appearance as an indent in the skin surface.

Other than ice pick scars with acne there are other types of scarring. Some sufferers will see hypertrophic scars which are keloid or thick scars. Others will have rolling scars which make the skin look like a wave in the ocean. Finally there are box car scars which generally are on the face and look like chickenpox scars.

Whatever type of acne scars are found people who have them want them gone.  The psychological benefits from acne scar removal are the most important factor in wanting them gone. Scarring from acne can generally mark a lower self-esteem, self-consciousness and there are even extreme cases where depression is the result of acne scars. Surgical treatments for acne scarring can vary. These are some of the best surgical acne scar treatments that patients can find in the industry today.

Laser resurfacing treatment

Acne scarring treatment by laser resurfacing is a process where under twilight anesthetic a patient has the top layer of skin removed by a laser or burning procedure. The top layer of skin is burned and will reheal with newer appearing skin. This medical procedure is used for patients that have scars from acne raised above the skin. The recovery for laser resurfacing is a couple of months.

Derma filler treatment

Another acne scar removal treatment is using derma filler. Derma filler treatment is injecting medication into the skin to raise it and give it a smoother look for sunken acne scarring. Some derma filler medications used include hyaluronic acid derivatives, bovine collagen, human collagen, fat and microspheres that include collagen. Generally a patient will receive several treatments because the derma filler treatment is not permanent.

Punch excision

Acne scar treatment for punch excision is performed with a patient under general anesthesia. A biopsy tool is used to cut out an acne scar and then edges of the skin are sewn back together. Although a new scar is produced  it will heal better and eventually fade away a lot less noticeable than the original acne scar.

Various patients have scars large enough to result in some skin grafting takes  skin from behind the ear and replaced where a scar may have been punched. Deeper boxcar acne scars may have to have the skin raised before sutures are applied. The best acne scar treatment candidates for punch excision are scars raised against the skin.

Subcision treatment

Subcision treatment is generally used for rolling acne scars. Local anesthesia is used and a needle is inserted under the skin. The needle is used to cut the tethering bands of the acne scar for removal. Patients need a week or more to recover and some bruising will generally occur.

The best surgical acne scar treatment for each patient can vary. All surgical treatments come with the general risk of surgery and anesthesia that are not related to acne. Additionally, each procedure results differ and the outcome is never guaranteed. After visiting with a physician find the best removal treatment for acne scars based on your personal situation.