Cdue to stress and post-pandemic, acne, even late, it is increasing, and with it the risk of finding oneself with Scars on the face that are difficult to heal. It is essential before starting any type of treatment understand the type and resort to a specific and tailor-made routine.
When acne leaves its mark, scars
As he explains Cristina Sartorio, aesthetic doctor from Turin and Sies contact person for PiedmontItalian Society of Surgery and Aesthetic Medicine, has increased request to reduce the signs of skin pathology: «Acne scars have important psychological implicationsespecially among young people for whom the problem is can have a strong impact on the quality of self-perception and social life.”
What to do? «First of all, put an end to the widespread habit of squeezing ed eliminate pimples, worsening bacterial spread» explains the expert. «Then the scars can be effectively treated, with positive implications also from a psychological point of view, right from the first sessions».
How do we intervene to mitigate them? “Exist device precision medical devices capable of acting specifically on the surface of the scar, stimulating new collagen production: among the most advanced technologies is vertical needling, an effective method of regenerative aesthetic medicine. This treatment can be modulated on every type of scarfrom those of acneic origin to post-traumatic ones, from those left by chickenpox to insect bites.”
Different scars, which category do they belong to?
Identify which one The type of scars belong to is fundamental: each reacts differently to the type of treatment.
Scars are divided into atrophic and hypertrophic. The first they are the most common and are called depressed because they are found under the skin and are formed when the epidermis does not produce collagen while the wound is healing. In turn, atrophic scars are divided into three types.
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1. Boxcar, the U-shaped scars
«They are large, U-shaped scars and have sharp edges with straight, well-demarcated vertical edges and they can be more or less deep. The more superficial they are, the better they respond to skin resurfacing treatments” continues the doctor Cristina Sartorio.
«Microdermabrasion and medium-superficial or medium-deep peels are excellent for almost all skin types, as is Co2 laser. The latter must be done with caution as it could lead to of pigmentary changes in darker skin phototypes and create post-inflammatory pigmentation. For this reason it is better to pre-treat darker skin types with depigmenting creams or solutions, for example a 4% hydroquinone in galenic formula for at least 4-6 weeks, before starting these treatments”.
2. Ice pick, V-shaped
They are V-shaped atrophic scars, they may be deep and appear as small round or oval holes: “It’s more difficult to treat because they can extend far below the surface of the skin. The treatment modality involves the use of trichloroacetic acid, but fractional Co2 laser and needling are also very useful.”
3. Rolling, round and wavy
«They appear as large depressions with rounded edges, they have an irregular appearance but tend to be round and wavyare generally very deep and the most effective techniques to treat them are microneedling and non-abrasive fractional laser.”
Hypertrophic acne scars, the most common on the chest and back
This second macro typology of scars is instead widespread on the chest and back. It appears when, unlike the previous ones, too much collagen is present during healing. They appear hard and raised and you can also form on the chin and jaw.
In this case, what type of treatment is appropriate? «The techniques vary from intralesional infiltration of steroids, to laser to microneedling» concludes the expert.
When and how to intervene
«Acne scars are generally healed during the winter months because you need to protect your face from any damage caused by sunlight. The choice of the therapy to choose therefore depends on the type of scar, needling tends to give the first results after just a few weeks. Laser therapy, on the other hand, takes longerbecause the sessions must be spaced out over time, approximately four to six weeks” concludes the doctor.
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