Acne-Scarring

Definition

Acne Scarring is visible markings, lumps or indentations on the skin's surface resulting from scar tissue which has formed as part of the healing process where acne has previously damaged the original skin and/or hair follicle.

Description

ACNE SCARS There are three main types of scars caused by Acne. 1) ICEPICK PORE SCARS These are large, deep scars with visible open pores that look as if the skin has been jabbed with a thin, sharp instrument. This scar is usually caused by a deep pimple or cyst that has destroyed the hair follicle as the infection moved to the surface of the skin. 2) ACNE PIT SCARS These scars are indented and are due to pimples or cysts that have damaged the skin and formed scar tissue. The scar has a slightly sunken or depressed appearance. 3) RAISED SCARS When several large cysts have clumped together, scar tissue forms which can create a lumpy mass of raised tissue on the skin's surface. These are known as raised scars.

Treatment Options

Some Acne scars improve over time, others remain unchanged and some can continue to worsen. Picking or squeezing pimples can be a cause of scarring. A family history of Acne Scarring means that early treatment by a Dermatologist may result in a better outcome. Different scars require different treatments. Your Doctor can refer you to Dermatologist for specialist advice. Techniques for treating Acne Scarring include; Hyaluronic acid, collagen or fat; can be injected under the skin and into the acne scars. This fills out the skin and makes the scars less noticeable. The results are temporary and injections need to be repeated periodically. Microdermabrasion; is a technique which removes the cells on the surface of the skin and has a smoothing effect. This would only be considered for very minor cases of Acne Scarring and is often used in combination with topical oral medications. Skin resurfacing; uses lasers on the scar tissue to carefully remove the damaged outer layer of skin. This helps to repair the surface skin layers and stimulates collagen production. Plasma resurfacing; used high-energy nitrogen plasma to shed the top layers of skin and create a new surface for the skin. Unlike laser resurfacing, the old skin surface stays in place until the new layer grows underneath, so no open wound is created. This technique also achieves a more even and natural result. Steroids; either applied to the skin or injected into the scar can be used to help soften and flatten the scar tisse. Surgery; is used in cases of deep 'punched out' scars or large, raised scars. This technique is often used prior to laser resurfacing. ,

Pharmacist's Advice

1) Ask your Pharmacist or beauty consultant for advice about regular skin treatments to remove and reduce the occurrence of blackheads and pimples. Proper cleansing techniques can reduce the risk of scarring. 2) Follow the diet hints. 3) Cleanse daily with a medicated face wash. Pat skin dry gently. 4) Your Pharmacist or beauty consultant can instruct you on how to use the cleansing and exfoliation treatments to keep the skin clean. 5) It is best to avoid using thick, oil-based creams and cosmetics if your skin is prone to Acne to help avoid clogging of the follicles which can cause Acne. Water-based products may be more suitable. 6) Ask your Pharmacist to recommend a skin preparation that may help to reduce scarring. Some products are available that contain salycic acid or benzoyl peroxide. 7) Natural products containing vitamin E and rosehip oil may also help to improve the appearance of scars, when applied to the skin. 7) If your skin is sensitive, avoid using highly perfumed soaps and cosmetics. Some products use the description 'non-comedogenic' or 'non-acnegenic'. This means the products have been tested and shown not to worsen Acne. Ask your Pharmacist or beauty consultant to recommend the most suitable products for your skin. 8) Consider some nutritional supplements if the diet is inadequate. Your Pharmacist can advise you about supplements which may help to improve the skin. *Some products in the market eg dermatix is not suitable of scarring due to acne or chicken pox.

Diet Hints

See the Acne Diet on the Healthpoint.

Vitamins/minerals/herbs

Vitamins may be of assistance if dietary intake is inadequate. - Zinc supplementation has been shown to improve Acne in some cases. - Zinc combined with Vitamin B3 (also known as nicotinamide, niacin or nicotinic acid) and Folic acid helps to manage Acne. - Vitamin A, as a supplement or in skin preparations, plays an important role in the treatment of Acne. Vitamin A is not suitable for pregnant women. - Calendula is used widely as a soothing ingredient in skin preparations. It has anti-inflammatory, antiseptic and wound-healing properties. - Sarsaparilla and Gotu kola, taken orally, have anti-inflammatory properties that may help to improve Acne. - Tea tree oil has been shown to be an effective treatment in skin preparations for Acne.