Acne Scars & Other Scars / Keloids
Treatment Options in Las Vegas
Photos / Pictures of Acne Scars in Las Vegas
Acne scars are unfortunate, residual, permanent marks left behind after acne. Acne scarring and other scars from chicken pox, other illnesses and injuries can cause significant psychological and social distress and/or discomfort.
Acne scarring is unpredictable; since acne severity does not correlate with the development, type or severity of acne scars. Likewise, the most effective way to prevent post-acne scarring is to seek early treatment intervention of your acne.
Thankfully, various novel refinements and modern treatment techniques, developed by Cosmetic Dermatologists and others offer safe and effective treatment of acne scars as well as other types of scars to improve your skin’s appearance and self-esteem. Acne scar treatment is often complex, requiring various treatment techniques, separately or in combination over several or more treatment sessions.
Knowledgeable, well trained and equipped in the expanding vast arsenal of acne scar treatments, our “Award Winning Cosmetic Surgeon” and Cosmetic Dermatologist, Robert Strimling, MD has a special interest in acne scar prevention and treatment. “I understand how psychologically devastating acne scarring can be and therefore, always strive to understand each unique patient’s goals and desires in helping my patients achieve the best possible improvement in their skin appearance and self-esteem.” A thorough evaluation of your medical history and examination is paramount to understanding your skin type, scar locations, scar sub-types (and causes) and probable response to proposed treatments, as well as your healing capacity among other factors required to help us devise the best possible acne scar treatment plan for you.
Who gets Acne Scars? What are the Risk Factors?
Acne is very common, affecting up to 80% of adolescents and acne scarring may affect up to 11% or more of the general population. Acne scars may be associated with low self esteem, social anxiety, embarrassment, depression, anger, distorted body image, reduced academic performance and unemployment. When active acne & scars are present, control of the active acne is generally the first priority to stop new acne scars from developing. Treatments that help acne and also, help improve scarring are recommended.
What are Acne Scars? And other related Scar-like conditions?
Although the answer to this question appears obvious, acne scars are defined by and result in focal, noticeable contour irregularities in the skin after the healing of acne. These contour irregularities, may be elevated, as in hypertrophic or keloid scarring or more commonly, depressed (sunken), as in atrophic scarring.
Types of Acne Scars & Other Scars
Thus, acne scars, as well as other scars are broadly categorized as hypertrophic, keloidal (keloidal scars are similar to hypertrophic scars) or atrophic scars. Treatment considerations vary for each type.
Atrophic acne scars are the most common type and can be further divided into:
Ice-pick scars, rolling scars & box car scars – based upon their morphology. Most acne scar patients exhibit a combination of scar types. Ice-pick scars are usually narrow, but deep, and often, tapering scars. In contrast to ice-pick scars, rolling & boxcar type acne scars are larger, more broad, yet shallower scars. Rolling scars have rolling, gradual edges while boxcar scars have sharper, more well-defined edges.
Another acne scar grading system accounts for additional features, including discoloration & distensability or stretchability of atrophic scars which also impacts treatment planning. Discoloration of scars also impacts treatment planning. Scars may be skin colored or variably lighter, darker or more red in color than usual.
Treatment Options for Acne Scars & Other Scars
Hypertrophic or keloidal scars are usually treated with a series of intralesional (i.e. injected) Kenalog sessions.
Treatment options for ice-pick scars include punch elevation or excision, CROSS chemical peels and/or adjunct fractional ablative or non-ablative resurfacing, alone or in combination.
Rolling or boxcar type acne scars treatment options include subcision, dermal filling, skin needling and/or fractional ablative or non-ablative resurfacing, alone or in combination.
Post-acne skin discolorations, most commonly hyperpigmentation (i.e. dark spots), are often not a true form of scarring, but represent a condition known as post-inflammatory hyperpigmentation; which is often self-limited if and after the acne is controlled. Several months may be required for clearance. Otherwise, clearance can almost always be hastened with a combination of topically applied lightening creams combined with novel laser toning, available at our clinic. However, some dark spots may be associated with true scarring and hence, clearance may be partial or incomplete, take longer and require other treatments.
Hypopigmented areas (i.e. white or lighter skin colored areas) may represent a variety of non-scarring or scar-related diagnoses, including scarring caused by a variety of sources. Contour irregularity can be improved via techniques discussed below, but attempts to darken lighter areas of skin color is often more resistant. Our Pharos narrow band ultra-violet B laser can be used to stimulate re-pigmentation in hypopigmented skin. Early, evolving scars may be erythematous (i.e. red in color) or may represent healing deep-seated acne cyst or nodules, which may or may result in scarring, depending upon a variety of factors. With intense pulsed light, as in our Sciton Broad Band Light (BBL ) device, one or a series of several painless, no down-time treatment sessions is usually curative for erythematous scars.
At Strimling Dermatology, Laser & Vein Institute of Summerlin, Las Vegas, Acne Scar & Other Scars (Keloids) correction / revision is performed (or supervised) by our board certified Dermatologist, Dr. Robert Strimling, MD. With over 20 years experience, our Dr. Strimling is among the most experienced Cosmetic physicians in Summerlin and Las Vegas. Our dermatologists have been voted or selected among the “Best Dermatologists” in Las Vegas and America multiple years.
Contact Us at (702) 243-6400 to schedule a personalized consultation.
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Strimling Dermatology, Laser & Vein Institute of Summerlin, Las Vegas, NV provides chemical peel treatments, among other services to patients from all over Southern Nevada, including Henderson, Green Valley, Anthem, North Las Vegas, Boulder City, Laughlin, Pahrump, Mesquite, as well as Summerlin, Las Vegas, Nevada and the rest of the southwest. We have also seen patients from all over the country and world.