Acne or pimples are regarded as one of the most frustrating chronic inflammatory problem with tendency to scar in young adults and may be persistent in older adults though the severity may vary. Acne scars are the product of end stage inflammatory lesions. Post acne scarring is one of the most common causes of facial scarring that can lead to great psychological distress.
PROCEDURES / ACNE TREATMENTS FOR AN EARLY RESPONSE WITH SUSTAINED EFFECTS:
Surgical treatment is a useful adjunct to hasten response in active acne .It leads to quicker resolution of lesions , reduces inflammation & hence has the potential to reduce scarring .
In predominantly comedonal acne , comedone extraction combined with or without superficial chemical peels offer an advantage to prevent inflammation & thus reduce the incidence of scars.
Salicylic acid peel/ Mandelic peel can be used alone or in combination with varying concentrations.
LASERS FOR ACNE
In the presence of predominantly inflammatory papules chemical peels , cryotherapy or lasers & light therapy & photodynamic therapy may be beneficial along with systemic antibiotics .These are particularly useful in resistant cases of if a quick response is desired.
PHENOLIZATION & INTRALESIONAL INJECTIONS
Phenolization and intralesional corticosteroids may be used to enhance the outcome of treatment.
CROSS TECHNIQUE FOR ACNE SCARS
Superficial chemical peels cannot be utilized for deep acne scarring, that extends beyond the papillary dermis . The chemical reconstruction of skin scars (CROSS) technique using 65 to 100 percent TCA is a modified form of a chemical peel used for ice pick scars. It is a focal deep chemical peel & is effective in all skin types .
Combination of the above mentioned treatments can be used according to the severity,type, distribution of acne keeping age in mind