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Acne and acne scar treatment is an area that we specialise in treating at Clinic 54. The approach to treatment is often multimodal to achieve the desired result.

Acne scarring is the result of fibrous tissue healing with new collagen being laid down. It affects up to 30% of those with moderate or severe acne vulgaris. It is particularly common in nodulocystic acne, acne conglobate and acne fulminans.

Acne can be associated with post-inflammatory colour changes seen after acne lesions have healed:

  • Post-inflammatory – pink or purple flat patches
    • Post-inflammtory pigmentation – brown marks seen in people with darker skin types who tan easily
    • Post-inflammatory hypopigmentation – white marks
This video will help explain the advantages of using Fotona lasers to treat Acne.

Treatment for post-inflammatory colour changes include:

  • Sun protection – brown marks will darken with sun exposure
    • Azelaic Acid Cream – reduces pigmentation as well as effectively treating mild to moderate acne
    • Hydroquinone Creams – inhibits the enzyme tyrosinase that causes tanning and reduces post-inflammatory hyperpigmentation
    • Superficial chemical peels ie glycolic or Jessner peels
    • Laser – to reduce inflammation and pigment
  • Persistent Scarring: the following types of scarring can occur with acne
    • Ice-pick scars – these are deep, narrow, pitted scars
    • Rolling scars – broad depressions with sloping edges
    • Boxcar scars – broad depressions with sharply defined edges
    • Atrophic scars – flat, thin or depressed scars
    • Hypertrophic or keloid scars – thick lumpy scars

Treatment options for acne scars:

  • Ice pick and boxcar scars
    • Dermabrasion
    • Laser resurfacing
    • TCA – chemical reconstruction of scarring with spot treatments
    • Subscision – a surgical technique in which the fibrous bands under the scar are divided allowing the skin to return to its normal position
    • Punch grafting for deep scars
    • Large scars can be excised and the defect closed to form a thin linear scar
  • Atrophic and rolling scars
    • Soft tissue augmentation techniques such as hyaluronic dermal fillers and collagen biostimulants
    • Dermabrasion
    • Skin needling
    • Laser resurfacing (er-YAG fractional and full field ablation)
  • Hypertrophic scars
    • Intralesional steroid injections into the body of the scar
    • Silicone gel dressings
    • Skin needling
    • Laser resurfacing
    • Surgical revision

Unfortunately hypertrophic and keloid scars are prone to recur.

Click to download more info about acne and acne scar revision