Fillers for Acne Scars – How They Work

A common issue for many people during their teenage years is acne (which is primarily a hormonal condition). Sensitivity to these male hormones, combined with bacteria and fatty acids within oil glands, can cause acne. Common sites for acne are the face, chest, shoulders, neck and backs they are all sites of oil glands. Acne can sometimes leave behind scars that can be corrected with fillers. One of the many treatments for acne scars is fillers that can be used on areas of the face including the cheeks, nose, lips and chin as well as around the mouth.

Learn how dermal fillers work to treat and reduce acne scars

Fillers for Acne Scars Explained

  • Dermal fillers are injected into the skin to raise depressed areas of acne scars or stimulate the natural production of collagen in the skin. Different options for fillers include the use of hyaluronic acid (Restylane and Juvederm), poly (methyl methacrylate) (PMMA) microspheres with collagen (Bellafill), poly-L-lactic acid (Sculptra) and autologous fat transfer that is fat transferred from your body into the acne scar.
  • If the filler you have decided to take contains bovine collagen, you will have to take part in an in-office allergy test and share both your medical and allergy history to make sure you’re not allergic. In this test, collagen will be injected into your forearm and you will be monitored for any negative reactions. If you show no reaction to the test, you will be able to go ahead with your appointment. Your doctor will mark your face in order to know the exact spot to be injected. Each syringe of filler will contain the numbing agent lidocaine to make the procedure less painful. The procedure can take anywhere from 15 minutes to about an hour depending on the depth of the scar and the size of the treated area.
  • Bellafill is dermal filler that is used to treat acne scarring. It is made of collagen which is used to add volume to the skin and small poly (methyl methacrylate) (PMMA) beads used to structurally support the skin. Keep in mind that you must be over the age of 21 to receive Bellafill and not have any allergies to bovine collagen. Bellafill is said to work on both men and women with a variety of skin types. Bellafill is considered long-lasting or permanent and is the only FDA-approved filler to treat acne scars.
  • In some cases, hyaluronic acid fillers, like Juvederm or Restylane, may be used to treat acne scars. These fillers aim to improve the contour of the skin and reduce depressions in the skin caused by said acne scars. However, these fillers are considered temporary and you will need to have them injected every few months. Another type of filler, poly-L-lactic acid (Sculptra), is used as well. This substance is not like other fillers in that it won’t immediately plump your skin. Instead, it boosts the production of collagen to reduce the appearance of acne scars over a few months.
  • An autologous fat transfer can be considered more in-depth or invasive in comparison to fillers as fat is pulled from your body to be injected into your acne scars. The final results depend on how much of the injected fat will develop a blood supply and survive.

Safety of Dermal Fillers for Acne Scars

All dermal fillers are generally considered to be safe even if it is necessary to perform skin testing for allergies prior to certain procedures such as the use of certain fillers with bovine collagen. Many of the newer fillers are made from sugar that is naturally found in the skin and the overall chances of them causing allergic reactions are rare.

There are still certain side effects that you need to be aware of including swelling, bruising, itching, redness and an allergic reaction to the lidocaine. Another risk is blood vessel occlusion which is when a blood vessel becomes blocked and can cause the skin to break down. It should be noted that this is rare for fillers used for acne scarring because they are typically placed in such a way where the risk of occluding a major vessel is unlikely.

The procedure is rather easy to perform so, after any fillers, you can resume most activities right away and you should be able to drive yourself home. Avoid strenuous activities and try not to itch or rub the injection site for a number of days after your treatment. Filler injections should only be performed in-office by a trained medical professional for safety and the optimum results. Be sure and consult with the medical professional before having fillers for acne scars to discuss any questions to concerns and to find out the type of results you can expect to see after the treatment. Once you and the medical professional are in agreement about the procedure, you can schedule your fillers treatment to address your acne scars.

