Management of Acne Scarring, Part I

@article{Sobanko2012ManagementOA,
  title={Management of Acne Scarring, Part I},
  author={Joseph F Sobanko and Tina S. Alster},
  journal={American Journal of Clinical Dermatology},
  year={2012},
  volume={13},
  pages={319-330}
}
  • J. SobankoT. Alster
  • Published 12 December 2012
  • Medicine
  • American Journal of Clinical Dermatology
Acne scarring is the result of a deviation in the orderly pattern of healing and can have profound psychosocial implications for patients. While the most effective means of addressing acne scarring is to prevent its formation through good acne control, there are a number of therapeutic interventions that improve the appearance of acne scars. Many of these procedural modalities have flaws and are limited by operator skill and experience. Laser scar revision, on the other hand, is a precise, well… 

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.

Application of fractional laser in the treatment of scars

Fractional laser treatments are currently a widely used therapeutic approach for scar management, both in paediatric and adult patients, and contribute to the satisfaction of patients with the final cosmetic result, thus improving their mental and emotional well-being.

Acne scarring: a review of cosmetic therapies.

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.

Interventions for acne scars.

This review aimed to examine treatments for atrophic and hypertrophic acne scars, but there is a lack of high-quality evidence on treatments for acne scars to better inform patients and their healthcare providers about the most effective and safe methods of managing this condition.

A Review and Update of Treatment Options Using the Acne Scar Classification System

  • Monica BoenC. Jacob
  • Medicine
    Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
  • 2019
Therapies for acne scarring included surgical modalities, such as subcision, and punch excision and elevation, injectable fillers, chemical peels, dermabrasion, microneedling, and energy-based devices.

The evolution of laser surgery for acne and other scarring processes.

  • L. Morton
  • Medicine
    Seminars in cutaneous medicine and surgery
  • 2014
Patients with mild to severe acne scarring have long been good laser candidates, but the authors are beginning to understand the use of lasers for severe traumatic scars which can be disfiguring and functionally limiting in nature.

AN OBSERVATION ON SUCCESSFUL TREATMENT OF ACNE SCAR WITH HOMEOPATHIC MEDICINE

Very promising result by homeopathic treatment in all types of acne scars which is cost effective, reachable to all patients, effective orally, simple and convenient to all and without any complications is seen.

Comparison of four different lasers for acne scars: Resurfacing and fractional lasers.

A study of efficacy of subcision, micro-needling and carbon dioxide fractional laser for treatment of acne scars

Time tested procedures; like subcision if done adequately and properly have excellent response and is comparable to newer and costly treatment like CO 2 fractional laser.

Scar prevention and remodeling: a review of the medical, surgical, topical and light treatment approaches

Overall, though topical modalities are easier to use and are usually more attractive to the patient, the surgical approaches still prove to be superior and more reliable and advances in topical medications for scar modification are on the rise and a change towards medical treatment of scars may emerge as the next best approach.
...

References

SHOWING 1-10 OF 141 REFERENCES

Acne scarring: a classification system and review of treatment options.

A descriptive, simple, universally applicable acne scar classification system that includes 3 scar types: icepick, rolling, and boxcar is proposed that enables the physician to more precisely identify scar subtypes.

A clinical evaluation of acne scarring and its incidence

Results indicate that facial scarring affects both sexes equally and occurs to some degree in 95% of cases, and emphasizes the need for earlier adequate therapy in an attempt to minimize the subsequent scarring caused by acne.

Laser scar revision.

Acne scarring: a review and current treatment modalities.

  • A. Rivera
  • Medicine
    Journal of the American Academy of Dermatology
  • 2008

Atrophic and a Mixed Pattern of Acne Scars Improved With a 1320‐nm Nd: YAG Laser

The 1320-nm Nd:YAG laser is a safe and effective nonablative modality for the improvement of atrophic and a mixed pattern of facial acne scars.

Fractional Resurfacing for the Treatment of Atrophic Facial Acne Scars in Asian Skin

The introduction of fractional photothermolysis of atrophic facial acne scars resulted in significant improvement even in a single treatment, with good satisfaction and unremarkable side effects.

Laser scar revision: A review

Non-ablative lasers such as the pulsed dye laser and ablative fractional devices that improve scar appearance and are better tolerated than ablative CO2 and Er:YAG are reviewed.

Successful treatment of acneiform scarring with CO2 ablative fractional resurfacing

A novel ablative 30 W CO2 laser device uses a technique called ablative fractional resurfacing (AFR), combines CO2 ablation with a FP system, and produces more modest results than traditional carbon dioxide (CO2) lasers but with fewer side effects and shorter recovery periods.

Improvement of atrophic acne scars with a 1,320 nm Nd:YAG laser: retrospective study.

Nonablative laser skin resurfacing with a 1,320 nm Nd:YAG laser can effectively improve the appearance of facial acne scars with minimal adverse sequelae.

Acne Scars: Pathogenesis, Classification and Treatment

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