Acne scarring can be treated with a variety of modalities. Microneedling, subscision, lasers and chemical peels are all options that oftentimes work well in concert with each other. All modalities require a series of treatments spaced 4-6 weeks apart.
Microneedling procedures use twelve or thirty-six automated tiny needles to create controlled micro-injuries in the skin at precise depths to stimulate collagen and elastin production resulting in remodeling of scar tissue and improvement in skin texture, pigmentation, tone and fine lines and wrinkles.
Subcision is an outpatient surgical office procedure where fibrotic strands or scar tissue are broken up with a needle. This treatment is ideal for rolling acne scars (stretchable, depressed scars with gently sloping edges).
Energy based devices using wavelengths of light to specifically target water in the skin to heat and damage tissue to stimulate collagen production and remodel scars.
Fraxel is the gold-standard laser for removing acne scars. Fraxel usually requires a series of 4-6 treatments spaced 4-6 weeks apart for best results.
VBeam is another laser device that can be used to treat active acne and remove redness from recent acne outbreaks.
Chemical peels of a specifically selected strength and combination of chemicals are used to remove the epidermis and possibly superficial layers of the dermis to remodel scars.