– JM

Acne Scar Treatment Options for You

For many young people, dealing with acne can be tedious and frustrating. Acne flare-ups can be bad for your confidence as it isn’t visually or aesthetically appealing. Dealing with scars from acne can seem like double punishment since you’ve dealt with the pimples and now you have the scars to show as a reminder. The occasional picking and squeezing that tends to happen with dealing with the acne further increase the risks of scars appearing. Acne scars tend to be stubborn and there is no one solution that makes it easy to deal with them. Instead, there are many options whose effectiveness depends on the severity of the scars, the scar type, and the quality of your skin.

Common Acne Scars

The different types of acne scars vary depending on skin types and severity of the acne. The most common scar is the atrophic scar as it forms when not enough collagen is being produced when the wound is healing. There are many instances of this type of scar that includes the wide U-shaped boxcar scar, the narrow V-shaped ice pick scar (that tends to be the most difficult to treat) and the rolling scar.

The hypertrophic (or raised) scar tends to appear after a serious case of chest and back acne as they appear above the surface of the skin caused by too much collagen when healing.

Discoloration and dark spots that appear after a case of acne are often mistaken to be a scar but this is not the case. These spots tend to go away or fade after a few months without treatment.

Types of Acne Scars

Acne Scars Treatment

When starting your treatment for scars, it is important to treat your acne first and seek the help of a dermatologist. A dermatologist will be able to tell you exactly what is going on with your skin so you will know what treatment would be best for you. As stated before, the type and condition of the skin makes the effectiveness of treatments vary. The dermatologist can also let you know if your condition is related to the acne or not.

  • AHAs – or alpha hydroxy acids – tend to be found in products treating acne and work to remove dead skin and prevent clogged pores. This process is done by exfoliating the outer layer of the skin. Lactic acid is found in many products and is often recommended as a home treatment with it being in many peels, ointments and even distilled apple cider vinegar.
  • Many lotions and face cleansers contain salicylic acids which are also found in many different treatments. Salicylic acids work to reduce redness and swelling while exfoliating and clearing pores. Products containing salicylic acids can be used in daily routines or they can be used for less frequent chemical peels. One of the side effects of salicylic acids is that it tends to cause dryness or irritation and it is recommended that those with sensitive skin use it less often.
  • Given the fact that sun exposure can make scars much more visible or darken them, it’s also recommended that you wear sunscreen every day. However, while “at home treatments” can help mild or moderate situations, some cases will require the care of a skin specialist or healthcare provider.
  • One of the more effective and common treatments for acne scars is dermabrasion. Dermabrasion employs the help of a wire brush to deeply exfoliate the skin. Chemical peels use a strong acid to strip away the top layer of skin and tends to have much more dramatic results in comparison to the ones used at home.
  • An option that works similarly to both dermabrasion and chemical peels is the use of laser resurfacing. This removes the top layer of skin and actually has a faster healing time. However, when undergoing this treatment, you must remain bandaged until you are fully healed. There is also the fact that laser resurfacing isn’t as effective on those with dark skin.
  • The use of injectables has become an option to treat acne scars as some healthcare providers have started to use them. Fillers can be made with collagen and/or commercial filler and injected into the skin to fill out areas that need a more plump and smooth look. If you deal with boxcar and rolling scars, fillers would be your best option. For the most part, fillers would have to be redone every 6 to 18 months but there are some out there that are permanent and wouldn’t require more than the initial injections.
  • For the more deep and raised scars, there’s always the option of surgery. Dermatologists or surgeons can completely remove the scar and, while it leaves behind a scar of its own, it can eventually fade with time.

While most these treatments may work, there is also the possibility of more permanent scars that may not be able to be eliminated. However, providers can offer solutions to reduce their appearance. At the end of the day, in order to reduce the chances of further scarring it is required that you refrain from picking at your skin during acne breakouts as it can irritate and damage the tissue that will eventually lead to scarring.

