Solutions for Severe Acne Scars

Pitted acne scars are often a result of severe acne, pimples that reoccur in the same place repeatedly, or when pimple are picked at. These scars are difficult to get rid of but there are some options that can make the scar less noticeable or even remove the scar completely. The procedures can be expensive, so it is important to be well informed and choose a dermatologist you trust before going through the treatment. 

If you have minor scars that you want to treat, you may also be interested in on acne scar creams and  home remedies for acne.  For deep or severe acne scarring you will have more luck with the following procedures.


Dermabrasion for Acne Scars

Dermabrasion can be an effective treatment.  In dermabrasion an abrasive tool is use d to remove the top layer of skin which stimulates new skin growth.  As the skin regenerates it comes back newer, softer and smoother. The procedure can result in more even skin with pitted acne scars shallower and less apparent. Microdermabrasion is similar to dermabreasion but gentler.  Microdermabrasion uses very fine abrasive particles to remove dead skin. It doesn’t remove as much skin so it is not as effective in reducing the appearance of scars but may be helpful with more shallow acne scars.


Laser Resurfacing for Acne Scars

Laser resurfacing works to remove scar tissue with a special laser used on the top surface of the skin.  The laser injures surface skin tissue causing it to slough off.  The laser treatment also stimulates the skin to heal and grow new skin cells.  Laser resurfacing smoothes skin and can make pitted acne scars shallower and less noticeable.


Acne Scar Removal Surgery

For deeper pitted scars and ice pick scars dermabrasion and laser resurfacing may be less effective, but surgery can remove the scar completely.  Punch excision is a type of scar removal surgery in which the scar is removed with a surgical punch. The edges are brought together and stitched closed leaving a smaller surface scar.  This scar can be treated later with laser resurfacing or other surface scar treatments.  For larger scars, the punch wound can be patched with skin grafts that are taken from a less noticeable place like behind the ear.


Chemical Peels

For less severe pitted scars, chemical peels may be an effective treatment.  Like laser resurfacing and dermabrasion, chemical peels remove the outer surface of the skin allowing new skin cells to grow. Chemical peels use an acid such as glycolic acid to remove the surface skin cells. It is less effective than both dermabrassion and laser resurfacing for deep scars, but may be a cheaper option for less severe scarring.


Filler Tissue 

Another option is to use tissue fillers to fill in the scar. Collagen or fat is injected into the scar which stretches the skin and makes the surface more even.  Although this procedure can get good results, it is not permanent and must be repeated periodically to maintain the effect.


Pitted acne scars can be stubborn and difficult to get rid of, but there are options available to remove them completely or at least make them less noticeable and better blend into your skin.  If one option doesn’t work for you then another might. But, make sure to give your skin plenty of time to recover between treatments, because some of the treatments are aggressive and leave skin thin and vulnerable until it has had enough time to heal.  It is always a good idea to discuss multiple treatment options with your dermatologist to find the right treatment for you.