Acne Scar Treatment: A Multimodality Approach Tailored to Scar Type

  title={Acne Scar Treatment: A Multimodality Approach Tailored to Scar Type},
  author={Lisa A. Zaleski-Larsen and Sabrina Guillen Fabi and Timothy A. McGraw and Mark B. Taylor},
  journal={Dermatologic Surgery},
BACKGROUND Acne scarring can be classified into atrophic icepick, boxcar, and rolling scars in addition to keloidal and hypertrophic scars. Additionally, these scars can be erythematous, hyperpigmented, and/or hypopigmented. Each scar type has a different structural cause warranting a customized approach. Many cosmetic options exist to address these changes individually, but little literature exists about the safety and efficacy of combining such procedures and devices. METHODS A Medline search… 

Acne Scarring Management: Systematic Review and Evaluation of the Evidence

Fractional lasers and radiofrequency offer significant improvement in most types of atrophic acne scars with minimal risks and can be combined with all other treatment options.

Laser treatment for facial acne scars: A review

  • N. SadickA. Cardona
  • Medicine
    Journal of cosmetic and laser therapy : official publication of the European Society for Laser Dermatology
  • 2018
Evaluation of the literature examining acne scar treatment with lasers revealed that clinical outcomes are dependent on various patient factors, including atrophic acne scar subtype, patient skin type, treatment modality, and side-effect profile.

Acne Scars: How They Form and How to Undo Them

This chapter will discuss the use of ablative, nonablative, fractionated, and nonfractionated lasers, dermabrasion, chemical peels, microneedling, subcision, radiofrequency, and dermal fillers for the treatment of atrophic acne scars.

Subcision for Atrophic Acne Scarring: A Comprehensive Review of Surgical Instruments and Combinatorial Treatments

Overall, subcision is a particularly effective treatment for atrophic acne scars, and there is vast potential for further innovation with this technique.

Consensus on Treatment of Acne Scars in China (2021)

The selection of appropriate methods for the comprehensive treatment of different types of acne scars at different stages in clinical practice remains challenging and is a research topic of great interest.

Prospective Evaluation of Atrophic Acne Scars on the Face With Needle-Free High-Pressure Pneumatic Injection: Quantitative Volumetric Scar Improvement.

Treatment with pneumatic injection is safe and effective in reducing atrophic acne facial scars; it results in quantitative improvement in scar volumes.

A Combination of Non-ablative Laser and Hyaluronic Acid Injectable for Postacne Scars: A Novel Treatment Protocol.

The results suggest that this combination treatment using 1,540-nm fractional erbium:glass laser and hyaluronic acid injections is both safe and effective for patients with postacne facial scars.

Treatment of scars with autologous fat grafting and 1540 nm non-ablative erbium laser

  • Yoav GronovichAdi Maisel Lotan
  • Medicine
    Journal of cosmetic and laser therapy : official publication of the European Society for Laser Dermatology
  • 2022
Treatment of scars with autologous fat grafting and fractional non-ablative 1540-nm erbium laser is safe and efficient and results in improved scar appearance and texture, leading to better cosmetic outcome.

Application of plasma-combined regeneration technology in managing facial acne scars

Initial evidence for the safety and effectiveness of PCRT as a well-tolerated modality for the treatment of acne scars is provided and PCRT is an ideal treatment for facial acne scars with minimal side effect.

Microneedling Monotherapy for Acne Scar: Systematic Review and Meta-Analysis of Randomized Controlled Trials

Although no case of secondary scarring or infection was reported in this study, the pooled result of postinflammatory hyperpigmentation was significant at the 5% significance level and preferred microneedling treatment, and micronesia without radiofrequency is a favorable choice for the treatment of acne scarring.



Post acne scarring: a review

  • G. Goodman
  • Medicine
    Journal of cosmetic and laser therapy : official publication of the European Society for Laser Dermatology
  • 2003
The patient, his or her expectations and overall appearance as well as the morphology of each scar must be assessed and treatment designed accordingly, so that the most pertinent treatment for that scar may be devised.

Treatment of acne scars with hyaluronic acid: an improved approach.

Microinjection of low viscosity HA offers a valuable technique for the treatment of discrete depressed acne scars, and immediate visual improvement was observed in all lesions.

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Some of the most commonly used cosmetic therapies for acne scarring are reviewed, including dermabrasion, laser resurfacing, radiofrequency (RF), subcision, skin needling, punch techniques, chemical peels, soft-tissue augmentation, intralesional therapy, cryotherapy, and silicone dressings, with a focus on cosmetic outcomes.

Combination Therapy in the Management of Atrophic Acne Scars

This combination of subcision, microneedling and 15% trichloroacetic acid peel in the management of atrophic scars has shown good results in treating not only Grade 2 but also severe Grade 4 and 3 scars.

Improvement in Atrophic Acne Scars Using Topical Synthetic Epidermal Growth Factor (EGF) Serum: A Pilot Study.

Results suggest that topical EGF may improve the appearance of atrophic acne scars, though further study and more objective evaluation measures are required for definitive conclusions to be drawn.

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This paper summarizes acne scar pathogenesis, classification and treatment options for hypertrophic and keloidal lesions, and describes numerous treatments for atrophic and hypertrophic scars.

Autologus bone marrow stem cells in atrophic acne scars: A pilot study

Autologous BMSCs seem to be a safe and effective treatment option for the management of all types of atrophic facial acne scars and there was significant improvement in the qualitative grading, quantitative grading and CADI scores.

The Safe Delivery of Fractional Ablative Carbon Dioxide Laser Treatment for Acne Scars in Asian Patients Receiving Oral Isotretinoin

Ablative CO2 fractional laser treatment for acne scarring seems to be safe regardless of isotretinoin use (10–60 mg/d), and the authors' findings contribute to the discussion of whether oral isot retinoin treatment impairs wound healing after ablative laser treatment.

Laser treatment of hypertrophic scars, keloids, and striae.

Repigmentation of Hypopigmented Scars Using an Erbium‐Doped 1,550‐nm Fractionated Laser and Topical Bimatoprost

The combination of fractional resurfacing, topical bimatoprost, and tretinoin or pimecrolimus is a potential effective resource for the treatment of hypopigmented scars, with long‐lasting results.