– JM

MedScar Medical Watch: Causes and Treatments of Acne Scars

If a person suffers from acne as a teenager or as an adult, there is a good chance that a scar will appear during the process of treating the acne that appears on the body. In general, scars are a common side effect of acne. They can occur when the deep parts of the skin tissue are irreversibly damaged and are then replaced by scar tissue.

Thankfully, there are multiple methods that can be used to prevent scarring on a patient as well as treatment options that can also reduce scarring.

What is Acne?

Acne is a skin condition that is considered to be chronic. It impacts close to 633-million people around the world. Acne occurs when the hair follicles of a person become clogged with dead skin cells. Some of the most common symptoms associated with acne include blackheads, pimples, whiteheads, oily skin and scarring. Acne is most prominently seen on areas of the skin that contain a large amount of oil glands. These areas of the body include the face, the back and the upper part of the chest.

What are the causes and treatments for acne scars

Types of Acne Scars

Scarring can impact almost 95% of people that suffer from acne. These scars are formed secondary to any inflammation seen in the dermal layer of the skin as part of the response from the immune system to dead skin cells. The layers of the skin that are damaged are then replaced by fibrous scar tissue.

In general, there are two types of acne scars. The difference in the way they are classified depends on the presence of excessive collagen accumulation or collagen loss in the tissue that is damaged.

  1. Atrophic acne scars most commonly impact the face of the person. These scars have a depressed surface of the skin that sits below healthy skin tissue. This condition is caused by a loss of collagen in the skin which results in a reduction of the skin’s ability to form healthy connections between the cells and the basal layer. The 3 types of atrophic acne scars are
  • Rolling scars – Scars with an irregular appearance with edges that are typically rounded
  • Ice pick scars – Scars that are narrow and deep
  • Boxcar scars – Wide scars that have a U-shape while including sharp edges that vary in depth
  1. Hypertrophic acne scars are created when excessive collagen has accumulated in the skin during the formation of scars. These scars are normally raised above the surface of the healthy skin that surrounds it and they usually appear on the chest and the back.

Preventing and Reducing Acne Scars

A balanced diet that is low in carbohydrates is recommended to help decrease the severity of scars. In order to reduce inflammation, patients are advised to use daily skin care products that are hypoallergenic so they do not cause skin irritation. Some over-the-counter skin care products help reduce inflammation and skin discoloration. However, the results are often dependent on the skin type of the patient.

The treatment plan for acne scars depends on the type of scar tissue that has formed on the body. In general, hypertrophic scars are easier to treat than atrophic scars since they do not impact the deep layers of the skin. If a scar is considered to be shallow, it will respond better to a treatment plan.

Patients can use in-office or in-home treatments to treat their acne issues. Acne treatments all work to reduce inflammation, alter hormone levels, target any bacteria and/or skin shedding and sebum production.

Popular at-home acne treatment options include topical therapies that use alpha hydroxy acid, salicylic acid, azelaic acid, nicotinamide, benzoyl peroxide and retinoids. There are also systemic therapies that use keratolytic soaps, antibiotics, anti-androgen medications and hormonal therapy.

When it comes to treating acne, the most commonly used treatments that are listed above include topical benzoyl peroxide, retinoids and antibiotics. Some of the above treatment options can be combined with each other to produce superior results.

In-office acne treatment options include light therapy, dermabrasion, laser therapy, dermal fillers and microneedling.

Before deciding on any kind of acne scar treatment, patients should consult with a board-certified dermatologist to determine which approach is the most effective one to achieve the desired results.

Learn how to Finally Get Rid of Acne Scars

Once those red or white menaces make an appearance on your face, you normally have three to five days of dealing with the unsightly appearance of pimples. While some people have the ability to leave these little monsters alone, others tend to pick, scratch and pop them until there’s no life left in them. Doctors and dermatologists suggest that leaving pimples alone can help minimize the aftermath since further trauma to the skin can cause acne scarring. However, even a pimple that is untouched can turn into acne scarring that seems impossible to conceal. Nevertheless, scarring doesn’t have to be permanent. Learn how to finally get rid of acne scars.

