Acne scars, on the other hand, are formed when there is damage to the skin which leads to abnormal collagen production, and usually appear raised or bumpy. "There are two types of acne scars: depressed and raised. Depressed scars may look like pits or craters, and raised scars may be firm and tender," explains Dr. Zeichner, who notes that unfortunately, these are permanent.
Photodynamic therapy is a new acne treatment. It begins with light microdermabrasion. This is used to remove dead skin cells on the face's surface. Then, an acid is put on the skin for 30 to 60 minutes. After this period, the acid is taken off. Lastly, the skin is treated with a laser. This treatment is still being researched, but seems to give positive long-term results.
Potentially the easiest and cheapest option, "Clay masks help draw out impurities such as dirt and oil at the surface level of the skin which helps with acne breakouts. It will help to dry up the acne," says Dr. Bank. You can usually find a large tube (meant for your entire face) at the drugstore, and using it as a spot treatment will make it last forever. Just look for a mask with kaolin or bentonite clay as the primary ingredient.
Try some benzoyl peroxide. Benzoyl peroxide is used to kill the bacteria that contribute to acne. Benzoyl peroxide comes in different concentrations, but benzoyl peroxide with a 2.5% concentration is just as effective as 5-10% solutions, and it's less irritating to the skin to boot. Benzoyl peroxide also helps peel away layers of dead skin, leaving brighter, more rejuvenated skin in its place.
Doctors can treat telangiectasias with a small electric needle, a laser, intense pulsed light, or minor surgery to close off the dilated blood vessels. Usually, multiple treatments are required for best results, and only a portion of the blood vessels improve with each treatment. Not everyone responds the same to these types of treatments, and a physician can help someone decide which treatment is best for his or her skin type, condition, and size of blood vessels.
Laser treatment may cause some discomfort. While most patients are able to endure the procedure, ice packs and topical anesthetic cream can help alleviate the discomfort. Multiple treatments are typically necessary, and most insurances do not cover the procedure. Doctors recommend treatments in three- to six-week intervals; during this time, sun avoidance is necessary. Review risk, benefits, and alternatives with a physician prior to treatment. Combine laser treatments with photodynamic therapy (light-activated chemical using Levulan) for more noticeable results.
Ugh, I know. This is the first piece of advice every dermatologist, esthetician, and nutritionist has told me time and time again, yet I've resisted. I'm aware that dairy is known to cause inflammation and increased sebum production, but I just love cheese (and ice cream, and milk chocolate) so damn much, okay? Because I was at my most desperate, I decided to swallow my cravings and go dairy-free for a very doable three weeks. After just one week into the experiment, my cystic bumps died down significantly, and I cursed everyone for being right.
When it comes to acne scars — especially difficult to treat indented or raised ones — the best offense is a good defense. If you’re still struggling with active acne and want to avoid future scarring, Avram likes this drugstore-staple Neutrogena wash because it contains salicylic acid, a beta-hydroxy acid that he says “exfoliates the skin, softens the appearance of the acne itself, and has some antibacterial properties.”
Oil-free soaps or washes won’t clog your pores or cause blackheads, acne, and whiteheads. Choose products that are labeled "oil free," "nonacnegenic” (which means it won’t cause acne) or "noncomedogenic” (which means it won’t clog your pores). Some also have ingredients recommended by dermatologists, such as benzoyl peroxide and salicylic acid. Make sure your washcloths are soft -- you can use one made for babies -- and use a clean one every time, too.
If you’ve exhausted this list of helpful ingredients while researching how to get rid of acne scarring, it might be time to head to the dermatologist and see what medical treatments are available for your complexion. But before you go shelling out the big bucks on expensive procedures, test out these scientifically-backed ingredients used to get rid of acne scars. Give your product a bit of time to do its work before tossing it out and moving to the next one. Patience and perseverance are key here, so try not to feel jaded or dejected during your journey. A beautiful complexion awaits beneath those scars, and using these active agents can help you seek it out.
There are a number of mild chemical peels available over the counter, but acne scar removal requires a stronger peel typically administered by a doctor or dermatologist. Trichloroacetic acid (TCA) peels are slightly stronger than alpha hydroxy acid (AHA) peels and may be used for acne scar treatment. The strongest type, phenol peels, may cause significant swelling and require up to two weeks of recovery time at home. Neither are recommended for people with active severe acne.
Isotretinoin: Accutane was the original brand name; there are now several generic versions in common use, including Sotret, Claravis, and Amnesteem. Isotretinoin is an excellent treatment for severe, scarring, persistent acne and has been used on millions of patients since it was introduced in Europe in 1971 and in the U.S. in 1982. It should be used for people with severe acne, chiefly of the cystic variety, that has been unresponsive to conventional therapies like those listed above. If taken in sufficient dosage, it should eliminate the need to continue the use of prescription drugs in most patients. The drug has many potential serious side effects and requires a number of unique controls before it is prescribed. This means that isotretinoin is not a good choice for people whose acne is not that severe but who are frustrated and want "something that will knock acne out once and for all." In order to use the drug, the prescribing physician, the patient, and the supplying pharmacy must be enrolled in the online "iPLEDGE PROGRAM." Used properly, isotretinoin is safe and produces few side effects beyond dry lips and occasional muscle aches. This drug is prescribed for five to six months at a dosage that has a high likelihood of preventing the return of acne. Fasting blood tests are monitored monthly to check liver function and the level of triglycerides, substances related to cholesterol, which often rise a bit during treatment but rarely to the point at which treatment has to be modified or stopped.