Acne scar removal

At-Home Treatments for Acne Issues

Skin care experts agree that there are numerous ways to prevent and treat acne scarring. Resurfacing products can help with existing acne and acne scars. Glycolic acid and Lactic acid help to minimize the depth and severity of scars while working to keep the pores clear. A cream with the active ingredient of salicylic acid can also work well. Retinol or vitamin A is known for a variety of skin-boosting benefits but few know about its resurfacing attributes which can help with acne outbreaks and scar healing. In mild doses, vitamin A can dry up the production of sebum. When there is less sebum in the pores, the odds of the pores becoming clogged is reduced which decreases the chance of an outbreak. In a case where a person already has scarring caused by acne, vitamin A promotes shedding of the dead skin cells. This stimulates cell turnover and collagen production to help minimize the depth of scarring and combat existing blemishes. While these treatments can work very well, it can take time to see great results. Therefore, some people opt for one of several clinical treatments that can quickly and effectively remove or reduce acne scarring while clearing the pores for a brighter complexion.

Non-Invasive Treatments for Acne Scarring

Microneedling, dermal fillers and microdermabrasion are some of the less invasive clinical treatments available for acne scarring. Each of these treatments can minimize the appearance of scars by allowing the body to naturally heal itself while encouraging or increasing collagen production. Microneedling uses tiny acupuncture-like needles to encourage the skin’s natural repair system. This treatment does not remove any layers of skin so it can be performed on any skin type and has minimal recovery time. Dermal fillers can be used to fill-in depressed skin that is created from volume loss caused by the inflammatory process during an acne infection. The filler is injected into the depressed scar to plump up the skin. Most dermal fillers are made of hyaluronic acid which naturally occurs in the body. Therefore, they are easily accepted by the body and have little to no side effects or recovery time. However, dermal fillers are temporary and will be naturally absorbed by the body over time. Microdermabrasion is a treatment which uses a diamond tip device or a spray of fine crystals to buff the superficial layer of dead skin cells. The body interprets the exfoliation as an injury and replaces the dead cells with healthy new cells. Microdermabrasion can also be used on all skin tones and does not require a lengthy downtime. Since these non-invasive treatments tend to be gentler, it can take several treatment sessions to gain adequate results.

Customized Treatments for Acne Scarring

Alternative treatments may include laser resurfacing or chemical peels. Both treatments are considered minimally invasive. Laser resurfacing and chemical peels can be customized from light treatments with a minor recovery period to an aggressive treatment requiring up to 14 days of recovery. These treatments work by removing the top layers of skin with either heat or chemicals creating a controlled wound. The body will respond to the trauma and create a new layer of skin which will be smoother and firmer looking. Although these cosmetic procedures have the potential for a higher rate of complications, they can quickly and effectively treat acne scarring with as little as one treatment. Anyone considering these treatments should consult with a board-certified doctor to see if laser resurfacing or a chemical peel is right for them since these treatments are not recommended for patients with darker skin tones or certain medical conditions.

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Discover the Beverly Hills Skin Care Routine Kendall Uses on Acne Scars

Acne can be a problem for both younger and older people and this includes celebrities. Acne comes in various levels of annoyance and can affect stars like Kendall Jenner. Acne can be seen as tiny white heads or black heads. They can be sporadically placed in the most inopportune areas or appear in large clusters along the forehead, chin and cheeks. There is also inflammatory acne that sits like a large red bump that nobody can miss. People who suffer from frequent acne breakouts can end up with acne scarring which may require treatments such as fillers or laser resurfacing. The best way to combat acne scarring is to treat the skin or acne before it gets out of hand. Let’s see how Kendall Jenner got her acne issues under control.

Get Help for Acne Issues

Kendall Jenner acne scar careAs a teen, Kendall Jenner struggled with whiteheads across her forehead and cheeks. Like most young girls, this caused her some embarrassment and self-esteem issues. Kendall, who is now 20, got her acne issues under control with the assistance of dermatologist Dr. Christie Kidd from Beverly Hills. Dr. Kidd treats most of the Kardashian-Jenner family and helps them look gorgeous with or without makeup. Now, Kendall wants to help others struggling with acne or acne scarring with some skin care tips and routines.

Skin Care Advice

Kendall’s top advice to everyone with acne or frequent blemishes is to not use abrasive or exfoliating scrubs on the face. This includes the ones by Proactiv, Olay and Clairsonic. Rotating brushes are also a big skin care “No No”. Dr. Kidd recommends not washing the face with anything abrasive. The face should be treated very delicately and just washed with the hands. According to the doctor, using anything abrasive on acne can increase zit inflammation and make it worse.

In addition, a washcloth can be rough on the skin and can spread bacteria from the washrag to the skin. To eliminate this risk, a person should use a clean washcloth on a daily basis.

Protect the Skin

Once the face is clean and dried with a soft towel, Kendall wipes her face with an Acne Fresh pad to put the medicine onto the skin. To protect the skin from harmful UV rays during the day, the doctor suggests using a lotion called EltaMD Clear. EltaMD Clear is a sunblock, with acne medication in it, which does not leave the skin feeling greasy. This skin care regimen allows Kendall to walk the red carpet with smooth, healthy looking skin.

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Ways to Treat Acne Scars and Marks

Pimples occur due to an inflammation under the skin that is caused by the pores becoming clogged with dead skin cells as well as excess oil and bacteria. Exfoliating the skin with a chemical exfoliant is necessary to keep the skin healthy and clear especially with people who are prone to breakouts. Although many people see themselves as expert pimple poppers, this generally leads to further destruction of the tissue and even an acne scar. Therefore, popping pimples should never be the option. However, some pimples, when left alone, can create a scar on their own. Cystic acne is a type of inflammatory acne which causes painful lesions under the skin. Due to a rush of white blood cells and enzymes in that region, the lesions never really make it to the surface and the infection spills out under the skin’s surface. As the skin tries to heal itself, acne marks and scars may form.

How to Treat Acne scars

Acne Marks VS Acne Scars

An acne mark is not the same thing as a scar but it can still leave the person with noticeable flaws on the skin. People with lighter skin tones usually develop post-inflammatory erythema or marks that appear as red or purple. People with darker skin tones will generally have marks that appear brown in color and this is known as post-inflammatory hyperpigmentation. These marks generally go away on their own but they can take 6 months or more to disappear. Acne scars are generally formed when the acne lesion destroys the collagen and elastin in the area but they often happen during acne popping or picking. This is because an indentation is created and the body is not able to regenerate the tissue properly and this results in a scar. Therefore, the best way to prevent an acne scar from occurring is to leave it alone. People who are prone to cystic pimple outbreaks may benefit from a cortisone injection to reduce the body’s inflammation levels and pimples within 24 to 48 hours and to lessen the chance of scarring.

Treating Acne Marks and Scars

If acne marks or scarring does occur, there are many treatments which can be used to improve the skin’s appearance.

  • People with darker skin tones may be able to treat a brown mark using an at-home exfoliating product with glycolic or salicylic acid to bring the dark skin cells to the surface
  • Retinoid skin products can be used for both types of acne marks
  • Applying a broad-spectrum sunscreen whenever going outside can help to reduce the appearance of marks and scars since the sun can intensify or darken a scar
  • Cortisone cream can be purchased, without a prescription, and used to reduce the appearance of a red or swollen scar
  • Cortisone injections can be used to calm down a red or raised scar
  • Ablative lasers can vaporize the scar and promote smoother skin
  • Non-ablative lasers can promote new collagen formation to fill-in acne scars
  • Dermal fillers can be used to fill-in depressed or “ice pick” scars but this method is temporary and will need repeat treatments, every 4 to 6 months, to maintain the results

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